Claims Specialist Jobs in Richmond, VA

Take ownership of client onboarding by guiding users through configuration, data migration, and training while collaborating across teams to ensure seamless implementation and long-term partnership su...

Elevate your technical expertise as you tackle complex application support challenges, lead incident resolution efforts, and drive innovation in AI-enabled solutions, ensuring seamless operations and...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Unlock potential by leading strategic compliance projects, enhancing processes, and developing innovative training in a dynamic environment. Drive adherence to healthcare laws and regulations while su...

Lead and enhance credentialing and payor enrollment operations, ensuring compliance and accuracy while supervising specialists and streamlining processes to improve provider readiness and operational...

Lead and empower a team of Clinical Research Associates to oversee and enhance site management activities for clinical trials, ensuring compliance and quality in project execution while fostering prof...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Execute impactful training and support for medical device usage, enhancing physician competencies and healthcare outcomes while collaborating with multifaceted teams in a dynamic, field-based environm...

Champion the acquisition process by providing expert support in contract negotiations, market research, and planning. Collaborate effectively with program teams and ensure compliance with federal regu...

Lead the charge in managing complex claims operations with strategic oversight and operational excellence. Guide a high-performing team to ensure compliance and delivery of superior outcomes in enviro...

Unlock potential by leading complex client engagements for healthcare solutions that enhance quality, increase satisfaction, and meet regulatory goals. Combine analytics and relationship management sk...

Deliver comprehensive evaluations of disability claimants' functionality, advise on complex claims, and facilitate transitions to work. Collaborate with clinical teams and manage resources to ensure o...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

Shape the future of client relations by leading communication, managing accounts, and optimizing client satisfaction. Collaborate with diverse stakeholders to resolve issues efficiently while mentorin...

Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...

Lead actuarial strategy and analysis for Workers Compensation to drive profitable growth by delivering insights, monitoring performance, and fostering collaboration with stakeholders to support strate...

Tackle IT SOX compliance by enhancing control processes, mitigating risks, and ensuring audit readiness while fostering collaboration across IT and business units for continuous improvement and busine...

Support effective communication between 340B entities and manufacturers, resolving complex issues while optimizing user experiences and internal processes. Leverage expertise in healthcare software to...

Collaborate with clinical and sales teams to enhance product support and deliver tailored healthcare solutions, engaging with clients and internal stakeholders to foster strong partnerships and achiev...

Join a team that empowers public health by managing data for a national surveillance project. Support facilities through help desk activities and enhance user experience with technical assistance and...

Unlock potential by building and owning a robust book of business, fostering long-term client relationships, and driving predictable revenue growth through face-to-face sales in a dynamic, high-engage...

Join a dynamic team as you drive client success by thoroughly gathering and documenting complex requirements for innovative solution implementations, acting as a key liaison to ensure precise communic...

Lead the charge in gathering and documenting client requirements for complex solutions. Collaborate with clients and technical teams, ensuring thorough communication and effective liaison throughout t...

Join a team that's dedicated to expanding our market presence by leveraging your sales expertise in SaaS solutions. You'll build relationships, understand client needs, and exceed sales targets within...