- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ... ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires… more
- Deloitte (Raleigh, NC)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- NTT DATA North America (Raleigh, NC)
- …and forward-thinking organization, apply now. We are currently seeking a Business Systems Analyst - EPIC to join our team in Durham, North Carolina (US-NC), United ... States (US). Job Description: Business Systems Analyst (Epic Payer Platform & Interoperability) Job Summary The Business Systems Analyst leverages strong… more
- Norstella (Raleigh, NC)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Prime Therapeutics (Raleigh, NC)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- Baylor Scott & White Health (Raleigh, NC)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- CVS Health (Raleigh, NC)
- …it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of claim audits across ... multiple areas within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements of various… more
- IQVIA (Durham, NC)
- …working fully within the environment of a prominent Pharma company. This senior data analyst role sits within our Real World Solutions team and will be responsible ... to have prior experience in observational research utilizing EMR and claims data, a strong statistical programming skillset, and experience managing multiple… more
- Evolent (Raleigh, NC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Humana (Raleigh, NC)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Humana (Raleigh, NC)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (Raleigh, NC)
- …Workplaces in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology Work… more
- NTT DATA North America (Raleigh, NC)
- …an overall sourcing strategy. NTT DATA Services currently seeks a **QA Data Analyst ** to join our team in **NC, Remote.** **Role Responsibilities** + Write advanced ... validation, and reconciliation between sources and outputs. + Work with claims (institutional, professional, dental, pharmacy) and clinical data sources (lab,… more
- Evolent (Raleigh, NC)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- CVS Health (Raleigh, NC)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Raleigh, NC)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able to travel to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- WTW (Raleigh, NC)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... following (eligibility requirements apply): + **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account,… more
- Highmark Health (Raleigh, NC)
- …data. This position routinely utilizes data including, but not limited to: medical /surgical physician and institutional claims and encounters, clinical data, ... robust analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will… more
- Elevance Health (Durham, NC)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging… more
- CVS Health (Raleigh, NC)
- …a customer's data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of ... **Position Summary** The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team's ability to craft a compelling… more