Claims Analyst Jobs in Richmond, VA

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...

Partner with us to transform pricing strategies in the ACA market. Leverage your actuarial expertise in developing models and ensuring compliance while collaborating on impactful projects that drive g...

Contribute to complex actuarial projects by analyzing risk contracts, enhancing pricing models, and supporting team training while collaborating on strategic financial initiatives in a dynamic work en...

Analyze complex actuarial studies and implement risk contracts while training junior analysts. Coordinate special projects to support capitation initiatives and compile management reports for strategi...

Lead comprehensive audits for Medicare cost reports and reimbursement evaluations. Collaborate with a dedicated team while gaining valuable experience and fostering professional growth in a dynamic he...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...

Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...

Join a dynamic team to manage complex claims, ensuring accurate resolutions and effective communication with stakeholders. Leverage your expertise to train colleagues and optimize claims handling proc...

Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...

Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...

Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...

Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Analyze and audit inpatient DRG claims by applying coding expertise to enhance accuracy and ensure compliance. Collaborate on process improvements to drive operational excellence in a dynamic healthca...

Elevate your career by managing complex insurance claims while providing exceptional service. As a strategic thinker, develop relationships with clients and colleagues, ensuring swift resolutions and...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...

Empower healthcare quality as a detail-oriented Outpatient Quality Analyst. Mentor coding teams, ensure compliance, and drive process improvements in a dynamic remote environment, making a meaningful...

Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...

Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...