Remote: Senior Claims Data & Overpayment Recovery Analyst
EmblemHealth
EmblemHealth Remote position seeks a Health Care Claims Data Analyst to develop business requirements for queries that analyze vendor payment data and to leverage post-claim editing and recovery programs. You will analyze claims, payments, and vendor data to identify overpayments, support cost containment, and drive process improvements. The role involves creating reports and dashboards with Excel, Power BI, and Tableau, collaborating with claims, finance, and vendor teams to maximize recoveries. #J-18808-Ljbffr
$24 per hour
Role Snapshot The Senior Overpayment Recovery Specialist will assist the... .... We are open to remote work in the following... ...Specialist, Reimbursement Analyst, Senior Reimbursement... ..., HIGLAS system, claims processing guidelines... ...limited to standards for data security, privacy,...Remote workDataSeniorClaimsContract workFor contractorsLocal areaImmediate startShift work$72.04k - $94.55k
...re Oscar. We're hiring a Senior Analyst, SIU Investigator to join... ...aberrant behavior observed in claims and enrollment data. You will analyze data... ...to resolution including overpayment recovery, measuring behavior... ...Work Location: This is a remote position, open to candidates...Remote workDataSeniorClaimsFull timeWork from homeHome office$68.04k - $118.8k
...REMOTE Summary Of Position Develop/gather business requirements... ...to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs that will drive incremental... ..., prevent, and recover overpayments, as well as to drive process improvements...Remote workDataSeniorClaims- ...not-for-profit health insurer in New York, seeks an experienced Senior Claims Overpayment & Recovery Analyst to drive financial recovery and improve payment accuracy. Your role will involve auditing, data analysis, and collaboration with providers and internal teams to...DataSeniorClaims
- ...seeking an Experienced Multi-Line Subrogation Quality & Recovery Specialist for a 100% remote role. The ideal candidate will apply subrogation expertise... ..., conduct audits, and drive quality improvements across claims handling to maximize recovery outcomes. Join a people...Remote workSeniorClaims
- ...To support the transformation of healthcare claims processing, the remote Senior Healthcare Data Analyst will design data transformations, ensure data quality... ...pipeline output and ensure data accuracy Identify overpayment patterns and collaborate with various teams to...Remote workDataSeniorClaims
- ...underpayments, the full-time Medicare AR Recovery Analyst will utilize the Rubixis AR Follow... ...team members, all while working remotely. Key responsibilities Resolve insurance... ...Proficient in using Medicare Direct Data Entry (DDE) for claim adjustments Bachelor's or associate...Remote workDataClaimsFull timeContract work
$85.47k - $111k
...Senior Business Analyst, MMIS Finance About the Role Lead business... ..., decision tables, data mappings, interface... ...lifecycle, including claims payment, preliminary... ...advice, receivables, recoveries, recoupments, refunds... ...working conditions: Remote work: Enjoy the...Remote workDataSeniorClaimsWork from homeFlexible hours$81k - $117.4k
...Senior Import/Export AnalystJoin us as we... ...Senior Import/Export Analyst is responsible for... ...Rosemont, IL. M/F remote and T-Th are in-... ...brokers.Analyze BOM data to support FTA... ...preparing and reviewing claims, setting filing... ...strategy, and maximizing recovery.Maintain a...Remote workDataSeniorClaimsFull timeTemporary workWork at officeLocal area$69.4k - $95k
...receive an alert: Senior Business Analyst Date: Oct 22, 2026... ...business processes, data flows, reporting solutions... ...in disaster recovery planning, testing, tabletop... ...Medicaid, Medicare, claims, eligibility, or other... ...this role Fully remote options from Contiguous...Remote workDataSeniorClaimsFull timeFlexible hours- Position Title: Senior Program Management Analyst - Aircraft Launch and Recovery Equipment (ALRE)Company: ACT1 FederalLocation:... ...and manage program management data using in-house and third-party... ...whether that happens in person or remotely.If this position is listed as...Remote workDataSeniorContract workTemporary workLocal area
$69.4k - $95k
...work and grow. As a Senior Business Analyst at Gainwell, you can... ...business processes, data flows, reporting solutions... ...in disaster recovery planning, testing, tabletop... ...Medicaid, Medicare, claims, eligibility, or other... ...environments preferred. Fully remote options from...Remote workDataSeniorClaimsFull timeFlexible hours$56.16k - $99.36k
...resources. For more information, visit emblemhealth.com . Senior Claims Overpayment & Recovery Analyst Proactively assess and monitor vendor operational... ...recovery of identified overpayments. Analyze overpayment data and recovery trends to recommend operational,...DataSeniorClaimsContract workWork experience placementH1bVisa sponsorship$115k - $150k
