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Keywords: Claims Quality Specialist, Location: USA

Page: 10

VP, GenAI Quality Engineering & Assurance

efforts across key programs globally. We are seeking a dynamic and experienced GenAI QA Specialist to join our Global Quality... of everything we do, from underwriting risks to processing claims. The Information Technology team equips our colleagues with the latest tools to complete...

Company: AIG
Location: Charlotte, NC
Posted Date: 10 Aug 2025

Benefits Quality Control Manager 2025

and billing policies, reimbursement methodology, claims payments and provider services monitoring, expenditure management... issues related to Medicaid claims processing and payments, or to coverage and reimbursement policies under Wyoming Medicaid...

Company: State of Wyoming
Location: Cheyenne, WY
Posted Date: 08 Oct 2025
Salary: $6171.35 per month

Environmental Compliance Specialist - Project Manager

ABOUT COMPANY Environmental Quality Management, Inc. (EQM) is a premier full-service environmental remediation... Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part...

Posted Date: 31 Aug 2025

Medical Review RN / Nurse Specialist II

Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC... is supporting a not-for-profit corporation that partners with public and private sectors to create high-quality, safe, and efficient...

Company: @Orchard
Location: USA
Posted Date: 31 Oct 2025

MEDICAL BILLING SPECIALIST

' financial health. The specialist will contribute to OCHIN's key performance indicators by identifying and resolving claims... specialist may provide high-quality billing and customer service support to OCHIN Billing Services (OBS) member clinics...

Company: Ochin
Location: USA
Posted Date: 31 Oct 2025

Sr. Health Economics and Outcomes Research Specialist

others. Position Overview The Sr. Health Economics and Outcomes Research Specialist will be responsible for executing the strategy... either through direct data analysis or managing external collaborators and vendors where required. The Sr HEOR Specialist...

Posted Date: 31 Oct 2025
Salary: $120000 - 204000 per year

Revenue Cycle Specialist (Biller)

that is preventative, proactive and tailored to their unique needs. Using an evidence-based approach focused on quality care management... Overview: Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full...

Posted Date: 31 Oct 2025
Salary: $23 - 27 per hour

Charge Review Specialist Senior

Overview The Charge Review Specialist Senior works a part of a centralized Revenue Cycle team to process accurate... code assignments for paper and /or electronic claims and required billing data elements prior to charges being processed...

Company: Central Health
Location: Austin, TX
Posted Date: 31 Oct 2025

Senior Finance Specialist

: Full-Time, Monday-Friday The role you will contribute: The Senior Finance Specialist is part of a Centralized Payment... Finance Specialist is responsible for accurate and timely execution of reconciliation activities surrounding payment posting...

Company: AdventHealth
Posted Date: 31 Oct 2025

Admitting Specialist I

Description : Admitting Specialist Location: Anacortes, WA Island Health is searching for an Admitting Specialist... Admissions Team here, at Island Health! Island Health is seeking a customer focused Admitting Specialist...

Company: Island Hospital
Location: Anacortes, WA
Posted Date: 31 Oct 2025

Pharmacy Clinical Review Specialist, Rx Partners

UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team... with clinicians regarding supporting medical documentation in accordance with formulary guidelines. Manage the quality review...

Company: UPMC
Location: Bridgeville, PA
Posted Date: 31 Oct 2025

INVESTIGATION SPECIALIST II - 64000157 1

Requisition No: 864277 Agency: Department of Health Working Title: INVESTIGATION SPECIALIST II - 64000157 1 Pay... Compensation Estimator Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative...

Company: State of Florida
Location: Alachua, FL
Posted Date: 31 Oct 2025
Salary: $38264.07 per year

Bankruptcy Specialist (Hybrid)

to sponsor visas or take over sponsorship at this time. #BI-Hybrid #LI-Hybrid About the role: As a Bankruptcy Specialist...) for all customer accounts Conduct follow-up calls to retained attorneys of customers File proof of claims with district courts...

Company: Enova
Location: Chicago, IL
Posted Date: 31 Oct 2025

Patient Access Service Specialist II

a Patient Access Service Specialist II (PASS), FULL-TIME REMOTE, to join our team in Delaware. The Patient Access Service... Specialist (PASS) performs patient admitting and registration activities in accordance with established hospital and departmental...

Company: Nemours
Location: Wilmington, DE
Posted Date: 31 Oct 2025

Returns Material Authorizations (RMA) Specialist

Overview The Returns Material Authorizations (RMA) Specialist is responsible for all aspects of the customer returns... frequency, quality, and timeliness of customer contacts are within established Sonny’s guidelines. o Prepares reports on return...

Posted Date: 31 Oct 2025

Bilingual HR specialist

Join a dynamic team making a difference! We’re seeking a Bilingual HR Services Specialist (English/Spanish) to support... workers’ compensation claims intake and data entry. Guide injured associates through the claims and return-to-work process...

Company: GPAC
Location: Rogers, MN
Posted Date: 31 Oct 2025

Clinical Pharmacy Specialist- Prior Authorization

UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the... or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy expertise to the development...

Company: UPMC
Location: Pittsburgh, PA
Posted Date: 31 Oct 2025

Employment Specialist 2 (BES2) – Multiple Permanent Opportunities in Medford

: 4,409.00 - 6,123.00 Position Type: Employee Position Title: Employment Specialist 2 (BES2) – Multiple Permanent Opportunities in Medford..., employment and claims aid, employment services, job placement, recruiter, vocational guidance, or retail industry if it involved...

Company: State of Oregon
Location: Medford, OR
Posted Date: 31 Oct 2025
Salary: $4409 - 6123 per month

Benefits Specialist

Specialist to join our Benefits team. In this role, you'll be a trusted resource for employees, guiding them through... Manage leave and claims programs: Oversee all leave of absence processes (FMLA, ADA, disability, Paid Family Leave, Workers...

Company: CLEAR
Location: New York City, NY
Posted Date: 31 Oct 2025
Salary: $80000 - 100000 per year

AI CGI Specialist - Design Visualization

Specialist to join our Design Visualization Team in Warren, Michigan. This role will play a key part in shaping the future... and storytelling process. What You’ll Do (Responsibilities): Generate high-quality, AI-driven conceptual imagery to support vehicle...

Company: General Motors
Location: Warren, MI
Posted Date: 31 Oct 2025