$72K - $96K *
Champion excellence in casualty claims by investigating, evaluating, and negotiating liability claims, ensuring timely resolution while delivering outstanding customer service and maintaining complian...
Reposted 1 week ago
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
$69K - $92K *
Drive impactful claims management by evaluating liabilities, negotiating settlements, and conducting thorough investigations in a dynamic hybrid environment. Leverage analytical skills to ensure timel...
1 week 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 *
Pioneer complex actuarial analyses and projects, guiding teams and risk initiatives while enhancing collaboration in a flexible workplace. Contribute to innovative solutions in a dynamic environment...
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 *
Join a dynamic team to lead audit and reimbursement processes while guiding associates, managing complex cases, and ensuring compliance with CMS regulations to drive operational excellence and financi...
Reposted 6 days ago
$115K - $188K *
Lead the charge in managing complex cyber claims, ensuring optimal coverage analysis and litigation management while collaborating with internal teams and external counsel to mitigate risks and drive...
3 weeks ago
$80K - $110K *
Join a team that's dedicated to resolving moderate to complex claims. Leverage your expertise in claims handling and litigation to provide operational support and ensure compliance, while driving best...
6 days ago
Audit & Reimbursement III and Senior
$63K - $125K *
Elevate your career by supporting critical Medicare audits and reimbursement processes. This role fosters independent work and encourages skill development through involvement in complex financial ana...
4 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
Senior Claims Examiner- Architects and Engineers
$99K - $124K *
Bring your expertise to manage professional liability claims, drive resolution, and support our customers with effective communication and negotiation. Join a proactive team dedicated to delivering su...
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...
Yesterday
$78K - $107K *
Tackle complex claims management with minimal oversight, driving resolution through investigation and negotiation. Lead process improvements while providing training and technical expertise to enhance...
3 days ago
$80K - $110K *
Analyze and adjudicate complex claims efficiently, ensuring compliance and exceptional service. Collaborate with team members for effective claim resolutions while driving best practices for litigatio...
6 days ago
$90K - $120K *
Elevate your expertise in managing complex liability claims, from inception to resolution, ensuring compliance and effective communication while fostering relationships with internal teams and externa...
3 weeks ago
$90K - $120K *
Lead the charge in evaluating and resolving complex liability claims involving Lawyers Professional Liability policies while maintaining strong professional relationships and demonstrating leadership...
4 weeks ago
$97K - $134K *
Engage as a technical expert in managing and resolving high complexity claims, leading negotiations, litigations, and strategic actions while collaborating with diverse teams and ensuring adherence to...
3 weeks ago
$120K - $150K *
The Complex Claims Director will manage and resolve some of the largest and most complex property and casualty claims in the industry, requiring deep technical expertise and excellent negotiation skil...
Reposted 1 week ago
$80K - $110K *
Transform claims handling by adjudicating complex cases and enhancing operational excellence. You'll analyze documentation, engage in negotiations, and drive litigation practices, all while mentoring...
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...
4 days ago
Business Information Analyst II – Local Cost of Care
$70K - $95K *
Analyze and report on key business metrics to enhance Cost of Care evaluation. Partner with us to develop actionable insights from data, drive performance, and support decision-making across diverse m...
1 week ago