Remote Clinical Policy Analyst for AI-Driven Claims
Lyric
Lyric is seeking a Clinical Analyst to support the development of clinical policies and payment solutions that enable fast, accurate, and intelligent coverage and reimbursement decisions.
Serving as a key voice for clinical content and data assets within the team, this role depends on a deep understanding of diagnostic testing, information technology, payment integrity, and clinical care to drive transparency, automation, and efficiency for health plans, provider systems, and laboratories.
#J-18808-Ljbffr- ...Lyric, a leader in healthcare decision intelligence, seeks a Clinical Analyst to develop clinical policies and payment solutions enabling fast, accurate coverage and reimbursement decisions. You will work with clinical content and data assets to drive transparency, automation...Remote work
- ...Brighterway is a remote-first company in the United States developing AI-native claims software for casualty claims. The clinical reviewer will audit AI-generated chronologies and summaries, compare them to source records, and help define clinically correct standards...Remote workClaims
- ...Lyric is seeking a Clinical Analyst to support development of clinical policies and payment solutions enabling fast, accurate coverage and reimbursement decisions... ..., and labs. The role involves applying claims analytics, evaluating literature, drafting criteria...Remote workClaims
- ...Lyric seeks a Clinical Analyst to support development of clinical policies and payment solutions enabling fast, accurate coverage decisions. This role requires... ...providers, and laboratories. You will analyze claims data, review medical literature, and draft coverage...Remote workClaims
- ...leader in healthcare decision intelligence, seeks a Clinical Analyst to develop clinical policies and payment solutions for fast, accurate coverage... ..., contributing to automation and transparency in real-time claims workflows. Remote US work is supported. #J-18808-LjbffrRemote workClaims
- ...Lyric is seeking a Clinical Analyst to help develop clinical policies and payment solutions that enable fast, accurate, and intelligent coverage decisions for health plans, providers, and laboratories. You will be a key voice for clinical content and data, applying expertise...Remote workClaims
- ...healthcare decision intelligence leader seeking a Clinical Analyst to support development of clinical policies and payment solutions for fast, accurate coverage... ...criteria, evaluate literature, and program rules for claim denials while contributing to internal data assets...Remote workClaims
- ...Recidiviz is seeking a Policy Data Analyst to join a mission-driven team working remotely or from New York City or Oakland. You will analyze complex criminal justice data, translate policy questions into quantitative metrics, and support data-driven reforms with stakeholders...Remote work
- ...Clinical Data Product ManagerHybrid - Atlanta or PhiladelphiaAt... ....We are building AI-enabled intelligence... ...turning complex clinical and claims data into insights that... ...U.S. locations in a remote capacity.As a Product... ...leakageIdentify and integrate AI/ML-driven capabilities (e.g.,...Remote workClaimsWork at officeLocal areaShift work
$85k - $100k
...We’re seeking a Senior Clinical Informatician to serve... ..., and optimize data-driven healthcare solutions. You... ...supporting our next-generation AI and LLM-enabled... ...tools. This is a remote-first role that may require... ...data with post-service claims validation, we’re...Remote workClaimsFull timeFlexible hours$200k - $220k
...You'll be the first Clinical hire in the US,... ...roadmap of studies, claims, KOLs and communication... ...Sonio is a mission-driven company, so... ...company, ideally in AI / SaMD; healthtech... ...Location: Ideally Boston, remote can be considered... ...attractive Parental Policy for primary and secondary...Remote workClaimsWorldwideFlexible hours- ...and content-rich, AI-powered platform along... ...Team, the Audit Policy Analyst, Post-Acute... ...infusion therapy claims across government... ...with operations, clinical, client services,... ...Home Health Patient-Driven Groupings Model (PDGM... ...independently and in a remote environment,...Remote workClaimsDaily paidFull timeContract workWork at officeLocal area
$85k - $110k
...digital solutions and data-driven innovation across our... .... Labcorp is seeking a REMOTE Senior Payer Policy Analyst to join our team! The... ...after meetings at ACLA (the clinical laboratory trade association... ...laws to assist in appealing claim denials and pursue payer...Remote workClaimsFull timeTemporary workFor contractorsWork experience placementCasual workInternshipMonday to FridayFlexible hours- ...Maintain clinical drug lists and prior authorization documents, resolve drug list and benefit... ...business review materials. Investigate claim rejections related to drug list platform configuration... ...efficiency through technology, automation, and AI-enabled tools. #J-18808-LjbffrRemote workClaimsContract work
- ...MedWatchers, Inc. is redefining healthcare by combining clinical expertise, AI, and data-driven solutions to improve patient care nationwide. We are seeking curious and ambitious pharmacists for a fully remote, 40-hour workweek. You will conduct medication reviews,...Remote work
