Claims Analyst

Location: Hybrid Houston, TX - 3 days onsite. 

About the Role

We’re seeking a Provider Relations Analyst to support provider services, operations, and data processes within a managed care environment. This role acts as a key liaison between the organization and healthcare providers—ensuring strong relationships, resolving issues, and improving overall provider experience.

Key Responsibilities

• Build and maintain relationships with healthcare providers via phone and email
• Serve as a liaison to support claims resolution, education, and ongoing provider service
• Assist providers with questions related to policies, processes, and systems
• Support provider operations and data accuracy initiatives
• Contribute to process improvements to enhance provider satisfaction
• Provide project coordination support including:
  • Tracking milestones and timelines
  • Coordinating cross-functional activities
  • Supporting documentation and status reporting
• Ensure compliance with HIPAA, corporate policies, and regulatory requirements
• Maintain confidentiality of sensitive business and provider information

Required Qualifications

• Bachelor’s degree AND 1+ year of managed care experience (contracts, products, etc.)
  OR
  3+ years of experience in a managed care environment with exposure to:
  • Claims
  • Pricing
  • Contracts
  • Regulatory/compliance
• 1+ year of experience in a relationship-focused role demonstrating sound decision-making
• Strong ability to prioritize, meet deadlines, and work independently
• Excellent communication and organizational skills

Technical Skills

• Proficiency in Microsoft Office (Excel, PowerPoint)
• Experience with Salesforce is a plus

What We’re Looking For

• Strong provider-facing or customer-facing experience
• Knowledge of health insurance / managed care processes
• Ability to problem-solve and build relationships in a fast-paced environment