- 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
- Cognizant (Raleigh, NC)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering team and… more
- UNC Health Care (Kinston, NC)
- …unique communities we serve. Summary: + Expedites the settlement of insurance claims by submitting accurate claims and performing appropriate follow-up ... activities in a timely manner. Responsibilities: 1. **Files insurance claims in an accurate, timely manner within 1 business day from billed date.** a. Utilize… more
- Centene Corporation (Raleigh, NC)
- …in area of compliance; in particular HIPAA, and state regulations. Experience with Medicare claims , specifically Medical Claims Part C and Provider Network, ... highly preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible… more
- UNC Health Care (Kinston, NC)
- …we serve. Summary: **JOB PURPOSE** + Expedites the settlement of insurance claims by submitting accurate claims and performing appropriate follow-up activities ... calculator, and other office equipment. Basic accounting background and medical terminology preferred. Strong analytical ability preferred. Excellent customer… more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst -Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… 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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …professional and ancillary claims . + Minimum 3 years in auditing of claims adjudication. + Working knowledge of medical terminologies and coding a plus ... About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst , who will oversee contract and benefit configuration to ensure accurate claims … more
- Elevance Health (Durham, NC)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Motion Recruitment Partners (Garner, NC)
- Senior Data Analyst / HEDIS Garner, North Carolina **100% Remote** Contract $60/hr - $70/hr Our client is looking for a Senior Data Analyst to support the team ... cases + Strong understanding of HEDIS measures and how claims and clinical data work to inform those measures...respective payers **You will receive the following benefits:** + Medical Insurance - Four medical plans to… more
- IQVIA (Durham, NC)
- **Senior Data Analyst - HEOR** **Job Overview** IQVIA is hiring to expand our dedicated Real World Evidence (RWE) FSP team, working fully within the environment of a ... prominent Pharma company. This senior data analyst role sits within our Real World Solutions team.../ cleaning using secondary real world data sources, including claims , EHR, and genomic data + Conduct and QC… more
- Prime Therapeutics (Raleigh, NC)
- …with data consolidation and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst … more
- Evolent (Raleigh, NC)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Norstella (Raleigh, NC)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...sciences companies. * Understanding of RWD, including lab, EMR, claims , and SDoH data assets * Ability to work… more
- The Cigna Group (Charlotte, NC)
- …current and prospective providers + **Collaborate cross-functionally** with teams such as Claims Operations, Medical Management, Legal, Medical Economics, ... **The Cigna Group Sales and Contracting Development Program** **Network Contracting Analyst ** **Start Date July 13, 2026** **Hiring Cigna Network Offices:**… more
- Vontier (Greensboro, NC)
- …preferred locations for this opportunity. **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root Quality organization by conducting ... analysis efforts by providing data-driven insights into failure trends and warranty claims . * Assist in documenting quality data processes, ensuring consistency, and… more
- PNC (Charlotte, NC)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland organization, you will be based within the PNC Midland ... and also supports remote and hybrid work environments. As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… more
- CVS Health (NC)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- CVS Health (NC)
- …position is to collaborate with non-par providers to negotiate the pricing of medical and facility claims to obtain the highest possible success rates, ... resulting in savings for both the member and Aetna. As a Negotiator Analyst , you will: + Communicate with providers via phone, fax and/or email as set forth under… more
- Mass Markets (NC)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more