- ...hospital systems, academia, and clinical AI. We are building the world’s... ...% of the EMR, including some claims) Unstructured text (e.g.,... ...collaborations Team Benefits Remote work and flexible hours.... ...collaboratively Dandelion is a mission-driven company that is focused on...Remote workClaimsContract workFlexible hours
$234.57k - $284.25k
...work. Our purpose-driven culture inspires us... ...Senior Director, Clinical Data Management, Oncology... ..., automated, and AI-enabled operating... ...vendor and internal claims on training data, validation... ..., field-based and remote-by-design. The... ...data privacy policies and regulations....Remote workClaimsHourly payFull timeSummer workLive inWork at officeFlexible hoursShift work- ...seeking an experienced Medical Billing Specialist to handle claims processing and contribute to AI-powered tools for optimizing billing workflows. The... ...analytical skills are essential. Join us to help enhance AI-driven medical billing solutions in a collaborative environment...Remote jobClaims
$33 - $38 per hour
...$33.00/hr - $38.00/hr Hiring: Senior Clinical Inpatient Coders – Remote (USA, Contract-to-Hire) Location: Remote... ..., providers, peer reviewers, Claims Administration, Program Integrity, Quality... ...insights directly into each article, started with the help of AI. #J-18808-Ljbffr...Remote workClaimsFull timeContract workPart timeFor subcontractor- Overjet, a leader in dental AI, seeks an experienced dental claims reviewer to utilize radiographs and clinical expertise to assess medical necessity and eligibility for insurer... ..., and 5+ years of clinical experience, with remote work options and strong English...Remote jobClaims
$85k - $115k
...Medical Policy Implementation Analyst Senior Hybrid role (3 days/week in... ...recommends and publishes clinical policy criteria for... ...review and clinical claim review process.... ...worker. Experience with AI tools and technologies... ...being part of a purpose-driven, award-winning...ClaimsWork at officeImmediate startRelocation3 days per week- ...incubating cutting-edge AI and automation... ...efficiency and simplicity to claims. Founded by insurtech veterans... ...of building a tech-driven claims organization... ...experience managing in a remote environment ~ Comfortable... ...~ Competitive PTO policy - we want our employees...Remote workClaims
$125 per hour
...bioinformaticians to help train AI models. You’ll design... ...doesn’t do what the narrative claims. Problems draw on whatever you... ...genetics; ML applied to biology; clinical genomics; metagenomics or phylogenetics... ...stays 5+ years. Flexible, remote, and always project-available....Remote workClaimsFull timeFlexible hours$77k - $100k
Clover Health# Data Analyst, Clinical Data... ...this opportunity.AI Summary## The role... ...at a glance.This remote US role is a healthcare... ...data gaps across claims, CCDAs, ADT messages... ....* Develop a data-driven framework for prioritizing... ...flexible time-off policy. Additionally, we...Remote workClaimsWork experience placementWork at officeFlexible hours- ...Clover Health is seeking an AI-forward Business Analyst, Clinical & Reimbursement Policy to bridge regulatory requirements with automated policy execution. You... ...external vendors for policy oversight. You will lead AI-driven monitoring initiatives, leverage LLMs to stay...
- ...Solution Architect (Camunda & Event-Driven Architecture) Location: Remote, Chicago, IL Duration: 06 months... ...implementation of a scalable, event-driven claims orchestration platform using... ...automation standards, business rules, AI-enabled workflow generation, and reusable...Remote workClaimsContract work
$20 - $40 per hour
....com . As the Contract Clinical Services Support Technician... .... Investigate claim rejections related to drug... ...Prepare and publish coverage policies files and printed... ...technology, automation, and AI-enabled tools. High... ...Range: $20 - 40 per hour Remote (U.must have reliable...Remote workClaimsHourly payContract workLocal areaMonday to FridayShift work- ...Genpact is seeking a Specialist for Insurance - P&C Claims to manage a portfolio of active claims, coordinate with contractors, adjusters... ...proactive communication across teams. The position offers exposure to AI-powered transformation initiatives and collaboration with a broad...Remote workClaimsFor contractors
$150k - $240k
Director, AI-Enabled Fraud Prevention & Investigations Remote - USA Clover Health is investing... ...with Clover policies and regulatory requirements... ...turn millions of claim lines and/or... ...with Clover's clinical, compliance, claims... ...passionate and mission-driven individuals with...Remote workClaimsFor contractorsWork experience placementWork at officeFlexible hours- ...The American Heart Association seeks a Business Development Lead, Clinical Solutions and Licensing to drive commercialization of AI-enabled tools, digital health platforms, and AI‑assisted clinical content. You will lead senior-level negotiations, shape partnerships, and...Remote workWork from home
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