...qPL0000087uNRYAYValid through: 2027-08-20Title: Data Engineer / Senior Data Engineer - Healthcare DataLocation: 100% Remote - United States (CST/EST Hours)Salary Range: $... ...data technologies to improve how critical claims, enrollment and quality information is processed...Remote workDataSeniorClaims- ...CSAA Insurance Group is seeking a Homeowner Claims Quality Assurance Senior Analyst to join our remote team. The role focuses on applying QA techniques to examine... ...claims handling, a BS/BA or equivalent, and strong data skills with Excel/PowerPoint. The position supports...Remote workDataSeniorClaimsFlexible hours
- ...-ID28968281Reference26-21139Remote50% Remote Detailed list of Job Duties and Responsibilities... .... Provide back up to other business analysts as needed. Data query and analysis . Preferred... ...project lifecycle Ÿ Competency in HIPAA claims and payment transaction processing Ÿ...Remote workDataSeniorClaims
- ...sustainability strategy, the full-time Senior Sustainability & Marketing Analyst will manage data platforms, conduct life cycle... ...efforts while working remotely from various states. Key responsibilities... ...to substantiate environmental claims and support sustainability goals...Remote workDataSeniorClaimsFull timeWork at office
- ...ExpertAct as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modulesLead... ...modernization initiativesMentor business analysts and contribute to Agile... ...etc.)Knowledge of HL7/FHIR and healthcare data exchange standardsExperience working with...Remote workDataSeniorClaims
- ...Working remotely in a full-time capacity, the Senior Client Analytics Analyst will analyze healthcare data, develop reports and dashboards, and collaborate with internal and external... ...utilization, authorization, and claims data to identify trends and cost drivers...Remote workDataSeniorClaimsFull time
- ...CSAA Insurance Group is hiring a Homeowner Claims Quality Assurance Senior Analyst—Remote. The role leads auditing activities across claims processes, analyzes data, and communicates findings to leadership. You will train peers, lead multiple projects, and contribute to...Remote workDataSeniorClaims
$120k - $140k
...Sr. Data Analyst Location: Remote in the United States (ET/CT) | Travel: Occasional travel to NYC or Atlanta Employees: 50 | Industry: SaaS... ...how AI search systems retrieve/cite sources, validating claims via research (not industry commentary), defining product...Remote workDataSeniorClaims- ...client stakeholders, the full-time Senior Service Delivery Analyst will leverage advanced SQL and... ...analyze complex revenue cycle data, and drive actionable insights in a remote work environment. Key... ...operations, including billing and claims Hands-on experience with the...Remote workDataSeniorClaimsFull time
- ...is seeking an Advanced Reimbursement Analyst to identify underpayments in Medicare... ...Medicaid and managed care for healthcare claims. The role combines data review, negotiation with payors, and... ...-office days in CA/TX and three days remote per week are typical. #J-18808-...Remote workDataSeniorClaimsWork at office3 days per week
- ...To support innovative healthcare solutions, the full-time Senior Research Healthcare Analyst will analyze health care claims and insurance data, develop reports, and collaborate with business stakeholders in a hybrid work environment across PA, NJ, and DE. Key Responsibilities...Remote workDataSeniorClaimsFull time
- ...Brown & Brown is seeking a Senior Employee Benefits Analyst - Public Sector to join our... ..., strategic reporting, and data‑driven insights across complex... ...negotiated plans. Evaluate claims experience, utilization... ...Be Yourself”. SummaryLocation: Remote - FloridaType: Full timeRemote workDataSeniorClaimsFull time
- ...CSAA Insurance Group is hiring for a Claims QA role supporting the claims organization. You will plan, execute... .... The role emphasizes statistical concepts, data analysis, and cross-functional collaboration, with remote work across the United States (excluding Hawaii and...Remote workDataSeniorClaims
- ...regulatory remediation and government claims administration. With 50+... ..., One Kroll. The PositionThe Senior Analyst will join a case team,... ...members (both in person and in remote environments) to provide the... ...particularly in Excel.Understanding of data sets and data management...Remote workDataSeniorClaimsTemporary workWork experience placement
- ...CSAA Insurance Group is seeking a Homeowner Claims Quality Assurance Senior Analyst to join our remote-first team. This role applies QA techniques to examine claims... ...audits, analyze qualitative and quantitative data, prepare reports for executives, and mentor peers....Remote workDataSeniorClaims
- ...SCAN is seeking a Healthcare Analyst II to develop, document, and program 5-Star projects... ...initiatives. The role involves in-depth data analysis, HEDIS reporting, and related tasks... ...on Medicare Advantage data, member and claims information, and state program requirements...Remote workDataSeniorClaims
- ...within the Health practice, the full-time Senior Associate Actuary will lead complex... ...models, and analyze healthcare data while working remotely. Key responsibilities Lead complex actuarial... ...impact of policy changes Analyze claims and financial data to identify trends...Remote workDataSeniorClaimsFull time
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