$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
Reposted today
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
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...
Today
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...
Yesterday
$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
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
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 3 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...
2 days ago
$75K - $100K *
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...
2 weeks 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...
5 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
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...
Yesterday
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 4 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...
1 month 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 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...
6 days ago
$75K - $95K *
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...
Reposted yesterday
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
$80K - $85K *
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...
1 week ago
$115K - $188K *
Oversee complex cyber claims litigation, ensuring compliance and resolution strategies while collaborating with outside counsel and managing claim files in a dynamic, remote-friendly environment...
3 weeks ago
Quality Analyst - Outpatient, Healthcare
$85K - $92K *
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...
1 week ago
Workers Compensation Claims Examiner | SIP Required
$80K - $100K *
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...
6 days ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
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...
Yesterday