- 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: Oct 27, 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
- 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
- Sedgwick (Raleigh, NC)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… 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
- Intermountain Health (Raleigh, NC)
- …**Physical Requirements:** **Qualifications** + Three (3) Years of work-related experience in medical claims and follow-up **Preferred** + HFMA Certification + ... **Job Description:** The Denials Analyst is responsible for tracking denials across the...systems experience + Five (5)+ years of experience in medical billing/ claims follow up **Physical Requirements** +… 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 + ... pharmacy with us. **Job Posting Title** Data & Reporting Analyst - Remote **Job Description** The Data & Reporting... - Remote **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision… more
- Prime Therapeutics (Raleigh, NC)
- …build the future of pharmacy with us. **Job Posting Title** Health Informatics Analyst **Job Description** The Health Informatics Analyst leverages data and ... organizational growth. **Responsibilities** + Analyze, mine, and document complex healthcare claims and authorizations data sets to identify patterns and trends… 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
- Sedgwick (Raleigh, NC)
- …Best Workplaces in Financial Services & Insurance (Remote) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** : To manage, support and service ... include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience with emphasis on data analysis.… more
- Cognizant (Raleigh, NC)
- **About the role** As a **Quality Assurance Analyst - Healthcare Systems** , you will make an impact by ensuring data integrity, validating business rules, and ... of EDI X12 837 and 835 transaction sets for claims processing. + Ability to write and execute detailed...for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off… 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
- CVS Health (Raleigh, 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
- 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)
- …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