Business Analyst III- Medicaid Overpayment Recovery
$73K - $110K *
Shape the future of Medicaid recovery by leading complex data analyses and collaborating with stakeholders to optimize overpayment recovery initiatives. Drive process improvements while supporting cri...
Reposted 1 week ago
$90K - $100K *
Help us investigate and adjust high exposure claims, collaborating with defense counsel and vendors to ensure compliance. Leverage your expertise in casualty claims management while optimizing custome...
Yesterday
$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
1 week ago
$66K - $114K *
Analyze actuarial data to assist in rate determination and projections. Collaborate closely with the Medicaid Pricing lead to update models and ensure data accuracy, fostering an adaptive work environ...
3 days ago
$66K - $114K *
Unlock potential by applying actuarial analysis to develop and validate data. Collaborate in updating pricing and forecasting models while ensuring data accuracy, all under limited supervision in a fl...
1 week ago
$50K - $111K *
Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...
5 days ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
1 week ago
Clinical Provider Auditor II - Payment Integrity SIU
$58K - $107K *
Join us to enhance healthcare integrity by auditing claims for compliance and identifying fraud risks. Collaborate with teams, conduct critical analyses, and play a key role in training others while w...
4 days ago
$66K - $95K *
Unlock your potential as you analyze and validate statistical data, updating actuarial models with your expertise. Collaborate within a dynamic team to influence pricing and contribute to impactful de...
2 days ago
Auditor Clinical Validation DRG
$95K *
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...
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...
2 weeks ago
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
1 week ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
1 week ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...
4 days ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
1 week ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted 1 week ago
$70K - $95K *
Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...
5 days ago
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 weeks ago
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
1 week ago
Sr. Analyst | Data Consultant | Underwriting, Insurance
$90K - $115K *
Join a dynamic team to develop and analyze complex data reports that drive strategic decisions and insights for stakeholders. Collaborate across departments to enhance data literacy and provide essent...
Reposted 2 days 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...
3 weeks ago
Commercial Insurance Consultant, Claims Insights- Remote
$122K - $164K *
Transform data into actionable insights that drive business performance and risk outcomes. Collaborate with stakeholders to analyze complex claims data, identify trends, and deliver strategic recommen...
Reposted yesterday
Claim Specialist, Excess & Surplus
$90K - $114K *
Take ownership of managing litigated and non-litigated commercial liability claims while ensuring effective coverage analysis, expert engagement, and resolution strategies to achieve optimal claim out...
3 days ago
$110K - $150K *
Innovate solutions for complex cyber claims while collaborating with diverse stakeholders. Lead efforts in client service, insurance evaluation, and incident response coordination as part of a dynamic...
4 days ago
Senior Billing Compliance Analyst
$75K - $95K *
Elevate our billing compliance efforts by leading complex audits and data analytics. Collaborate with stakeholders to enhance compliant practices and ensure adherence to healthcare regulations while p...
Yesterday