Claims Specialist Remote Jobs

Join a dynamic team to drive strategic contracts management and proposal development for high-stakes federal bids. Collaborate across functions to balance risk and compliance while ensuring financial...

Join our team to evaluate medication therapy and enhance Utilization Management strategies. Collaborate with healthcare professionals to ensure optimal patient care through effective Prior Authorizati...

Elevate project delivery and data management within a dynamic team, ensuring timely execution of healthcare provider meetings and educational programs while fostering collaboration and maintaining hig...

Elevate risk management by leading enterprise risk, actuarial, and reinsurance strategies. Collaborate with senior leadership to ensure sound decision-making and governance, while protecting the balan...

Lead pharmacy benefit management initiatives across diverse product lines, ensuring compliance and enhancing member access. Collaborate with cross-functional teams to optimize clinical outcomes and dr...

Drive outside plant project support by managing materials, tracking inventory, and ensuring accuracy in reporting. Collaborate with teams to enhance processes and support construction efforts while ma...

Shape the future of integrated workplace management by leading IWMS implementations, guiding business analysts, and collaborating with clients to deliver innovative solutions that address real estate...

Transform clinical trial monitoring by ensuring adherence to protocols and regulatory standards. Collaborate with cross-functional teams to enhance data integrity and site performance while providing...

Lead the charge in complex H&S compliance projects while mentoring staff, managing client relationships, and ensuring the highest standards of safety and professionalism in a remote work environment...

Lead the charge in operational oversight of HIMS coding data quality, guiding coder education activities to ensure compliance, accuracy, and continuous improvement in data management across acute care...

Champion clinical trial operations, ensuring excellence in management, collaboration, and compliance while delivering high-quality outcomes across various programs and stakeholders...

Champion the growth of hematology products by educating healthcare providers, driving demand, and fostering relationships within cancer centers. Leverage cross-functional teams to ensure a positive ex...

Unlock potential by driving sales and education in oncology medical devices. Collaborate with healthcare professionals to enhance treatment options for liver and pancreatic cancer while achieving regi...

Join a team that's driving business development across a diverse portfolio, managing accounts, generating leads, and closing sales. You'll engage with clients to deliver customized solutions while ach...

Unlock potential by optimizing HR and Payroll processes through SAP Employee Central Payroll. Collaborate with teams to analyze requirements, configure systems, and support ongoing operations during t...

Empower our team by ensuring the operational excellence of a cloud-based application platform. Collaborate with cross-functional teams to monitor performance, troubleshoot issues, and support software...

Oversee provider network strategy and contracting activities, driving growth and operational excellence. Lead negotiations, evaluate costs, and support market expansion initiatives while ensuring alig...

Deliver strategic oversight and operational management for FDA-mandated REMS programs, ensuring compliance, governance, and collaboration across teams and vendors to enhance program effectiveness and...

Drive impactful change in revenue cycle operations by leading initiatives, collaborating with stakeholders, and optimizing key performance indicators to enhance business outcomes and operational effic...

Lead the charge in expanding business through independent agencies in your territory. Build relationships, drive adoption of quoting tools, and achieve production targets while providing valuable insi...

Lead the charge in enhancing healthcare provider engagement through innovative outreach strategies, utilizing digital tools and collaborative efforts to improve patient care and drive business success...

Lead and develop a team of Clinical Database Programmers to ensure timely, high-quality delivery of clinical database programming activities, driving operational excellence and innovation in clinical...

Unlock potential by joining a strategic team that formulates pricing strategies and analyzes complex data modeling for financial profitability in a dynamic healthcare environment. Drive impactful clie...

Lead the charge in enhancing Medicaid risk adjustment strategies, ensuring alignment between national objectives and local execution. Engage with senior leaders and stakeholders to drive performance...

Explore a dynamic role supporting outside plant projects, ensuring material accuracy and inventory management. Collaborate with teams to enhance processes and track construction milestones while maint...