19 claims analyst jobs at 13 companies in Jessup, MD
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Medical Claims Analyst
Bel Air, Maryland, United States
$21-$23/hrOnsiteFull Time
ExpressCare Urgent Care Centers: Maryland urgent care provider serving patients with walk-in medical treatment, laboratory and prescription services, and wellness care.
Follow up on unpaid/rejected claims, correct and resubmit claims, submit appeals, review records, assist with charge entry, strong written communication, MS Office proficiency, knowledge of ICD-10/CPT/HCPCS a plus.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Norfolk or Ashburn or Iselin or Lake Mary or Nashville or Indianapolis or Overland Park or Grand Prairie or New Jersey or Virginia
$66k-$94k/yrHybridFull Time
Elevance HealthNYSE: ELV: A health dedicated to improving lives and communities.
2+ YOEBA/BS in IT, computer science, or related field plus 2+ years of systems or business analyst experience; healthcare claims, UAT, requirements analysis, testing, and communication skills preferred.
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee or United States
$68k-$102k/yrHybridFull Time
Sun LifeTSX: SLF: Global financial services organization specializing in insurance and wealth.
7+ YOE7+ years handling complex claims, especially Medical Stop Loss or complex medical claims, with expertise in claims practices, legal precedents, claims accounting, healthcare legislation, negotiation, and stakeholder influence.
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time)
Raleigh or Tampa or Vienna or Richmond or Chesapeake or Washington
$82k-$115k/yrOnsiteFull Time
MBP: Private construction management and consulting firm helping public and private clients deliver complex capital projects.
Experience analyzing construction claims related to delay, productivity, and cost; proficient in Oracle P6; BS in Civil Engineering or equivalent experience; PE/CCM/PSP preferred; able to draft expert reports.
Oracle P6, Microsoft Project, Phoenix Project Manager, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee
$68k-$102k/yrHybridFull Time
Sun LifeTSX: SLF: Global financial services organization specializing in insurance and wealth.
7+ YOERequires 7+ years handling complex medical or stop-loss claims, expertise in claims practices, legal precedents, accounting, healthcare legislation, negotiation, communication, and complex problem-solving.
InterScripts: Minority-owned healthcare and government IT services firm serving commercial enterprises and government organizations.
2+ YOEActive Epic Resolute HB and PB certifications mandatory, 2+ years working with Epic Resolute, experience with claims/remittance and revenue cycle operations, system configuration/testing, and strong communication skills.
Porter Cares: Private healthcare analytics and care-coordination serving health plans, providers, and members with in-home assessments.
1+ YOERequires 1–3+ years in medical billing, claims processing, or revenue cycle operations; Athena or comparable EMR/RCM proficiency; strong Excel skills including pivot tables and VLOOKUP/XLOOKUP; detail orientation and clear written communication.
Athena, Microsoft Excel, SQL, Electronic Medical Records (EMR), Revenue Cycle Management (RCM)
Raleigh or Tampa or Vienna or Richmond or Chesapeake
$107k-$150k/yrOnsiteFull Time
MBP: Private construction management and consulting firm helping public and private clients deliver complex capital projects.
Experienced in developing and reviewing construction claims for delay, productivity, and cost. Bachelor\u0002s degree in civil engineering/construction or equivalent experience, P.E./CCM/PSP preferred, Oracle P6 required, MS Project and Office proficiency.
Oracle P6, Microsoft Project, Phoenix Project Manager, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
AccentureNYSE: ACN: Global professional services delivering 360° value.
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
ENGIEEuronext Paris: ENGI: Global energy and services group focused on decarbonization.
5+ YOEBachelor's degree and 5+ years in contract development/administration for construction or capital projects; procurement, change order, claims, and contract performance experience; strong communication and independent work skills.
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yrRemoteFull Time
Included Health: Integrated virtual care and navigation platform.
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
MedStar Georgetown University Hospital: Nonprofit Catholic teaching hospital providing acute and advanced specialty care, medical education, and research in Washington, D.C.
3+ YOEAssociate's degree and 3–4 years of patient billing or insurance claim verification experience required. Claims processing, reimbursement, utilization review, or case management experience preferred.
Medical Records, Electronic Health Records (MR/EHR)
MedStar Georgetown University Hospital: Nonprofit Catholic teaching hospital providing acute and advanced specialty care, medical education, and research in Washington, D.C.
3+ YOERequires an associate degree, 3–4 years of patient billing or insurance claim verification, strong communication and customer relations skills; claims processing or utilization review experience is preferred.
Medical Records (MR), Electronic Health Records (EHR)
CareFirst: Nonprofit health insurer providing health plans and administrative services to individuals and employers across the Mid-Atlantic.
5+ YOE5+ years progressive analytic/business analysis experience; Bachelor's in Business/IT/CS or additional 4 years experience; knowledge of Medicare/CMS, PBM/pharmacy claims, audits, and strong Excel/Microsoft Office skills.
GBMC HealthCare: Non-profit health system serving the Baltimore region.
2+ YOEBachelor’s degree and 2+ years of experience required. Requires healthcare data analytics knowledge, claims and quality measure experience, advanced Excel, and proficiency with Access and SQL.
Microsoft Excel, Microsoft Access, SQL, GPRO, HEDIS, CRISP
CareFirst: Nonprofit health insurer providing health plans and administrative services to individuals and employers across the Mid-Atlantic.
3+ YOEBachelor's in related field (or equivalent additional experience), certified coder (CCS or CPC) required, 3+ years payment/reimbursement/claims experience, knowledge of coding systems and reimbursement rules, Microsoft Office proficiency, strong analytical and writing skills.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Business Analyst - Medicare Advantage Product Development (671953)
Hanover, Maryland, United States
$29-$48/hrRemoteFull Time
Johns Hopkins Health Plans: Non-profit academic healthcare delivery system providing clinical care.
3+ YOEBachelor's degree;3+ years data/statistical analysis;2+ years Medicare Advantage experience;SQL proficiency;EMR/claims familiarity;strong communication and problem-solving skills.
Somatus: Private value-based kidney and cardiovascular care provider serving patients with chronic conditions through health-plan and clinician partnerships.
4+ YOEBachelor's in a quantitative field, 4+ years healthcare analytics experience, 2+ years supporting value-based care, advanced SQL, Power BI and Excel proficiency, Python preferred, experience with healthcare claims and reporting.
SQL, Microsoft Power BI, Microsoft Excel, Python, Azure, Databricks, Snowflake