Claims Analyst Jobs in Pittsburgh, PA

Lead the charge in optimizing pharmacy contractual performance by managing pricing strategies, conducting data analyses, and supporting cross-functional engagements. Leverage your expertise to drive i...

Contribute to collaborative healthcare initiatives by supporting access to vital products. Drive reimbursement strategies while engaging with providers across multiple payers, ensuring that patients r...

Empower compliance by leading RMF authorizations and integrating security across engineering. Collaborate with cross-functional teams to automate control testing for streamlined audit readiness amidst...

Support impactful actuarial functions and drive strategic initiatives related to pharmacy benefit programs. Collaborate across teams to analyze financial performance and ensure effective pricing and c...

Partner with us to elevate coding accuracy and compliance through professional fee audits, coder education, and workflow optimization in a fully remote, flexible environment that values quality and cu...

Empower your career with a critical role in healthcare capital markets, analyzing, underwriting, and executing real estate transactions to deliver actionable insights and support investment sales stra...

Join our dynamic Casualty Underwriting team to cultivate profitable partnerships with wholesale brokers, leveraging your extensive E&S industry experience to deliver innovative solutions and enhance r...

Transform compliance operations into audit-ready practices while managing evidence collection and control monitoring across multiple business units. Collaborate closely with security assessors to rein...

Support U.S. GAAP financial reporting in a dynamic multi-entity environment, preparing statements, managing audits, and enhancing processes. Collaborate with cross-functional teams to implement Workda...

Help us drive risk and compliance initiatives across multi-disciplinary frameworks, ensuring robust third-party risk management while collaborating with key stakeholders to align risk strategies with...

Lead advanced financial clearance for complex cases, ensuring compliance with payer requirements while supporting revenue cycle goals through proactive engagement and resource management. Mentor team...

Contribute to impactful actuarial projects, collaborating with analytics teams to apply statistical methods in reserving insurance business, ensuring quality data and effective communication to drive...

Drive impactful solutions as you collaborate with Process Engineers to translate complex operational requirements into comprehensive, actionable plans while ensuring smooth execution through effective...

Shape the future of financial analytics by mentoring a team and driving insightful reporting, forecasting, and strategic planning to enhance overall financial performance and operational excellence wi...

Create impactful software solutions by designing, developing, and maintaining applications throughout the software lifecycle while collaborating with cross-functional teams to enhance user experiences...

Lead and innovate compliance strategies for a dynamic asset management team, guiding policy development and risk assessment while mentoring staff to enhance operational efficiency and regulatory adher...

Grow your career with a pivotal role in healthcare compliance auditing. Leverage your expertise to assess risks, enhance regulatory adherence, and collaborate with diverse stakeholders while conductin...

Deliver comprehensive audit solutions while engaging with diverse businesses. This advanced role demands effective time management, analytical skills, and attention to detail to ensure accurate report...

Unlock potential by serving as a crucial liaison between Finance, Operations, and IT. Drive ERP solutions within Oracle Fusion, guiding implementations and enhancements, while ensuring alignment with...

Unlock potential by engaging key oncology customers, driving sales, and fostering collaborations to enhance product visibility for Hematology treatments, while maintaining compliance and navigating co...

Optimize financial analysis and risk assessment processes to enhance value-based care strategies. Lead a team to drive data-driven decisions in health plan operations while collaborating with cross-fu...

Empower growth by evaluating and underwriting accounts, collaborating with brokers to negotiate competitive terms. Contribute to strategic insurance solutions while managing compliance and capacity in...

Redefine clinical budget management by leading negotiations and coordinating between clinical research and legal teams to ensure timely, compliant research operations while driving continuous improvem...

Lead the charge in managing complex commercial casualty claims, providing strategic oversight and fostering a high-performing team. Drive improvement in claims outcomes, enhance customer experiences...

Lead the analysis and improvement of Epic applications to enhance clinical workflows. Collaborate with diverse teams to implement technology solutions that address business needs and support the effic...