Healthcare Claims Jobs

Pfizer seeks an experienced, data-driven Senior Manager to implement enterprise media measurement frameworks and deliver audience-led media optimization that drives measurable business and patient outcomes.

Lead value-based payment analytics and strategy at a member-focused, mutual health insurer by developing payment models, delivering data-driven recommendations, and mentoring colleagues to improve cost, quality, and provider outcomes.

Dane Street seeks a meticulous Quality Analyst to perform QA on medical file reviews and ensure client requirements and report accuracy are consistently met in a remote work-from-home role.

Join Arlo as a Claims Data Analyst to analyze stop-loss and medical claims, uncover cost drivers, and build trigger-based interventions that improve outcomes and control costs.

Leap Health is hiring a technically skilled, client-oriented Technical Implementation Manager to own end-to-end client onboarding, integrations, and configuration work that scales the platform and improves operational efficiency.

Dane Street seeks a remote IME Quality Analyst to oversee medical file reviews, ensure report accuracy and client requirements are met, and maintain clear communication among reviewers, physicians, and clients.

Senior Technical ACO Data Analyst needed to deliver actionable VBC analytics and strategic insights that improve ACO performance across Medicare programs.

Oscar Health is hiring an Associate on the Provider Experience Strategy team to drive cross-functional projects and data-informed initiatives that improve provider experience.

Drive consumer and patient insights at Gilead by turning complex, multi-source data into actionable marketing and media strategies in a hybrid Foster City role.

Lead health-economics analytics at Twin Health to quantify program value, build reproducible analytic pipelines, and communicate ROI and cost-savings insights across commercial and Medicare populations.

Lead the design and hands-on development of Oscar's next-generation medical economics reporting suite to provide transparent insights into medical cost and utilization drivers.

Centivo is hiring Member Care Specialists in Buffalo to handle inbound member and provider inquiries, research and resolve benefits/claims issues, and support care navigation with paid training provided.

Experienced healthcare IT professional needed to manage client success for Experian Health's Claims and Contract Manager suite, driving adoption, ROI, and strategic optimization across payer contracts and claim scrubber products.

Aledade is hiring a Senior Research Analyst to lead risk adjustment analytics and forecasting using claims and EHR data to inform population health strategy and support independent primary care.

Experienced VBC analyst needed to provide MSSP-focused analytics, insights, and technical solutions to support Privia Health’s ACOs in achieving performance goals.

Tennr is hiring a detail-oriented Quality Assurance Specialist with RCM and DME/HME experience to ensure order accuracy, payer compliance, and reduced denials across our referral workflows.

Oscar Health is hiring an Associate on the Medical Economics team to develop cost forecasting models and analyze claims data that inform financial and clinical policy actions.