As a Healthcare Analyst at Gimme Credit, you will be part of a team focused on producing written research and data sheets on a coverage universe of major healthcare issuers. This role involves conducting in-depth analysis of the healthcare industry, writing concise analytical reports, providing buy or sell recommendations, and responding to client and press inquiries. The position offers the ability to work remotely, competitive compensation, full benefits, and the opportunity for intellectual satisfaction.

Healthcare Analyst - Remote

Healthcare Analyst

We are seeking a detail-oriented and analytical Medical Policy Analyst to join our healthcare team. This role is crucial in developing, maintaining, and implementing medical policies that ensure high-quality patient care and regulatory compliance. The position involves developing and maintaining a comprehensive repository of medical policies, collaborating with the Medical Director, conducting research on medical technologies, and ensuring policies align with CMS National Coverage Determinations and Local Coverage Determinations.

Medical Policy Analyst

WPS Health Solutions is seeking a highly capable Health Insurance Financial Analyst to join their team. This role involves designing and developing analytical support to senior management, health plan performance reporting and analysis, strategic forecasting and planning, financial modeling, and partnering with leaders to manage and improve the performance of the health plan business. The position offers the opportunity to gain skills and experience in finance and analysis within a challenging yet supportive environment, and to be a trusted strategic partner in coordination with the WPS Health Plan leadership team.

Health Insurance Financial Analyst

Software Guidance & Assistance, Inc. is seeking a Managed Care Analyst for a contract assignment with a healthcare client in Los Angeles, CA. This role involves troubleshooting, maintenance, and optimization of existing software applications, as well as designing, building, testing, and supporting new applications within a portfolio or service line. The analyst will work closely with business owners, vendors, and other team members to evaluate and recommend solutions to complex problems, ensuring in-depth knowledge of the software application and operational workflows.

Tapestry Managed Care Analyst

Managed Care Analyst

Talent Software Services is seeking a Clinical Quality Management Analyst for a contract to hire position that can be performed remotely. The role involves delivering value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs, utilizing skills such as HCC Coding, medical coding, clinical terminology, and anatomy/physiology. The analyst will work closely with physicians, team members, Quality, Compliance, partners at Enterprise, and leadership to ensure high-quality and accurate risk adjustment coding.

Clinical Quality Management Analyst

AKKO is seeking a highly analytical and detail-oriented Actuarial Analyst to leverage data, statistics, and risk analysis to shape insurance products. This role involves analyzing insurance risks, developing statistical models, collaborating cross-functionally, and ensuring compliance with insurance regulations. It offers an exciting opportunity for someone with a numbers background to grow into a Director role in a fast-paced, startup environment.

Actuarial Analyst

Celent, a division of Oliver Wyman, is seeking a Principal Analyst to contribute to and shape the client agenda for the North American insurance sector. This role involves conducting research on emerging technologies and insurtech, providing advice to executives, and engaging in strategy consulting projects. The ideal candidate will have a strong interest in the potential business value of emerging technologies within the property and casualty insurance sector, and will be comfortable building trusted relationships with clients at various levels.

CELENT - PRINCIPAL ANALYST, INSURANCE - NORTH AMERICA

Principal Analyst, Insurance - North America

Molina Healthcare of Florida is seeking Claims Examiners for remote positions based in Florida. This entry-level role involves administering claims payments, maintaining claim records, and ensuring timely settlement in accordance with cost control standards. Candidates with Health Insurance call center experience are encouraged to apply for the opportunity to grow and advance within the company.

Claims Examiner (Medical) -Remote In Florida Only

Claims Examiner (Medical)

HomeSafe Alliance is seeking an experienced Claims Adjuster to assist in all aspects of claims management, support process improvement methodologies, and best practices that enhance claims service. This role involves processing and settling claims according to DOD regulations and/or account requirements, assessing claims liability and chargebacks, and responding to internal and external customer disputes and inquiries. The position requires exceptional customer service skills, effective communication, and the ability to work remotely with provided equipment.

Claims Adjuster (SCA) HHG/Military Move

Claims Adjuster

The Claims Analyst I at Burrell Behavioral Health is responsible for analyzing insurance billing processes related to substance use disorder and Behavioral Health claims. This role involves thorough knowledge of insurance billing processes, strong understanding of claim data and analytics, and the ability to communicate findings effectively to leadership. The position offers a comprehensive benefits package, telemedicine, employee assistance program, paid time off, and a workplace culture that values employee wellbeing.

Claims Analyst I - Remote

Claims Analyst I

The Medicare Claims Analyst at Kelsey-Seybold Clinic is responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled nursing facilities, and associated professional claims. This role involves applying knowledge of Centers for Medicare & Medicaid Services (CMS) rules, utilizing pricing tools, conducting pre/post analysis of high dollar claims, and presenting summaries to management.

Medicare Claims Analyst

The Accounts Receivable / Medical Claims Specialist is responsible for handling patient inquiries, reviewing and appealing insurance claims, and maintaining accounts receivables in accordance with clinic policies. This role requires excellent communication skills, proficiency in insurance and medical terminology, and the ability to navigate and comprehend computer software systems. The position is remote, requiring work hours from 8:00am to 5:00pm PST.

Accounts Receivable / Medical Claims Specialist - Remote

Accounts Receivable / Medical Claims Specialist

The Clinical Policy Analyst at Molina Healthcare reviews and evaluates existing clinical policies, proposes improvements, and researches new policies. This role involves creating reports, analyzing market trends, and improving department processes. The position requires proficiency in clinical policy, working knowledge of clinical policies, and an understanding of the managed care industry.

Clinical Policy Analyst/Writer (Remote)

Clinical Policy Analyst

The Claims Research Analyst at Molina Healthcare serves as a claims subject matter expert, assisting business teams with reviewing claims to ensure regulatory requirements are applied appropriately. This role involves managing and leading major claims projects of significant complexity and volume, identifying the root cause of processing errors, coordinating with various departments, developing remediation plans, and monitoring claims reprocessing through resolution. The analyst interprets and presents in-depth analysis of findings and results to leadership and operations teams, ensuring projects are completed accurately and timely.

Analyst, Claims Research - REMOTE

Claims Research Analyst

IQVIA is seeking a 100% remote Patient Support Medical Claims Processing Representative to provide payment assistance solutions such as co-pay cards or vouchers. This role involves receiving medical claims from healthcare professionals or patients, vetting them against program-specific business rules, and determining if they should be paid or rejected. The position offers the opportunity to be converted to a full-time employee with IQVIA.

Patient Support Medical/Biller Claims Processing Representative (Home-Based)

Patient Support Medical Claims Processing Representative

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