UNKNOWN

FEED

This is not simply a reporting role: the successful candidate understands how MA quality data flows from source systems through ingestion, transformation, and data marts into analytical models, dashboards, and ultimately Stars performance insights - and can translate a CMS Stars specification into a working data model, validate the results, and build something a health plan can act on. The ideal candidate combines strong data analytics and data engineering knowledge with practical Medicare Advantage Stars expertise - a data analyst first and a Stars expert second, equally comfortable writing SQL, troubleshooting a data feed, building a Power BI dashboard, and explaining a Stars calculation to a health plan's quality team.

Medisolv Inc

Medicare Advantage Stars Data Analyst

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The ideal candidate will be located within commuting distance of one of our preferred office locations in Sunrise, FL, Lake Mary, FL, or Hartford, CT and will work a hybrid schedule , with an expectation of being onsite three days per week (Tuesday through Thursday) . The Ability Analyst, quickly investigates claims to determine if the insured person qualifies for short-term benefits and works with them on a treatment plan to return to work as soon as responsibly possible.

The Hartford

Short-Term Disability Analyst

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The role also helps build team capacity and continuity by documenting processes, cross-training critical activities, and applying current analytical automation, and approved AI-enabled tools to improve speed, accuracy, and insight. This role combines core FP&A responsibilities with month-end and accounting support to help business leaders understand performance, manage expenses, improve forecasts, and make informed decisions that contribute to profitable growth.

Cinch Home Services

Financial Analyst

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The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations. We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform.

Iconma LLC

NetworX Configuration Analyst - Provider Pricing & FACETS

NetworX Configuration Analyst

ADAPTED_NOW

HOUR

ICONMA&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

Iconma

NetworX Configuration Analyst – Provider Pricing & FACETS

Iconma Staffing

Serve as a cross-functional analytical resource to Accounting, Revenue Cycle, and program leadership as needed — for example, analyzing denial trends and denial rate, days in accounts receivable, payer mix shifts, and reimbursement rate changes by payer and service line. Partner with Accounting through the month-end close, owning the analytical review of results — for example, program and cost-center allocations, indirect cost allocation, accrual reasonableness, and program-level P&L review.

Mental Health Cooperative

Senior Financial Analyst

By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

YEAR

Cohere Health Technologies LLC

Pricing Analyst

Technical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates. An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.

5 Star Recruitment

EPIC Physician Billing Analyst

FULL_TIME

Our Indirect Tax practice is growing, and this role is designed for an experienced refund professional who can take ownership of claims with minimal oversight, including invoice review, sales tax issue identification, preparation of exemption arguments, and gathering and preparing supporting documents. Core services include tax provision, income tax compliance, international tax, transfer pricing, indirect tax, tax automation, tax training, R&D tax credits and incentives, and tax consulting and planning.

Global Tax Management

Senior Tax Analyst, SALT - Indirect Reverse Audit

partner JazzHR

The ideal candidate will be comfortable navigating complex systems and processes and have a deep understanding of medical and pharmacy claims adjudication, Medicaid reclamation, and healthcare payment cycles. This position is responsible for the daily posting and accounts receivable (AR) reconciliation of medical payments to claims, based on both paper and electronic Explanation of Benefits (EOBs) from insurance carriers.

Select Source International

Associate Professional, Business Analyst

Collaboration: Builds strong working relationships across Benefits, Total Rewards, The Benefits / Total Rewards Business Analyst is expected to develop deep knowledge of the organization''s benefit programs and use financial, operational, claims, utilization, and vendor data to evaluate program performance and support Total Rewards decision-making. This role combines a strong understanding of employee benefit programs with financial and analytical capabilities to evaluate program performance, support forecasting and budgeting, fulfill regulatory and financial reporting requirements, and provide insights that support Total Rewards strategy and decision-making.

FirstEnergy Corp

Analyst II - HR Benefits

All Academic Accounting & Finance Administrative Professional Administrative Support Advancement Basic Science Biotechnology Clinical Research Environmental Health & Safety Executive Faculty Healthcare Human Resources Information Technology Interns Library Maintenance and Facilities Management Nursing Office Assistant Other Post Doc Professional Technician I Public Safety Research Residents Retail & Dining Services Staff Assistant Staff Associate Volunteer. All Bedford Boston Brockton Brockton Canton Charlestown Danvers Devens Fall River Fitchburg Holyoke Jamaica Plain Jamaica Plan Lincoln Mattapan North Hampton North Quincy Pocasset Shrewsbury Springfield Taunton Tewksbury Waltham Westborough Westfield Woburn Worcester Wrentham.

University of Massachusetts

Healthcare Data Analyst - HCFS (2026-52014)

Global Tax Management Inc

Alaska Airlines, Hawaiian Airlines & Horizon Air are regulated by the Department of Transportation (DOT - regulations, 49 CFR part 40) and all applicants are advised that post-offer and/or pre-employment drug testing will be conducted to determine the presence of marijuana, cocaine, opioids, phencyclidine (PCP) and amphetamines or a metabolite of these drugs prior to any offer or employment or transfer into a safety-sensitive position. As an individual contributor, this role researches, prepares and analyzes data in support of warranty claims and commercial support remedies and participates in cross-functional efforts to enhance supplier contracts and escalates contractual issues, repetitive parts discrepancies and persistent warranty denials.

