Claims Analyst Jobs in Raleigh, NC

Play a key role in the contract management process by drafting, negotiating, and overseeing commercial agreements in the life sciences industry. Collaborate cross-functionally to ensure compliance and...

Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...

Empower automotive clients by enhancing performance standards through strategic planning, effective communication, and tailored training. Collaborate to identify opportunities and resolve discrepancie...

Engineer advanced Epic system solutions, lead projects, mentor analysts, and enhance operational efficiency in healthcare. Provide technical support and collaborate with cross-functional teams to opti...

Optimize strategic initiatives as an Associate Actuary, evaluating quality, affordability, and value-based care. Drive actionable insights through rigorous analysis and innovative methodologies, influ...

Lead the charge in developing strategic supplier relationships, ensuring alignment with business objectives while managing performance, costs, and compliance to foster long-term partnerships that enha...

Engage as a strategic leader driving sales growth in the healthcare sector. You'll cultivate relationships with executive leaders, advance complex enterprise opportunities, and deliver value to nation...

Elevate client audit efficiency by managing comprehensive audit processes, training teams, and ensuring adherence to high standards. Drive improvement through client relationships and problem-solving...

Manage and resolve advanced automobile claims by investigating loss facts, determining liability and coverage, while negotiating settlements within authority. Collaborate across states to support cust...

Drive strategic pricing initiatives, manage complex cost models, and collaborate with diverse teams to deliver compliant proposals in a fast-paced environment. Leverage expertise in federal procuremen...

Develop your accounting expertise by managing reinsurance agreements and reporting. Collaborate cross-functionally to analyze and improve financial processes while ensuring compliance and accuracy in...

Lead the charge in optimizing full-cycle accounts payable operations in a high-growth environment. Own vendor management and ensure timely processing of invoices while supporting finance initiatives t...

Drive your career by supporting critical modernization efforts in healthcare. Collaborate with stakeholders to gather requirements and transform legacy systems, ensuring improved services for veterans...

Grow impactful health systems for families by leading nutrition program operations and managing technology initiatives to enhance service delivery and user support. Foster collaboration across agencie...

Unlock potential by analyzing and enhancing application systems, consulting with users, and maintaining industry knowledge. Collaborate with stakeholders to ensure effective programming and system sup...

Support the development and enhancement of analytic forecasting models while collaborating with business partners to deliver key insights for negotiations. Automate processes to improve efficiency and...

Empower the quality of healthcare by reviewing SNF claims. Join a dynamic audit team to analyze medical data, ensure compliance, and enhance healthcare processes while working remotely in an impactful...

Lead the charge in designing and optimizing data analytics solutions that empower business intelligence. Collaborate with stakeholders to deliver insights through advanced dashboards, reports, and dat...

Analyze and optimize the clinical data lifecycle, ensuring data completeness and integrity. Collaborate cross-functionally to enhance clinical data flows and vendor strategies, driving quality improve...

Lead systematic evaluations of risk management processes to enhance governance. Collaborate with stakeholders to assess internal operations, present findings, and recommend improvements that optimize...

Shape the future of environmental risk management by leveraging your expertise to evaluate and resolve complex claims, ensuring compliance and exceptional service in a fully remote setting...

Optimize healthcare data accuracy by translating clinical workflows into standardized data mappings, all while collaborating with health systems to enhance the performance of our AI platform and drive...

Optimize outpatient specialty policy alignment by analyzing data, managing projects, and fostering collaboration. Drive process improvements to enhance efficiency and monitor key performance indicator...

Join a team that's dedicated to expert handling of complex Specialty Claims, overseeing critical coverage analysis, investigation, and negotiation. Leverage your skills to impact customer outcomes and...

Deliver comprehensive analyses and actionable insights to enhance pharmacy benefits and optimize network performance, while mentoring junior analysts and leading high-complexity projects in collaborat...