Claims Analyst

Claims Analyst Opportunity At Free Market Health

Every day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn't.

Specialty medications move through a complex network of providers, health plans, pharmacies, and manufacturers. Administrative delays, disconnected systems, and limited visibility can slow treatment when time matters most.

Free Market Health exists to make that process work better.

Our technology connects stakeholders across the specialty pharmacy ecosystem, helping prescriptions reach the right pharmacy while improving visibility, reducing friction, and keeping treatment moving forward for the patients who depend on them. We focus on the most important stakeholder of all: the patient.

Your impact

Free Market Health is seeking a detail-oriented Claims Analyst to join our team onsite at our Pittsburgh Headquarters. This role will help ensure the accuracy, integrity, and timely processing of our claims. In this role, you will monitor clearinghouse activity, validate claims, identify discrepancies, and help resolve issues that impact payment accuracy and the overall claims experience.

This is a strong opportunity for someone who enjoys working with healthcare claims data, partnering across teams, and using problem-solving skills to support accurate, efficient claims operations.

What You'll Do

• Review and reconcile claims submitted through the claims clearinghouse to confirm successful receipt by payers.
• Review claims for payment accuracy based on applicable processing rules.
• Identify denied, rejected, or inaccurately paid claims and support timely follow-up and resolution.
• Partner with Pharmacy Operations, Client Services, and other internal teams to answer claim-related questions and communicate when action is needed.
• Monitor daily claims activity and proactively identify issues, trends, or process gaps that may impact accuracy or operational performance.
• Support accurate claims outcomes, revenue integrity, and a high-quality experience for clients and patients.
• Maintain confidentiality and protect sensitive healthcare information in accordance with HIPAA and company expectations.
• Take on additional responsibilities as needed to support the team and business priorities.

What We're Looking For

• 2+ years of experience with healthcare claims and related transactions.
• Knowledge of pharmacy billing, coding, or claims processing.
• Experience working with X12 and NCPDP transaction formats.
• Strong attention to detail and ability to monitor significant claim volume while managing multiple priorities.
• Clear communication skills and the ability to work collaboratively with cross-functional teams.
• Sound problem-solving skills, including the ability to identify issues, determine root causes, and follow through on resolution.
• Ability to handle sensitive healthcare information with professionalism and discretion.

Nice to Haves

• SQL knowledge or experience using data to research and resolve claims-related issues.
• College degree preferred, but not required.

Life at FMH

We're building more than a company. We're building a team of ambitious, curious people who are passionate about solving meaningful problems, growing their careers, and genuinely enjoying the journey together.

Based in Pittsburgh's Strip District, FMH draws inspiration from the city we call home. Our value of Grit isn't just a word on a wall. It's a mindset inspired by the city around us: showing up, rolling up our sleeves, and finding a way forward no matter the challenge.

As FMH continues to grow, so do the opportunities for our people to leave their mark. Guided by our core values of Integrity, Adaptability, Grit, and Collaboration, we foster an environment where trust is earned, new ideas are welcomed, challenges are embraced, and success is shared. You will be surrounded by people who care deeply about the work they do and the people they do it with.

Together, we're building something special, and we're just getting started.

Benefits

• Generous PTO
• 100% employer-paid individual medical, dental, and vision premiums
• Employer HSA contribution
• Paid parental leave
• 401(k) match
• Transportation and parking benefits
• Flexible, collaborative work environment

Benefit eligibility is based on employment status.

Build What's Next With Us

Healthcare is evolving - and so are we.

If you're excited by meaningful challenges, collaborative teammates, and the opportunity to help build a growing healthcare technology company, we'd love to hear from you.

Equal Opportunity Employer

Free Market Health is proud to be an Equal Opportunity Employer.

We believe that a diverse and inclusive workplace makes us better teammates and problem solvers and we encourage all qualified individuals to apply. Employment decisions are based on business needs, qualifications, and merit.

FMH is also committed to providing reasonable accommodations throughout the hiring process. If you require assistance or accommodation due to a disability, we will work with you to meet your needs.