Alaska Airlines Inc

Senior Contracts & Warranty Analyst

Deep experience in a fast-paced logistics or operations environment, with end-to-end knowledge of inbound, outbound, forward, and reverse logistics, ideally in delivery exception management, carrier claims, loss prevention, or freight security. In this role, you will connect data across order, shipment, carrier, claims, and service systems to find where and why losses happen, size Apples financial exposure, and drive scalable fixes with carriers and internal partners.

<div class="col-md-4 passion" style="background-color: #666666; border-radius: 20px; -webkit-box-shadow: 2px 2px 2px 2px #979b91; -moz-box-shadow: 2px 2px 2px 2px #979b91; box-shadow: 2px 2px 2px 2px #979b91; color: #ffffff; font-family: calibri; font-size: 13px; padding: 17px; text-align: center;">
<h3 style="color: #ffffff; font-size: 16px; font-weight: normal;">We bring amazing people together to make amazing things happen.</h3>
We’re a diverse collection of thinkers and doers, continually reimagining what’s possible to help us all do what we love in new ways. The people who work here have reinvented entire industries with the Mac, iPhone, iPad, and Apple Watch, as well as with services, including iTunes, the App Store, Apple Music, and Apple Pay. And the same passion for innovation that goes into our products also applies to our practices — strengthening our commitment to leave the world better than we found it.
</div>
<div class="col-md-7 about1" style="color: #666666; font-family: Calibri; font-size: 15px !important; padding: 17px 0 17px 27px;">
<h3 style="color: #666666; font-weight: 500;">About Apple</h3>
There’s a place here for every kind of brilliant.
Everyone here is an innovator, or an innovator-to-be, no matter what your team or your role. So bring your passion, courage, and original thinking and get ready to share it, because every new product, service, or feature we invent is the result of people working together to make each others’ ideas stronger. Innovation at this level depends on people who represent the variety of the human experience and inspire us with their own fresh perspectives. Together, we’ll do amazing work that can make a difference in people’s lives. Including your own.

<a href="https://www.apple.com/jobs/us">Learn more about working at Apple.</a>

</div>

Apple Inc

Delivery Exception Management Logistics Analyst

This role plays a critical part in optimizing client reimbursement by conducting detailed analyses of claim-level payments, following up with payers, and preparing appeals to address single-instance and systemic underpayments. Accurately identify and categorize underpayment types and root causes (e.g., pricing discrepancies, DRG/APC miscalculations, bundling errors, inappropriate denials).

Trend Health Partners Inc

Underpayment Recovery Analyst

This role builds and maintains key actuarial and financial analytics - including IBNR, reserves, accruals, and risk/trend modeling - and translates complex claims and financial data into clear, decision-ready insights for senior financial leadership. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers.

COPE HEALTH SOLUTIONS

Analyst, Healthcare Financial Analytics (Actuarial Track)

Responsibilities include day-to-day site operations, manage leadership internal and external to organization, accountable for financial and non-financial results (budgets and actuals), meet regularly with clients and meet operational performance level agreements and compliance regulatory requirements. As client growth and organizational demand dictates, ADs will also lead project and relationship management for the implementation of one or more large, multi-year contracts, with coordination and quality assurance for all services delivered as well as ongoing optimization opportunity identification and development.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

Claims Analyst Jobs in the United States

Medicare Advantage Stars Data Analyst Medisolv Inc

Short-Term Disability Analyst The Hartford

Financial Analyst Cinch Home Services

NetworX Configuration Analyst - Provider Pricing & FACETS Iconma LLC

NetworX Configuration Analyst Iconma LLC

NetworX Configuration Analyst – Provider Pricing & FACETS Iconma

NetworX Configuration Analyst Iconma

Senior Financial Analyst Mental Health Cooperative

Pricing Analyst Cohere Health Technologies LLC

EPIC Physician Billing Analyst 5 Star Recruitment

Senior Tax Analyst, SALT - Indirect Reverse Audit Global Tax Management

Associate Professional, Business Analyst Select Source International

Analyst II - HR Benefits FirstEnergy Corp

Healthcare Data Analyst - HCFS (2026-52014) University of Massachusetts

Senior Tax Analyst, SALT - Indirect Reverse Audit Global Tax Management Inc

Senior Contracts & Warranty Analyst Alaska Airlines Inc

Delivery Exception Management Logistics Analyst Apple Inc

Underpayment Recovery Analyst Trend Health Partners Inc

Analyst, Healthcare Financial Analytics (Actuarial Track) COPE HEALTH SOLUTIONS

Associate Director, Pre-Pay Claim Validation - Client Lead - Remote UnitedHealth Group Inc

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