Top 2147 Claims Compliance Analyst Jobs

Government Programs Claims Analyst - Metrics and Monitoring
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
- Dental insurance
- Opportunities for advancement
Epic Resolute HB Analyst
ClinDCast LLC —Oakland, CA
- $55 - $60 an hour
- Full-time
- Mid-level
- SQL
- Analysis skills
Quick Apply
Sr. Data Analyst
Glint Tech Solutions LLC —Columbia, MD
- Azure
- Master's degree
- Bachelor's degree
Quick Apply
Payer Compliance Analyst, Full time - Days
UChicago Medicine —Burr Ridge, IL
- 8 hour shift
- 7 years
- Office
- Finance
Claims Analyst
TheGuarantors —Remote
- $60,000 - $65,000 a year
- Full-time
- Remote
- English
- Mid-level
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Regulatory Compliance Analyst (Remote) - Privacy
CareFirst BlueCross BlueShield —Baltimore, MD
- $54,864 - $108,966 a year
- Online Application
- Remote
- Research
- Mid-level
- Bachelor's degree
- 401(k)
Quick Apply
Entry Level Claims Analyst - Workman's Compensation
Aspirion —Columbus, GA
- $17 - $19 an hour
- Full-time
- Remote
- Computer literacy
- Medical office experience
- HIPAA
Quick Apply
Compliance Analyst - Remote
Crum & Forster —Eatontown, NJ
- $53,200 - $100,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Employee stock purchase plan
- Health insurance
Managed Care Appeals Analyst
Elevate Patient Financial Solutions —Remote
- $23.00 - $28.28 an hour
- Full-time
- Remote
- Microsoft Word
- Surgery
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Sr. Analyst, Regulatory Complaints
Oscar Health —Remote
- $34.39 - $50.16 an hour
- Overtime
- Remote
- Research
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Claims Analyst
KBR —Alabama
- Full-time
- Engineering
- Analysis skills
- Senior level
7d
Treasury Claims Analyst Sr - Remote
Prime Therapeutics —Remote
- $81,000 - $138,000 a year
- Full-time
- Remote
- CPA
- 5 years
- Finance
10d
Claims Analyst
OPERATING ENGINEERS LOCAL 139 HEALTH FUND —Pewaukee, WI
- $21.83 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Data Quality Analyst
Stellar IT Solutions LLC —St. Louis, MO
- $50 - $54 an hour
- Remote
- Computer Science
- 5 years
- SQL
Quick Apply
Compliance Analyst
Puyenpa —Washington, DC
- Full-time
- Mid-level
- Analysis skills
- Business
- Paid holidays
- Disability insurance
Quick Apply
Compliance Analyst II - Employee Benefits Division
Protective —Remote
- $63,500 - $83,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- Office
- Paid parental leave
- Disability insurance
Quick Apply
Compliance Analyst
Verisk —Jersey City, NJ
- Full-time
- Hybrid work
- 18 years or older
- Microsoft Excel
- Mid-level
- Health insurance
- Paid time off
Analyst, Claims Research
Molina Healthcare —Florida
- $19.84 - $38.69 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
Compliance Analyst
Sheikhani Group —Houston, TX
- $50,000 - $60,000 a year
- Full-time
- Mid-level
- Administrative experience
- In-person
- Health insurance
Quick Apply

I want to receive the latest job alert for Claims Compliance Analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Government Programs Claims Analyst - Metrics and Monitoring

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Data visualization software proficiency
Business intelligence report generation
SQL
Business intelligence tools
Insurance (Financial sectors)
Query management
Data analytics technologies

Full Job Description

Job Title:

Government Programs Claims Analyst - Metrics and Monitoring

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

A nalyz es , monitor s , and report s on claims processing using advanced data analytics and visualization techniques as well as identif ies trends, risks, and improvement opportunities .

Primary Job Responsibilities:

Develops, maintains, and enhances dashboards and reports using Power BI, Tableau, or similar data visualization tools to monitor claims performance and operational metrics.
Analyzes claims data to identify trends, anomalies, root causes, and performance gaps related to timeliness, accuracy, cost, utilization, and compliance.
Monitors key performance indicators and service level agreements for claims operations, escalating risks and issues as appropriate.
Collaborates and communicates closely across departments to ensure reporting data accuracy and consistency.
Supports internal and external reporting requirements, including new client implementations and support of account management.
Ensures data integrity, accuracy, and consistency across reports and dashboards.
Automates recurring reports and improves reporting efficiency where possible.
Contributes to continuous improvement initiatives related to claims processing and data analytics.
Responsible for running basic SQL queries and working with Government Programs Reporting for more complex queries.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in health administration, business, data analytics, finance or related field and three years of experience analyzing or resolving business, system or process issues within the healthcare or insurance industry. Previous experience in the administration of Medicare and/or Medicaid programs is preferred. Will accept any suitable combination of education, training, or experience.

Position requires experience with data visualization tools, specifically Power BI and/or Tableau, SQL or similar querying tools, and proficiency in Excel and working with large datasets; strong analytical skills; strong attention to detail and data accuracy; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; effective verbal and written communication skills; and the ability to resolve complex problems using independent judgement.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

Claims Compliance Analyst jobs

Government Programs Claims Analyst - Metrics and Monitoring

Epic Resolute HB Analyst

Sr. Data Analyst

Payer Compliance Analyst, Full time - Days

Claims Analyst

Healthcare Claims Quality Analyst

Regulatory Compliance Analyst (Remote) - Privacy

Entry Level Claims Analyst - Workman's Compensation

Compliance Analyst - Remote

Managed Care Appeals Analyst

Sr. Analyst, Regulatory Complaints

Claims Analyst

Treasury Claims Analyst Sr - Remote

Claims Analyst

Data Quality Analyst

Compliance Analyst

Compliance Analyst II - Employee Benefits Division

Compliance Analyst

Analyst, Claims Research

Compliance Analyst

I want to receive the latest job alert for Claims Compliance Analyst

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected