Claims Specialist Jobs in Tampa, FL

Optimize Medicaid eligibility and enrollment processes by driving improvements, collaborating with stakeholders, and implementing regulatory changes for enhanced operational efficiency and service del...

Deliver exceptional patient support as a telephonic case manager, leveraging your clinical expertise to engage members and coordinate care across multiple states, ensuring compliance and optimizing he...

Accelerate your career as a Senior Software Engineer, driving innovation in developing high-quality software solutions within a collaborative team, while providing technical leadership to optimize com...

Join a dynamic team to design and optimize cloud infrastructure and CI/CD solutions, enhancing software delivery. Collaborate across teams to improve application reliability and drive automation in pr...

Advance key Commercial Payor strategies for a novel product launch. Drive national account relationships, shape coverage decisions, and enhance patient access across Commercial, Medicare, and Governme...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Unlock your potential as you support contract managers by drafting, reviewing, and negotiating various contracts, ensuring compliance with policies and enhancing operational efficiency in this dynamic...

Optimize national payer engagement strategies to secure favorable coverage pathways for innovative cell therapies. Play a key role in building vital relationships and demonstrating product value while...

Join a pivotal role in regulatory affairs, guiding promotional materials in compliance with FDA and provincial guidelines in a dynamic, remote environment. Lead the Materials Review Committee and shap...

Elevate your actuarial career by applying analytical skills to shape reserve strategies and business insights in a dynamic financial environment focused on specialty coverages and emerging risks...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Explore opportunities to revolutionize the Requester Experience in healthcare data. Collaborate across teams to create scalable solutions, enhance workflows, and develop AI-powered tools that transfor...

Shape the future of music licensing by managing operational workflows, contract lifecycles, and collaborations across key business functions to ensure seamless execution of licensing agreements and co...

Reimagine Regulatory Affairs by leading complex outsourcing programs and driving client success. Utilize deep expertise in strategy and operations to manage projects, mentor teams, and deliver tailore...

Drive impactful medical reviews to ensure compliance and integrity in claim payments. Collaborate with agencies to investigate fraud, utilizing a blend of clinical expertise and analytical skills to p...

Pioneer the future of clinical trials by ensuring protocol compliance and managing site operations. Collaborate with diverse stakeholders while conducting on-site visits and overseeing essential docum...

Join a team that's defining risk strategies and shaping the future of underwriting in complex environments. Bring your expertise to evaluate and manage high-severity professional liability risks, fost...

Unlock potential by leading our equity plan operations, enhancing compliance and efficiency for all shareholders. Be the pivotal link among teams, scaling with our growth and optimizing employee equit...

Champion complex account strategies, driving multi-dimensional revenue growth while influencing senior stakeholders and mentoring team members across diverse, high-value client relationships in a dyna...

Unlock potential by serving as a strategic legal partner for enterprise sales, ensuring scalable contracts and compliance while driving revenue through expert negotiations and cross-functional collabo...

Drive information security initiatives to defend assets against cyber threats, ensuring compliance and reducing risks. Engage with development teams to enhance security solutions with a proactive appr...

Join a team that pioneers innovative insurance coverage solutions. Leverage your litigation expertise in a collaborative environment, addressing complex first-party property and liability matters whil...

Join a team that's committed to executing cradle-to-grave subcontract administration for federal programs. Apply your expertise in FAR/DFARS compliance, procurement processes, and cross-functional col...

Shape the future of pharmaceutical development by leading nonclinical safety strategies, mentoring talent, and ensuring compliance through effective communication with a diverse range of internal and...

Join a team that's transforming client L2C processes through innovative solutions. You'll support engagements, drive AI initiatives, and collaborate with stakeholders, all while enhancing your consult...