Claims Jobs

Carelon Behavioral Health is hiring a Provider Relationship Account Manager to cultivate provider relationships, resolve complex provider issues, and support network retention across a defined portfolio.

Brown & Brown seeks an experienced Commercial Lines Account Executive in Roseland, NJ to manage renewals, carrier relationships, and client service for commercial insurance accounts.

Brightline is hiring a Member Support Specialist to manage member intake, scheduling, billing, and administrative tasks for families accessing pediatric behavioral health services on an 8am–5pm EST schedule.

Pfizer seeks an experienced, data-driven Senior Manager to implement enterprise media measurement frameworks and deliver audience-led media optimization that drives measurable business and patient outcomes.

Serve as the Business Analyst for AIG's WISH warranty platform, leading UAT, managing Jira tickets, and coordinating stakeholders to ensure successful delivery and operational readiness.

Privia Health is hiring a remote Medical Claims Billing Specialist to lead AR analysis, denial management, and claim resolution across its physician network.

Experienced P&C insurance product owner needed to translate complex business requirements into prioritized IT features and deliver operational improvements across underwriting, claims and policy administration systems in a remote capacity.

Acrisure's SBMA division is hiring a detail-oriented Customer Success Representative to manage member and provider inquiries, verify benefits/claims, and deliver outstanding service in an on-site customer support role.

CCC Intelligent Solutions is hiring Remote Inbound Customer Service Representatives to manage incoming medical claims and billing inquiries for providers, patients, and billing services.

WGU is hiring a P&T People Center Compliance Analyst to own HR compliance activities—audits, I-9/E-Verify, unemployment claims, and process improvements—working remotely and partnering with Legal and People & Talent teams.

Lead value-based payment analytics and strategy at a member-focused, mutual health insurer by developing payment models, delivering data-driven recommendations, and mentoring colleagues to improve cost, quality, and provider outcomes.

Dane Street seeks a meticulous Quality Analyst to perform QA on medical file reviews and ensure client requirements and report accuracy are consistently met in a remote work-from-home role.

Strada is hiring an Account Executive in San Francisco to sell AI-powered customer communication solutions to mid-market and enterprise insurance carriers and brokers.

Experienced litigation paralegal needed to manage disputes, discovery, insurance claims, and outside counsel coordination for a fast-growing global fintech software company.

Join Arlo as a Claims Data Analyst to analyze stop-loss and medical claims, uncover cost drivers, and build trigger-based interventions that improve outcomes and control costs.

Lead Sana’s distributed claims operations team to drive accurate, timely adjudication, appeals, compliance, and scalable process improvements across claims systems and workflows.

Leap Health is hiring a technically skilled, client-oriented Technical Implementation Manager to own end-to-end client onboarding, integrations, and configuration work that scales the platform and improves operational efficiency.

Evry Health is hiring a results-oriented Business Data Analyst to analyze commercial health insurance claims and operations data and deliver actionable reporting using SQL, Power BI, and Python in a remote, US-based role.

Lead Slate's Enterprise Risk Management and corporate insurance programs to protect company assets and support the manufacturing scale-up in Troy, MI.

Provide dedicated account support to brokers and account managers at GBS Benefits, ensuring excellent client service, accurate benefits administration, and smooth implementations for employer-sponsored plans.

Dane Street seeks a remote IME Quality Analyst to oversee medical file reviews, ensure report accuracy and client requirements are met, and maintain clear communication among reviewers, physicians, and clients.

Senior Technical ACO Data Analyst needed to deliver actionable VBC analytics and strategic insights that improve ACO performance across Medicare programs.

Senior leader needed to design and lead RWE, HEOR, and implementation science programs while growing client relationships and shaping evidence strategy for life sciences clients.

Lead a remote revenue cycle team at Lumary to manage billing operations, optimize financial KPIs, and support healthcare clients across NDIS, aged care and allied health.

Oscar Health is hiring an Associate on the Provider Experience Strategy team to drive cross-functional projects and data-informed initiatives that improve provider experience.

Drive consumer and patient insights at Gilead by turning complex, multi-source data into actionable marketing and media strategies in a hybrid Foster City role.

Experienced data and reporting professional needed to manage Medicaid state reporting, integrate claims data, and produce compliant, timely reports and dashboards for a nationwide managed care organization.

Epiq is hiring a detail-oriented Project Attorney to manage escalated client inquiries, create and maintain procedures, and support claims and correspondence teams.

Elite Construction Solutions & Aspen Exteriors seek a mobile Outside Sales Professional to travel to storm-impacted regions and sell exterior restoration services including roofing, siding, and windows on a commission basis.

Lead health-economics analytics at Twin Health to quantify program value, build reproducible analytic pipelines, and communicate ROI and cost-savings insights across commercial and Medicare populations.

Ultimate Care NY is hiring an Authorizations Coordinator to manage insurance eligibility and prior authorizations so patients receive timely home care services.

UiPath seeks an Insurance Go-to-Market Associate to create sales-ready industry narratives, enable field teams, and drive partner and vertical GTM motion across the Americas.

Lead enterprise sales engagements with insurers and intermediaries to sell Solva’s AI decisioning platform and drive pilots, deployments, and long-term partnerships.

Lead the design and hands-on development of Oscar's next-generation medical economics reporting suite to provide transparent insights into medical cost and utilization drivers.

Centivo is hiring Member Care Specialists in Buffalo to handle inbound member and provider inquiries, research and resolve benefits/claims issues, and support care navigation with paid training provided.

Oscar Health seeks a detail-oriented Specialist to independently investigate and resolve complex administrative member and provider grievances and appeals within a workflow-driven, regulatory environment.

High-agency Fullstack Engineer wanted to join an AI-focused founding team in San Francisco to build, deploy, and own core product features that drive measurable customer impact in insurance claims.

Experienced healthcare IT professional needed to manage client success for Experian Health's Claims and Contract Manager suite, driving adoption, ROI, and strategic optimization across payer contracts and claim scrubber products.

Aledade is hiring a Senior Research Analyst to lead risk adjustment analytics and forecasting using claims and EHR data to inform population health strategy and support independent primary care.

HUB International is hiring a Client Relationship Manager in Rockville, MD to manage employee benefits accounts, drive retention, and support renewals with hybrid work potential.

Experienced VBC analyst needed to provide MSSP-focused analytics, insights, and technical solutions to support Privia Health’s ACOs in achieving performance goals.

Tennr is hiring a detail-oriented Quality Assurance Specialist with RCM and DME/HME experience to ensure order accuracy, payer compliance, and reduced denials across our referral workflows.

Leavitt Group is hiring a remote Customer Service Agent (Mountain Time Zone) to support account managers with renewals, policy inquiries, COI requests, and client service operations.

Harvard T.H. Chan School of Public Health is hiring a Programmer to build and maintain reproducible data pipelines, analytic datasets, and software to support environmental health and biostatistics research.

Oscar Health is hiring an Associate on the Medical Economics team to develop cost forecasting models and analyze claims data that inform financial and clinical policy actions.

Foster Farms is hiring a Workers’ Compensation Program Manager to lead claims oversight, partner with legal and operations, and drive cost-effective return-to-work and injury-prevention strategies.