Remote Clinical Analyst - Healthcare Payer & Utilization
Global Alliant Inc
Global Alliant Inc. is seeking a Clinical Analyst for remote engagement. The role requires US citizenship due to federal regulations and the ability to obtain Public Trust Clearance. The position supports utilization management, claims review, and provider communications, with responsibilities spanning policy interpretation and case resolution. The contract/FTE opportunity emphasizes strong Excel/reporting skills and formal healthcare education, with coverage aligned to 8 AM–6 PM EST. #J-18808-Ljbffr
$90 - $110 per hour
...challenges facing US healthcare are longstanding and... ...we help providers, payers, technology innovators... ....C., and Nashville. Remote work is allowed.... ...Overview Epic Tapestry Utilization Management (UM) Analyst We are seeking an... ...to collaborate with clinical, operational, and...Remote workHourly pay$99.9k - $159.84k
...you will join us as a Clinical Data & Reporting Analyst (Data Warehouse... ...shape the future of healthcare where you’ll be an integral... ...with healthcare payer data. 5 years of experience... ...of experience with utilization management, prior... ..., 505 Building or a remote work location: Work...Remote workTemporary workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift2 days per week- ...Overview Turn clinical expertise into stronger appeals... .... Work Style: Remote Location Requirement... ..., managed care, utilization review, and patient access... ...denial issues. Research payer policies, contracts,... ...regulations, and healthcare industry standards....Remote workFull timeWork at office
$85k - $110k
...This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that... ...deadlines. Must be able to utilize independent... ...including insurance, healthcare, banking and... ...ten US health care payers. We function as one...Remote workFull timeWork at office$72.7k
...the Quadruple Aim of Healthcare: lower per capita health... ...and interpretation of clinical and population health... ...Senior and Lead level analysts with consultative, technical... ...matrixed environment (payer and/or provider... ...Position Type** Office- or Remote-based Teaches / trains...Remote workFor contractorsWork experience placementWork at officeLocal areaShift work$80k - $135k
...Clinical Informatics Analyst Locations: Boston, MA | Atlanta, GA Salary Range... ...: Clinical Informatics / Healthcare IT Experience Level:... ...workflow efficiency, and system utilization. Validate data accuracy... ...: On‑site, hybrid, or remote, depending on organizational...Remote workFull timeLocal area$80k - $110k
...Remote Data Analyst – Healthcare Utilization Reporting and Business Insights Employment Type: Full-time Experience: 2–4 years in data analytics Salary:... ...identify trends, and improve reporting. Working with clinical operations, utilization management, finance, and data...Remote workFull timeHome officeVisa sponsorshipMonday to FridayFlexible hours- ...Sentara Health in Virginia offers a full-time, remote BCBA Utilization Management role focused on behavioral health services and committee-based... ...care levels, leveraging evidence-based guidelines and clinical judgment. The position requires a Master's level degree, BCBA...Remote workFull time
- ...Insight Global is seeking a fully remote Healthcare Informatics Analyst to join the data exchange team of a... ...email follow-up and troubleshooting. Utilize strong Excel skills to manage and... ...posted. Sign in to set job alerts for “Clinical Data Analyst” roles. Clinical Data...Remote workContract work
$90k
...The Senior Utilization Management Audit & Compliance Analyst serves as the subject matter expert... ...~ Bachelor’s degree in healthcare administration, public health... ...opportunities Remote Opportunities We are... ...healthcare. We connect Payers, Providers, and Members...Remote workTemporary workLocal area$24 - $43 per hour
...together. The C&S Coding Clinical Analyst is required to determine... ...decisions on complex cases. Remote: You'll enjoy the... ...appropriate level of service utilizing Evaluation and Management coding... ...Qualifications: Bachelor's degree Healthcare claims experience/processing...Remote workHourly payMinimum wageFull timeContract workWork experience placementLocal area$75k - $82k
...people receive quality mental healthcare? Come join our mission of... ...are looking for an experienced Clinical Risk Specialist to join our Clinical... ...healthcare. *This is a remote position with a typical... ...Technology & Innovation Utilize technology systems and tools...Remote workFull timeLocal areaMonday to FridayFlexible hours- ...Job Summary The PRN Remote Clinical Utilization Review Specialist is responsible for evaluating the necessity... ...activities, and collaborates with healthcare providers to facilitate efficient... ...readmissions, and maintain compliance with payer requirements. Essential Functions...Remote workWork experience placementRelief
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity... ...payment by independently utilizing DRG grouper, encoder, and... ...supporting the Lifetime Healthcare Companies' mission and values... ...may be opportunity for remote work within all jobs posted...Remote workWork experience placement
$72.8k - $130k
