Claims Analyst Jobs in Durham, NC

Unlock potential by leading complex SaaS implementations and driving RCM solutions. Collaborate with clients and teams to translate needs into actionable requirements, ensuring successful delivery and...

Unlock potential by analyzing market trends and designing innovative products, ensuring compliance with industry standards while enhancing existing offerings to drive growth and profitability...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Accelerate your career as a Property Claims Examiner, utilizing technology to investigate, evaluate, and settle moderate homeowner claims. Collaborate with vendors and customers to deliver exceptional...

Shape client interactions with actionable insights by leveraging extensive revenue cycle expertise, advanced SQL skills, and Epic Clarity knowledge to enhance analytics and operational performance acr...

Unlock your potential by leading data quality efforts across teams, enhancing corporate trust in critical reports. Collaborate with stakeholders to prioritize and operationalize quality rules that pro...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Lead and optimize the clinical appeals function within Utilization Management, ensuring compliance and excellent outcomes through strategic oversight and collaboration with healthcare teams, while dri...

Empower the health plan as a Medical Policy Director, guiding coding and payment policy strategies while collaborating with diverse teams to optimize client solutions and deliver impactful presentatio...

Optimize governance and risk management within technology initiatives. Drive proactive strategies and ensure compliance, partnering with stakeholders to support business objectives and manage key IT a...

Elevate your career as a Large Loss Casualty Adjuster, managing complex claims and negotiating settlements up to $175,000 while working independently from home. Utilize your expertise in various liabi...

Explore impactful integration solutions! Leverage your technical expertise to manage EDI implementations, fostering relationships with partners while ensuring accuracy and efficiency in healthcare tra...

Unlock potential by driving the integration of PLM solutions through technical documentation, collaborative process development, and compliance support in engineering environments, ensuring alignment...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Analyze utilization and financial data to support strategic regulatory decisions impacting facility planning and investment strategies. Collaborate with finance and operational teams to deliver detail...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Analyze and audit clinical charts for accurate claims assessment while utilizing proprietary auditing tools. Collaborate with teams to maintain productivity and quality standards, leveraging clinical...

Support and transform VA health informatics initiatives by analyzing program operations, workflows, and data to enhance clinical practices and improve healthcare delivery mechanisms across the enterpr...

Take ownership of product strategy in Syndicated Lending, collaborating with cross-functional teams and leveraging user insights to innovate and enhance loan syndication solutions while ensuring align...

Innovate IT solutions by creating high-level technical designs for complex projects. Collaborate with teams to analyze architecture, validate designs, and mitigate risks while ensuring adherence to st...

Help us elevate the claimant experience by managing complex disability claims. This role provides expert guidance throughout the claim lifecycle, collaborating with clients and resources to ensure exc...

Lead the charge in complex actuarial analyses and modeling within ACA Pricing, influencing financial outcomes and strategic decisions to enhance healthcare delivery for communities. Drive innovative s...

Unlock potential by leveraging advanced analytics to enhance revenue cycle operations. Collaborate with cross-functional teams to identify denial trends, improve claim processes, and drive strategic i...

Innovate and optimize workflows as a JIRA Administrator to enhance collaboration and manage projects across our Health System. Utilize agile project management principles to design effective JIRA conf...

Join a team that's dedicated to optimizing revenue cycle management. You'll collaborate with internal and external partners to enhance workflows, ensuring effective billing and collections to drive fi...