11 Healthcare Claims jobs

United States (Remote)

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or…

United States (Remote)

$65–90K / year

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability.

United States (Remote)

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims.

United States (Remote)

$70.7–140.2K / year

Summary We are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South Carolina.

Alabama, United States (Remote)

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or…

Nevada, United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Coordinate and monitor quality improvement and organizational projects from inception to closure.

Indiana, United States (Remote)

This is a remote position.

United States (Remote)

$73–125K / year

Job Description A bit about this role: The Clinical Readmission Manager is responsible for conducting prepayment and post-payment clinical reviews of…

United States (Remote)

$31.00 / hour

At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions.

Massachusetts, United States (Remote)

$72.2–115.5K / year

Job Summary: The Team Lead, Assessment Review & Submission, supervises a team of RN Reviewers who review and submit assessments for quality and…

United States (Remote)

This is a remote position.