Healthcare Claims Jobs
Browse 94 exciting jobs hiring in Healthcare Claims now. Check out companies hiring such as Yuzu Health, Presbyterian Healthcare Services, AbbVie in Colorado Springs, Fremont, Virginia Beach.
Yuzu is hiring a Claims Resolution Specialist to process claims, support complex case resolution, and help evolve claims operations for innovative, tech-enabled health plans.
Experienced application developer needed to design, develop, and support complex healthcare application components at Presbyterian Healthcare Services in Albuquerque.
Lead analytics and modeling efforts within AbbVie's 340B Center of Excellence to quantify program impact, operationalize site eligibility vetting, and support cross-functional policy and strategy initiatives.
Dane Street seeks a detail-oriented Group Health Customer Service Representative to manage case intake, reviewer scheduling, and client communications within a remote team.
Cotiviti is hiring a Lead Business Analyst (Healthcare Interoperability) to analyze multi-file healthcare datasets and design standards-based integrations (FHIR, HL7, X12) that ensure data integrity and regulatory compliance.
Oscar Health seeks an Associate on the Affordability team to implement playbooks and operational workflows that reduce cost and manage high-cost member trends in a hybrid New York City role.
St. Luke’s Health System is hiring a detail-oriented Revenue Cycle Analyst to support revenue integrity analytics, reporting, and reconciliation across multiple sites while collaborating with stakeholders to improve revenue performance.
Quest Analytics is hiring a Data Analyst to analyze large healthcare datasets, drive provider network optimization, and deliver actionable insights using SQL, Excel, Databricks, and Power BI.
Devoted Health seeks an experienced Payment Integrity Program Development Director to create and operationalize data-driven programs that reduce payment leakage and ensure Medicare Advantage payment accuracy.
Lead a small, high-performing engineering team at Machinify to build scalable backend services and AI-enabled workflows that transform healthcare claims and payment automation.
Evolent is hiring an Associate Director, Client Analytics to lead a small team in delivering actionable healthcare insights using SAS, SQL, and BI tools to inform executive and client decision-making.
Farragut Square Group is hiring a Senior Compliance Analyst to lead provider compliance audits, shape scalable audit-ready programs, and advise investors and executives on regulatory risk.
Markel is hiring a Senior/Executive Claims Examiner in Plano, TX to lead technical resolution of high-exposure medical malpractice and healthcare claims, particularly in excess and reinsurance placements.
Highmark seeks an Investigations Coordinator to perform claims reviews, support investigations, analyze data extracts, and help recover overpayments while maintaining case documentation and compliance.
AssistRx is hiring an Insurance Verification Specialist to verify patient benefits, manage prior authorizations, and resolve payer reimbursement challenges to help patients access therapy.
Peraton's SafeGuard Services is hiring a remote Medicaid Fraud Auditor to conduct compliance audits, analyze healthcare claims data, and make findings and recovery recommendations for Medicaid program integrity.
Experienced healthcare payer business analyst needed to lead requirements, vendor integration and product delivery for TPA/self-funded client implementations in a remote 12+ month engagement.
Exact Sciences seeks a detail-oriented Patient Financial Services Associate II to manage claims, denials, and insurance follow-up remotely to optimize accounts receivable and patient billing accuracy.
Oscar seeks an Associate, Network Contracting to negotiate provider agreements, support network strategy, and use analytics to optimize access and costs for members across Florida.
Machinify seeks a Software Engineer specializing in GenAI/ML to build production AI systems that automate and scale healthcare claims and payment workflows.
A data-focused Senior Operations Associate will join Commure's RCM Rules Engine team in Mountain View to drive billing-rule QA, analyze claim and denial data, and help optimize billing automation using SQL and Python.
Amazon One Medical is hiring a Business Analyst II to lead healthcare analytics and reporting that inform program design and operational improvements across at-risk clinical initiatives.
Fractal Analytics seeks a strategic Payer Account Manager to own payer relationships, ensure contract performance, and drive revenue growth across insurers, TPAs, and government payers.
Machinify seeks a Director of Analytics and Business Optimization to lead end-to-end analytics, deliver models and dashboards that drive measurable improvements in claims and payment operations, and grow a high-performing analytics team.