...yearJob Area: Medical & Clinical OperationsCompany:... ...between care providers and payers, and ultimately... ...lives? Join us in making healthcare work better for everyone... ...flexibility to work remotely * from anywhere within... ...process standardization, utilization of best practices,...Remote workMinimum wageFull timeWork experience placementLocal area- ...IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst and Coding Specialist)The principal duties of this position are to assist with the CPT/HCPCS... ...other medical coding software programs)Location:Remote – Columbia, SC (Resources will need to come onsite...Remote workWork at officeLocal area
$60k - $95k
...ExlService Holdings, Inc. is seeking an experienced Clinical Validation Auditor (CVA) Quality Analyst for a remote office opportunity. The Quality Analyst IV oversees CVA auditors to ensure accuracy and adherence to EXL’s standards. Responsibilities include reviewing...Remote workWork at office- ...Clinical Analyst EpicCare AmbulatoryClinical Analyst EpicCare Ambulatory Remote with minimal onsite visits required each year This opportunity excludes residents of NY... ...passionate about leveraging technology to improve healthcare operations and patient outcomes, this is...Remote workFull timeTemporary workShift workNight shiftWeekend workAfternoon shift
- ...A healthcare innovation firm is seeking a meticulous Clinical Data Analyst to manage and analyze clinical data remotely. Responsibilities include data validation, statistical analysis, and collaboration with researchers. Ideal candidates should have a degree in Life Sciences...Remote workFlexible hours
- ...innovate, and shape the future of healthcare. With the largest long-term... ...to Office expectations For Remote Roles: If this role is remote... ...Job Summary As a Solutions Analyst, you are responsible for the... ..., configuring, and using our clinical applications. Develop deep expertise...Remote workWork at officeFlexible hoursShift workWeekday work
- ...employers, brokers, payers, and providers to... ..., and elevate the healthcare experience.... ...advanced technology and clinical expertise, Valenz... ...cost, quality and utilization datasets, we create... ...As an Appeals Analyst, you’ll review provider... ...This is a fully remote position, and we’ll...Remote workFull timeContract workImmediate startFlexible hours
$190k - $215k
...the most trusted healthcare platform powering... ...helping providers, payers, and life... ...achieve measurable clinical, operational, and... ...Bring other analysts up to speed on the... ...roadmap — cost and utilization, access and equity... ...A flexible, remote-friendly company...Remote workFull timeFor contractorsFlexible hours- ...New Paradigm Staffing, a growing healthcare staffing agency, is seeking an entry-level Clinical Data Coordinator to support... ...accurate data management in a fully remote role. You will validate datasets... ...mentors, a clear path toward data analyst roles, and a supportive team...Remote work
- ...UnitedHealthcare is seeking a Remote Data Analyst specializing in Healthcare Utilization Reporting and Business Insights. The role focuses on examining utilization data to drive understanding of service demand and improve reporting. You will translate business questions...Remote work
- US Tech Solutions is seeking an IT Healthcare Consultant - Advanced (Clinical Analyst and Coding Specialist) to maintain ICD-10, CPT/HCPCS coding changes and... ...process documentation, and stakeholder collaboration. Remote work is available for candidates nationwide; travel...Remote job
- ...Liberty Dental Plan is seeking a Clinical Operations Analyst (Remote) to turn data into meaningful action and drive clinical excellence across a growing organization. You will analyze clinical and operational data, develop routine and ad hoc reports for clinical leadership...Remote workFull time
- ...IT Healthcare Consultant – Business Analyst - Advanced (Clinical Analyst & Coding Specialist)Location: Columbia, SC (Fully Remote – Candidate must reside in South Carolina)Duration: 12 Months (Possible... ...IT developers/programmers in a payer environment5+ years medical coding...Remote workRelocation
- Job Title Clinical Analyst Job Location Remote Job Duration Contract / FTE Client Federal Criteria- Need US citizenship because... ...Public Trust Clearance Must-have skills US Healthcare / US Payer / Provider experience Utilization Management / Utilization Review / Prior...Remote workContract work
$30.65 - $44.45 per hour
...AnalystTitle: PBS Reporting Analyst Location: Fountain... ...(Predominantly Remote) Pay Range: $30.65... ...and high-quality healthcare; your personal... ...processes, utilizes business intelligence... ...coding, finance, IT, clinical operations, and... ...and alignment with payer requirements and regulatory...Remote workFull timeContract workShift work$97.75k - $132.25k
...As a Senior Clinical Data Analyst, you will identify operational improvement opportunities through... ...in any one of our hub locations. #LI-Remote Responsibilities Gather... ...working in clinical data analytics in a healthcare setting. One of the following:...Remote workFull timeTemporary workWork experience placementLocal areaFlexible hoursShift work
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