Claims Analyst Jobs in Philadelphia, PA

Shape the future of healthcare revenue management by leading IDR processes, ensuring compliance, and driving data-informed improvements while mentoring a team of analysts to optimize workflows and enh...

Deliver strategic financial insights and support decision-making through advanced analysis, forecasting, and budgeting. Collaborate with finance and business leaders to improve performance visibility...

Accelerate insights generation as a key member of the Customer Analytics team, transforming raw data into actionable recommendations that enhance client retention, drive growth, and refine operational...

Champion innovative actuarial solutions by conducting P&C reserve analyses, enhancing AI capabilities, and transforming actuarial processes to drive efficiency and insights for clients...

Lead collections strategy for complex U.S. Enterprise accounts, ensuring timely payments while maintaining strong customer relationships. Collaborate with cross-functional teams to resolve issues and...

Join our Analytics team as you analyze client data to identify trends, optimize reporting, and enhance dashboards. Collaborate across functions and present findings while developing your skills in a d...

Lead the resolution of complex construction defect claims while managing a diverse portfolio. Collaborate with teams to ensure compliance and strategic outcomes, enhancing operational efficiency and c...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Contribute to the development of innovative healthcare software by analyzing product requirements, documenting features, and ensuring compliance in Anatomic Pathology. Collaborate with cross-functiona...

Join our dynamic team as you drive accurate commission management, streamline processes, and shape incentive plans in a fast-paced GTM organization. Leverage your expertise to resolve disputes and enh...

Lead the charge in conducting medical record reviews and applying clinical judgment to ensure accurate claim payment decisions while supporting fraud investigations and compliance efforts...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Manage complex surety claims while providing legal support to underwriting and business leadership. Leverage strong claims experience and legal judgment to drive optimal outcomes in a fast-paced remot...

Unlock the potential of implementation science as a Senior Program Analyst, driving quality improvement and program evaluation initiatives. Manage processes, databases, and reporting to enhance projec...

Elevate your career by leading a dynamic team in commercial transportation claims. Drive operational effectiveness through technology and analytics while balancing management and hands-on responsibili...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Empower quality assurance by overseeing clinical audits, ensuring accuracy and consistency. Collaborate with auditors to enhance performance, mentor teams, and drive process improvements in a remote e...

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Unlock your potential by leading business and functional requirements for Medicaid financial management. Collaborate with diverse teams to enhance payment operations and ensure compliance while drivin...

Join a team that's transforming healthcare through data-driven insights. As a Senior Medical Economics Analyst, you'll lead analytics initiatives, mentor a team, and collaborate with leaders to enhanc...

Join a team that's dedicated to ensuring data integrity and quality. Lead QA activities for enterprise data validation and reporting, managing onshore and offshore teams while enforcing best practices...

Champion quality assurance efforts for enterprise data warehouse and reporting initiatives. Lead a diverse QA team, ensuring adherence to standards while driving testing strategies, data validation, a...

Unlock potential by analyzing complex General Liability and Auto BI claims. Collaborate with clients to deliver innovative solutions while ensuring timely adjudication and adherence to industry best p...

Empower your career by coordinating Epic optimization initiatives, managing requests, and facilitating collaboration across teams. Drive project success through effective communication and oversight...