Color Health is hiring a Staff Business and Product Intelligence Analyst to design scalable analytics models and self-service data infrastructure that measure and improve cancer screening programs and product outcomes.
Senior Business Operations Manager to drive ROI modeling, GTM performance, and cross-functional analytics at Color’s virtual cancer care organization.
Experian Health is hiring a Revenue Cycle Solutions Consultant to lead client implementations of Claims products, driving technical integrations, testing, and go-live coordination for healthcare organizations.
DCI seeks a detail-oriented Compliance Specialist to lead auditing, monitoring, and regulatory risk mitigation activities across its nonprofit dialysis operations.
Experienced healthcare reimbursement specialist needed to define and maintain hospital payer contracts in Experian Health's Contract Manager to ensure accurate claim valuations and patient estimates.
H2 Health is hiring a remote Billing Collections Specialist - Contracts to lead collections efforts, improve revenue cycle performance, and manage a billing team for contract partners.
Sailor Health is hiring a Founding Strategy & Operations Lead in NYC to build the operational backbone that will scale clinical care, insurance revenue operations, and credentialing across the country.
Presbyterian Healthcare Services is looking for an Associate Configuration Analyst to handle configuration, testing, and maintenance of production healthcare applications at its Albuquerque admin center.
Experienced software engineering leader to manage and deliver mission-critical claims applications for CVS Health’s Aetna commercial claims organization.
Lead strategic analytics and product-aligned initiatives to modernize healthcare billing using AI/ML and drive measurable operational improvements across payers and providers.
Cotiviti seeks an entry-level Client Service Analyst to provide remote support to client-facing teams through policy documentation, report analytics, and operational request management.
Senior Data Engineer needed to design and implement scalable cloud-based data pipelines and architectures for healthcare payers using Databricks, Snowflake, and modern ETL best practices.
Lead and supervise LTSS Provider Services in Albuquerque, ensuring compliant claims processing, effective provider education, EVV oversight and strong cross-functional collaboration.
CVS Health is hiring a Senior Software Development Engineer to design and implement scalable digital applications and APIs that support prescriptions, claims, and healthcare systems.
Bon Secours Mercy Health is hiring a Risk & Insurance Manager to lead loss prevention, insurance program coordination, and risk analysis for assigned facilities across Ohio (remote).
VSP Vision seeks a Remote Customer Support Representative to resolve member, provider, and partner inquiries across phone and digital channels while upholding service and quality standards.
EnableComp is hiring an Implementation Project Manager to lead client implementations, manage integrations and timelines, and ensure successful onboarding into its E360 RCM™ platform.
Experienced SQL-focused Data Analyst needed for an on-site, long-term healthcare contract in Ventura to build ETL processes, data marts, and population health reports.
Giving Home Health Care seeks a detail-oriented Medical Necessity Writer Specialist in Albuquerque to prepare medical documentation, evaluate records for benefits eligibility, and support patients through the claims process.
Lead product strategy and delivery for Abacus's AI/GenAI solutions, translating payer business needs and healthcare data standards into scalable cloud-native products.
Mass General Brigham Health Plan is hiring remote Customer Service Professionals to handle member and provider inquiries on benefits, eligibility, and claims while delivering high-quality, HIPAA-compliant service.
Cognizant is hiring a remote Claims Processor to adjudicate professional and institutional medical claims accurately using Facets and standard coding guidelines.
Cognizant is seeking a US-based, fully remote Medical Claims Processor to adjudicate professional and institutional claims accurately using payer-specific rules and internal systems.
Cognizant is hiring a remote Claims Processor experienced with Facets to accurately adjudicate professional and institutional healthcare claims and ensure compliance with payer rules.
UMass Chan is hiring a Healthcare Data Analyst to manage claims and financial reporting, ensuring compliance with state and federal reimbursement requirements and delivering actionable analyses to stakeholders.
Finni Health is hiring a Credentialing Manager to lead payer network growth, manage enrollment operations, and drive RCM efficiency at a rapidly scaling autism care platform.
How much do healthcare claims jobs pay?
Below 50k*
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50k-100k*
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Over 100k*
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Top companies hiring for healthcare claims jobs
Best cities to find healthcare claims jobs
- Overland Park 1
- Palo Alto 1
- Remote 1
