Remote Clinical Analyst - Healthcare Payer & Utilization
Global Alliant Inc
- Remote job
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 Global Alliant Inc
$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 workWork at office- ...Job Description Job Description Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests... ...primarily in an office environment. Hybrid (onsite/remote) work schedule available. The ideal candidate must be...Remote workWork at office
- ...Clinical Denial Management Nurse Turn clinical expertise... .... Work Style: Remote Location Requirement:... ...integrity, managed care, utilization review, and patient... ...denial issues. Research payer policies, contracts,... ...regulations, and healthcare industry standards....Remote workFull timeWork at office
- ...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
- ...an experienced Actuarial Analyst - Healthcare Payer Data Consultant with strong... ...and healthcare cost/utilization Membership and enrollment... ...validation . Location: Remote Experience: 10+... ...enrollment, provider, premium, clinical/quality, and cost/...Remote work
$72.7k - $116.6k
## Clinical and Population Health AnalystApply: Remote: PA, Working at Home - Pennsylvania: MD, Working... ...to the Quadruple Aim of Healthcare: lower per capita health... ...Senior and Lead level analysts with consultative,... ..., matrixed environment (payer and/or provider preferred...Remote workFull timeWork experience placementWork at officeWork from homeShift work$57k - $75k
...Clinical Quality Analyst Remote, United States Why Charlie Health? Millions of people across the... ...that lacks personalization, behavioral healthcare can leave people feeling unseen and... ...Participate in state, Medicaid, payer, and accreditation survey-preparedness...Remote workFull timeWork at officeLocal 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 jobFull timeHome officeVisa sponsorshipMonday to FridayFlexible hours- ...Health System seeks a Full-time, remote Utilization Case Manager to conduct ongoing reviews for clinical utilization and determine... ...with the Nurse Case Manager and healthcare team to support timely patient... ...team and patient, and adheres to payer guidelines and internal...Remote jobFull time
- ...among more than 300 surveyed healthcare organizations. Cedars-Sinai... ...Data Intelligence Analyst (Clinical Operations) is independently... ...throughput, productivity, utilization, staffing, financial performance... ...relocate to LA area, but open to remote in Approved States: Arizona...Remote jobRelocation
- ...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
$58k - $63k
...innovate, and shape the future of healthcare. With the largest long-term... ...to Office expectations** For Remote Roles : If this role is... ...Job Summary: As a Solutions Analyst, you are responsible for the... ..., configuring, and using our clinical applications. •Develop deep expertise...Remote workFull timeWork at officeFlexible hoursShift workWeekday work$72.8k - $130k
...care providers and payers, and ultimately... ...Join us in making healthcare work better for everyone... ...Epic Home Health Analyst for our Shared... ...supporting and maintaining clinical workflows and... ...related modules utilized by both patients... ...flexibility to work remotely * from anywhere...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$90k
...SKILLS/ABILITIES The Senior Utilization Management Audit & Compliance Analyst’s responsibilities... ...EDUCATION Bachelor’s degree in healthcare administration, public... ...opportunities Remote Opportunities Remote Opportunities... ...healthcare. We connect Payers, Providers, and Members...Remote workTemporary workLocal area$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$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 schedule... .... Technology & Innovation Utilize technology systems and tools...Remote workLocal areaMonday to FridayFlexible hours- ...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
- ...Clinical Analyst Location: 100% Remote Duration: CTH Role Overview The Clinical... ...provider outreach using healthcare workflows and provide... ...coding, pends, denials, and utilization review. Collaborate... ...Experience working with US payers or providers. •...Remote work
- ...beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness... ...Phoenix area. Responsibilities: JOB SUMMARY The Clinical Trial Budget Analyst III serves as a subject matter expert in the development...Remote workMonday to FridayShift work
$26 - $41.5 per hour
...s heartland. Facility: Remote MN Location: Remote, MN... ...Join the Quality team as a Clinical Quality Analyst! We are looking for an RN... ...clinical care while continuing to utilize valuable medical and... ...Certified Professional in Healthcare Quality (CPHQ) preferred....Remote workFull timePart timeWork at officeWork from homeFlexible hoursShift work$60k - $65k
...Revenue Cycle Analyst The Revenue Cycle... ...patient revenue, payer mix, reimbursement... ...supports the effective utilization of EPIC practice... ...build expertise in healthcare revenue cycle... ...Operations, Data/IT, clinical teams, and external... ...This is a hybrid-remote position based at...Remote workHourly payWork at office2 days per week$35 - $40 per hour
...flexible, part-time remote opportunity where... ...and Outcomes Analyst to serve as the center... ...funder contracts, utilization tracking, outcomes... ...a mission-driven healthcare environment. The role... ..., operations, and clinical teams... ...utilization tracking, and payer requirements Analyze...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hours- 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
- IDR Healthcare is seeking a SAP Business Analyst to join a leading client in Boulder, Colorado. The role focuses on SAP FICA and billing/invoicing optimizations within utility transformation projects, contributing to system design, implementation, and ongoing process improvement...Remote job
$90k - $100k
...performance-driven healthcare company dedicated... ...leverages remotely-embedded Healthguides... ...DescriptionAs Senior Data Analyst, you will play a... ...needs of our clinical, operational, and... ...accuracy, and utilization and cost-of-care... ..., health policy, payer, or provider operations...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeFlexible hoursShift work$75k - $90k
...and more than 2,000 research experienced healthcare professionals across the U.S. Hawthorne... ...within local communities, Hawthorne makes clinical trials more accessible and convenient... ...Clinical Imaging Quality and Data Compliance Analyst role is an integral role designed to...Remote workLocal area- ...The Elite Job is seeking a meticulous and analytical Clinical Data Analyst to join our healthcare domain team. This role involves managing, analyzing, and... ...standards in the healthcare sector. This is a remote opportunity, allowing professionals to contribute to healthcare...Remote workFull timeWork from homeFlexible hours
- A leading healthcare technology provider is looking for an experienced Clinical Imaging Analyst to support imaging systems across various markets. This remote contract role requires 3-7 years of experience in healthcare imaging systems, with expertise in tools like PACS...Remote jobContract work
- 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 jobFlexible hours
$35 - $63 per hour
...between care providers and payers, and ultimately... ...Itemized Bill Review (IBR) Clinical Appeals Reviewer will... ...business unit. Must utilize expertise in auditing... ...the flexibility to work remotely * from anywhere within... ...with existing analysts, quality and leadership...Remote jobHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to Friday
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