Claims Analyst Jobs in Baltimore, MD

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...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

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...

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...

Join a team that's focused on developing innovative pricing strategies for ACA markets. This role involves complex actuarial studies, rating models development, regulatory compliance, and collaboratio...

Transform complex data into strategic insights, leading risk analyses and actuarial projects while training future analysts, and enhancing decision-making processes within a collaborative team environ...

Transform complex data into actionable insights as you analyze risk contracts, conduct experience analyses, and support innovative capitation initiatives while mentoring junior actuarial talent and le...

Champion the analysis and auditing of Medicare cost reports, enhancing reimbursement processes. Collaborate with a dynamic team to deliver insights and recommendations, while advancing your career in...

Transform the audit and reimbursement landscape by analyzing complex Medicare cost reports, providing insights, mentoring peers, and driving efficiency in a dynamic healthcare environment with opportu...

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...

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...

Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...

Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...

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...

Join a dynamic team to empower strategic delivery of Salesforce solutions, translating complex business needs into actionable user stories. Drive cross-functional collaboration and optimize platform c...

Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...

Explore new methodologies in healthcare reimbursement analysis, providing insights and recommendations to enhance provider strategies. Collaborate on competitive analyses and benchmarking to ensure op...

Drive impactful financial analyses and recommendations for healthcare reimbursement strategies, leveraging data to enhance competitive advantage. Collaborate with teams to optimize fee structures for...

Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Join a dynamic team as a subject matter expert to enhance reimbursement accuracy through effective policy translation, data analysis, and AI-driven insights, while collaborating with vendors and enter...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Analyze and audit inpatient DRG claims by applying coding expertise to enhance accuracy and ensure compliance. Collaborate on process improvements to drive operational excellence in a dynamic healthca...

Elevate your career by managing complex insurance claims while providing exceptional service. As a strategic thinker, develop relationships with clients and colleagues, ensuring swift resolutions and...