Claims Analyst Jobs in Washington, DC

Advance your career by managing claims and providing exceptional client advocacy in a fully remote role. Collaborate with diverse teams to drive positive outcomes and deliver exceptional service acros...

Support Actuarial processes by analyzing statistical data, updating pricing models, and ensuring data accuracy for effective rate determination, all while collaborating in a hybrid work environment to...

Champion compliance in healthcare by auditing claims to prevent fraud and abuse. Collaborate with internal teams, conduct thorough analysis, and recommend loss control strategies to enhance efficiency...

Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...

Explore a dynamic auditing role focused on Coding & Clinical Chart Validation for inpatient care. Use your clinical nursing and coding expertise to conduct audits, ensure coding accuracy, and improve...

Transform your career by driving excellence in claims management, ensuring regulatory compliance, and leading a dedicated team to achieve operational efficiency and superior performance in a dynamic h...

Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...

Lead the billing functions of government contracts, ensuring compliance, accuracy, and reporting. Collaborate with various teams to resolve issues and maintain the integrity of receivables within a dy...

Join a team that's redefining claims management, overseeing complex claims and guiding junior staff. You'll ensure fair outcomes while managing relationships with TPAs and maintaining data accuracy in...

Analyze and process complex bodily injury auto claims by evaluating coverage, investigating liability, and managing damages for timely resolution within best practices and client expectations in a col...

Engage in high-stakes claims management, addressing complex latent liabilities with expertise. Use analytical skills to assess case strategies, negotiate settlements, and collaborate with legal counse...

Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...

Drive process improvement by conducting interviews with stakeholders, analyzing workflows, and documenting requirements to enhance business applications and support customer service initiatives effect...

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

Join a dynamic team where you'll lead complex analyses and provide actionable solutions to drive business outcomes in the insurance sector. Collaborate across departments and mentor junior analysts wh...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Transform data into actionable insights as a Senior Risk Data Analyst, enhancing decision-making in payments risk and compliance. Collaborate cross-functionally to develop reporting and automation sol...

Empower your career by reviewing medical records to draft appeals for denied claims. Use your clinical expertise to suggest coding changes and ensure compliance by achieving persuasive outcomes in a d...

Lead the charge in disaster recovery by effectively managing property claims in response to catastrophic events. Engage empathetically with customers while conducting assessments and ensuring complian...

Champion customer recovery by managing property claims during catastrophic events across the nation, requiring extensive travel and the ability to thrive in high-pressure situations while delivering c...

Join a team that's focused on enhancing healthcare billing systems. Utilize your expertise in Epic Resolute PB to optimize claims processing, improve revenue cycles, and deliver cutting-edge solutions...

Transform the payment ecosystem by acting as a key link between Medicare policies and automated execution. Drive compliance, vendor performance, and implement AI initiatives to revolutionize clinical...

Contribute to the optimization and support of Epic Revenue Cycle applications, leveraging strong analytical skills and certifications in Resolute HB/PB to enhance workflows and ensure compliance in a...

Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...

Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...