Claims Specialist Jobs in Warren, NJ

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock your potential by leading the development of innovative DRGV services, enhancing billing and coding optimization. Collaborate across teams to create scalable solutions that drive operational ex...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Transform employee benefits by managing vendor relationships, ensuring compliance, and leveraging data analytics to enhance wellness programs. Drive innovative solutions and streamline processes for o...

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

Transform compensation analytics by leveraging your expertise to enhance reporting, data integrity, and project support within a dynamic Total Rewards team. Collaborate across functions to drive succe...

Lead and scale the U.S. compliance program, translating global ethics frameworks into actionable strategies while managing regulatory risks and fostering a culture of integrity across a growing organi...

Unlock potential by joining our Risk Control team to provide expert consulting, mentor peers, and drive technical solutions for complex risk management. Engage with customers to enhance safety and red...

Unlock potential by leveraging your risk engineering expertise to consult with clients, assess complex risks, and mentor junior specialists. Drive innovative solutions and enhance risk management prac...

Join us to lead financial reporting and accounting for the Property business. Oversee audits, enhance systems, and collaborate across functions while mentoring a team. Your expertise will ensure accur...

Join a dynamic team as you manage clinical research sites, ensuring compliance and quality throughout all study phases. Build strong relationships, oversee monitoring activities, and contribute to tea...

Contribute to the development and negotiation of the NFL-NFLPA CBA, representing the league in litigation and grievance hearings while ensuring compliance with league policies and regulations...

Champion regulatory strategies to accelerate product approvals and compliance. Lead a dynamic team in supporting innovative medical devices, ensuring alignment with global regulations while fostering...

Drive the development of global clinical regulatory strategies and ensure compliance with Health Authority requirements for investigational and marketed products, while preparing essential regulatory...

Transform the delivery landscape by leading cross-functional initiatives, mentoring analysts, and driving strategic solutions across business units and external partners. Engage deeply in project exec...

Analyze and assess candidates for the Early Intervention Program, ensuring compliance and recommending appropriate interventions based on comprehensive legal reviews and data analysis for quarterly re...

Shape the future of healthcare by leading the Organic Risk Adjustment program. Drive strategic initiatives, foster collaboration across teams, and implement innovative solutions to enhance performance...

Champion the management of investment portfolios to maximize risk-adjusted returns and ensure alignment with regulatory and capital constraints, supporting long-term financial stability through strate...

Empower your career as a Solutions Architect, designing end-to-end technology solutions that drive business alignment and operational excellence. Collaborate across teams to create scalable, secure ar...

Join us to design and govern cutting-edge technology solutions that meet business goals, enhance security, and ensure operational excellence across diverse domains while collaborating with cross-funct...

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Join a team that's committed to environmental solutions while managing customer relationships and driving sales growth. Your expertise will be essential in delivering tailored services to clients and...

Champion financial examinations by leading teams to ensure quality, compliance, and timely delivery of regulatory services. Foster client relationships, manage complex projects, and drive growth in a...