Claims Specialist Jobs in Richmond, VA

Drive quality hospice care by overseeing clinical documentation, coordinating workflows, and collaborating with interdisciplinary teams to ensure compliance and patient-centered planning. Make a meani...

Join as a Compensation Advisor, providing expert analysis and support for compensation programs. Collaborate with HR Partners to enhance reward strategies, ensuring equity and market competitiveness a...

Execute robust compliance audits and monitoring across healthcare operations. Leverage strong analytical skills and collaborate effectively to ensure adherence to regulations, enhance coding accuracy...

Unlock potential by navigating patient access complexities, educating stakeholders on reimbursement and coding, and addressing access barriers to promote therapy initiation and continuity, all while e...

Transform data governance processes and drive data quality initiatives while collaborating with cross-functional teams to enhance critical data management workflows in a cloud-native environment...

Transform IP docketing processes by expertly managing deadlines, ensuring document accuracy, and collaborating with team members to enhance best practices. Leverage your experience in a dynamic enviro...

Innovate with us to enhance our Third Party Risk Management program through automation and collaboration. Join a dynamic team that transforms security governance into an engineering discipline, elevat...

Lead the charge in enhancing safety and quality standards; administer the Risk Program and conduct audits, assessments, and training. Collaborate with various stakeholders to ensure compliance and imp...

Join and lead the onboarding of SaaS projects, managing key stakeholders while serving as a technical expert. Develop customer relationships, ensure smooth implementation, and drive project success th...

Transform the landscape of Allied Healthcare underwriting by analyzing and managing complex risk portfolios while driving growth through strategic agency partnerships and delivering tailored insurance...

Unlock your potential by leading revenue cycle initiatives and ensuring compliance in coding and billing practices. Collaborate with stakeholders to enhance revenue integrity while independently manag...

Transform training effectiveness by developing and delivering comprehensive technical training programs while collaborating with subject matter experts to enhance audit productivity and client satisfa...

Collaborate with teams to manage Cyber & Technology claims, resolving disputes from initiation to conclusion while ensuring compliance and effective communication across all stakeholders...

Shape the future of healthcare solutions by driving product definitions, collaborating with cross-functional teams, and enhancing pharmacy operations. Leverage deep domain knowledge to translate busin...

Transform underwriting effectiveness by evaluating risk and pricing in the Stop Loss market. Collaborate with stakeholders to ensure growth and competitiveness while managing a complex portfolio and m...

Unlock legal expertise within biopharma and healthcare, tackling clinical trial, regulatory, and data privacy matters. Collaborate across teams to manage risks while driving innovation in research and...

Unlock new business potential by driving revenue growth in Life and InsurTech markets through strategic sales efforts. Engage with C-level executives to foster relationships, identify opportunities, a...

Accelerate compliance operations excellence by leading high-risk regulatory activities, enhancing processes, and fostering cross-functional partnerships to ensure alignment with the Company’s Complian...

Champion program delivery and team performance in payment initiatives, ensuring alignment with strategic business goals while remotely leading and developing a high-functioning project management team...

Engage in the preparation of GAAP and SEC reporting deliverables, collaborating cross-functionally while ensuring compliance and providing analytical insights into financial metrics to support audit p...

Join a team that's shaping strategic direction in life sciences consulting by supporting project management, guiding junior staff, and ensuring impactful client communication through in-depth research...

Manage a dynamic team while overseeing compliance in personal lines insurance. Drive operational excellence and contribute to legislative and regulatory frameworks, ensuring access to reliable insuran...

Transform how finance integrates with technology by driving solutions that enhance operations and improve processes. Collaborate with diverse stakeholders to deliver impactful software configurations...

Shape healthcare delivery by managing care for members with complex needs through telephonic assessments, interventions, and resource coordination, ensuring optimal health outcomes and support across...

Manage reimbursement strategies supporting business goals across product areas. Collaborate with teams to guide product development, analyze landscapes, and educate stakeholders on reimbursement impac...