Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
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...
2 weeks ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
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...
2 weeks ago
$95K - $115K *
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...
Today
$89K - $170K *
Transform complex data into strategic insights, leading risk analyses and actuarial projects while training future analysts, and enhancing decision-making processes within a collaborative team environ...
1 week ago
$89K - $170K *
Transform complex data into actionable insights as you analyze risk contracts, conduct experience analyses, and support innovative capitation initiatives while mentoring junior actuarial talent and le...
1 week ago
$70K - $116K *
Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...
1 week ago
Audit & Reimbursement Lead - Appeals
$87K - $137K *
Drive your career with a leadership role focused on audit and reimbursement processes. Provide guidance, handle complex cases, and ensure compliance with CMS regulations while mentoring associates and...
Reposted 5 days ago
Audit & Reimbursement III and Senior
$63K - $125K *
Champion the analysis and auditing of Medicare cost reports, enhancing reimbursement processes. Collaborate with a dynamic team to deliver insights and recommendations, while advancing your career in...
3 days ago
Audit & Reimbursement III and Senior
$63K - $125K *
Transform the audit and reimbursement landscape by analyzing complex Medicare cost reports, providing insights, mentoring peers, and driving efficiency in a dynamic healthcare environment with opportu...
3 days ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
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...
1 week ago
Coding Manager (Risk Adjustment)
$82K - $102K *
Take ownership of coding operations by leading a team, overseeing quality and production, and collaborating with internal and external partners to achieve strategic goals and high customer satisfactio...
2 weeks ago
Claims Manager- Commercial Auto Excess Casualty
$100K - $130K *
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...
Reposted 2 weeks ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
Today
Complex Denials Consultant (Complex Claims)
$90K - $112K *
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...
3 days ago
Senior Claims Consultant, National Accounts
$92K - $154K *
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...
1 week ago
Reimbursement Analyst (Remote)
$53K - $107K *
Explore new methodologies in healthcare reimbursement analysis, providing insights and recommendations to enhance provider strategies. Collaborate on competitive analyses and benchmarking to ensure op...
2 weeks ago
Senior Analyst, Rebate and Audit - SMC
$88K - $110K *
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...
2 weeks ago
$66K - $100K *
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...
Today
APH Claims Adjuster III | Remote
$96K - $144K *
Shape the future of asbestos claims management by leading complex cases, developing strategies, and driving litigation processes while ensuring compliance and oversight within a fast-paced environment...
Reposted 3 weeks ago
$134K - $175K *
Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...
4 weeks ago
$100K - $130K *
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...
2 days ago
Major Case Unit Claims Adjuster, Courier Delivery
$70K - $95K *
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...
1 week ago
Auditor DRG Validation (CMS Audits)
$95K *
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...
5 days ago
Sr Financial Analyst - Managed Care
$80K - $100K *
Unlock insights as a Financial Analyst, transforming data into strategic financial reports. Collaborate across departments to drive financial performance, ensuring accuracy in budgeting, audits, and m...
Reposted 3 weeks ago
$75K - $110K *
Join a team that's transforming analytics, delivering actionable insights from complex data while driving innovation across scalable platforms. Collaborate with stakeholders to shape data strategy and...
2 days ago