Claims Analyst Jobs in Pittsburgh, PA

Transform the healthcare payment integrity landscape by leading product strategy and analytics for fraud detection solutions, ensuring impactful delivery and cross-team collaboration within a fast-pac...

Unlock your potential as you drive Agile software development, translating business needs into actionable requirements and documentation while collaborating with cross-functional teams to enhance ente...

Lead the charge in translating business needs into actionable Agile deliverables. Collaborate with diverse teams to streamline software solutions, facilitate stakeholder communication, and maintain pr...

Engage in proactive oversight of payment network compliance, managing inquiries and enforcing regulations for sponsored clients, while ensuring adherence to state and federal requirements to mitigate...

Transform data into actionable insights by developing robust analytics models and collaborating with cross-functional teams to enhance understanding of claims processes and drive data-informed decisio...

Accelerate the growth of analytics capabilities in managed care, driving insights that enhance payer negotiations, pricing strategies, and reimbursement models for optimal financial performance and ac...

Build and enhance complex claim allocation models to support forensics teams. Collaborate with clients and stakeholders, delivering insightful analytics and reports that guide decision-making for larg...

Transform AI capabilities through the design and implementation of scalable applications and data pipelines, driving innovation and excellence within enterprise systems while collaborating with cross...

Empower healthcare quality as a remote Inpatient Auditing Specialist, driving compliance and coding excellence. Collaborate closely with coders to educate, audit, and ensure optimal outcomes in patien...

Tackle complex, high exposure claims and litigation issues while mentoring team members. Manage investigations, reserves, and negotiations to ensure ethical, fair resolutions in compliance with state...

Join a team that drives engagement with Hematologists to effectively promote and support the launch of a groundbreaking Multiple Myeloma product, leveraging strong account management skills and collab...

Champion growth in the Oncology sector by engaging Hematologists and driving product success through strategic partnerships and expert account management, while adhering to compliance and enhancing he...

Join a dynamic team as a DRG Auditor III, where you will conduct in-depth reviews and audits, leverage advanced coding tools and ensure compliance in a fully remote setting, all while promoting effici...

Elevate your career by underwriting innovative casualty reinsurance solutions, assessing risks, and managing portfolios to drive profitability and growth while collaborating with brokers and internal...

Partner with us to enhance technology operations by supporting planning, deployment, and maintenance. Leverage systems management tools and automation to optimize client environments and provide techn...

Drive your career with a key role in overseeing reinsurance accounting, managing complex transactions, and enhancing financial reporting. Collaborate cross-functionally to improve processes and lead a...

Tackle customer engagement and growth by leading strategies that enhance relationships and drive revenue. Collaborate across teams to develop solutions tailored to client needs while ensuring satisfac...

Accelerate progress at our organization by defending against security threats, configuring tools, enhancing monitoring programs, and supporting compliance. Collaborate closely with IT and product team...

Drive impactful clinical audit processes and appeals for compliance within a leading healthcare system. Collaborate with providers and management to enhance documentation and billing practices while e...

Lead the charge in managing complex auto claims, resolving intricate injury and liability issues while mentoring junior staff. Contribute to process improvements and leverage your expertise in casualt...

Contribute to comprehensive claims management by investigating, evaluating, negotiating, and resolving General Liability claims while ensuring adherence to quality standards and regulations. Engage wi...

Unlock new opportunities by driving profitable business growth through innovative underwriting solutions in Cyber Liability and Technology E&O. Partner with brokers to optimize market share and achiev...

Drive impactful healthcare cost analyses and develop innovative strategies. Collaborate with cross-functional teams to enhance performance of value-based contracts while leading a small team of analys...

Transform healthcare analytics by leading a team to develop impactful strategies and optimize medical cost performance through data-driven decision-making in a dynamic, cross-functional environment...

Join a team that's dedicated to managing a diverse book of commercial accounts, ensuring exceptional customer service, retention, and continuous improvement while leading a motivated account managemen...