Professional Claims Analyst

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Professional Claims Analyst in United States.

This role sits at the intersection of healthcare claims analysis, operational support, and system optimization, offering the opportunity to directly influence the accuracy and efficiency of complex claims processing workflows. You will be responsible for investigating paid and denied claims, identifying discrepancies, and analyzing system behaviors within pharmacy claims environments. Working in a fast-paced and highly regulated setting, you will collaborate closely with claims leadership, technical teams, and external stakeholders to resolve issues and improve overall claims performance. The position involves both analytical depth and operational execution, requiring strong attention to detail and a solid understanding of claims adjudication systems. You will also contribute to testing activities, reporting, and continuous improvement initiatives that enhance system reliability and financial accuracy. This is a highly impactful role for professionals who want to strengthen healthcare operations while supporting better outcomes for members and providers.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Professional Claims Analyst in United States.

This role sits at the intersection of healthcare claims analysis, operational support, and system optimization, offering the opportunity to directly influence the accuracy and efficiency of complex claims processing workflows. You will be responsible for investigating paid and denied claims, identifying discrepancies, and analyzing system behaviors within pharmacy claims environments. Working in a fast-paced and highly regulated setting, you will collaborate closely with claims leadership, technical teams, and external stakeholders to resolve issues and improve overall claims performance. The position involves both analytical depth and operational execution, requiring strong attention to detail and a solid understanding of claims adjudication systems. You will also contribute to testing activities, reporting, and continuous improvement initiatives that enhance system reliability and financial accuracy. This is a highly impactful role for professionals who want to strengthen healthcare operations while supporting better outcomes for members and providers.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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