Top 22 Claims analyst Jobs in Chesterfield, Mo

Expert Claims Review Business Analyst
Zelis —Creve Coeur, MO
- $71,000 - $90,250 a year
- Full-time
- Mid-level
- Office
- SQL
- Paid holidays
- Disability insurance
Data Quality Analyst
Stellar IT Solutions LLC —St. Louis, MO
- $50 - $54 an hour
- Remote
- Computer Science
- 5 years
- SQL
Quick Apply
Actuarial Analyst (Remote)
MEM —St. Louis, MO
- $66,400 - $99,600 a year
- Full-time
- Remote
- Finance
- Bachelor's degree
- Business Administration
- Profit sharing
- Paid jury duty
Revenue Integrity Analyst
SSM Health —St. Louis, MO
- Full-time
- Mid-level
- Office
- 3 years
- Paid parental leave
- Health insurance
Accounts Receivable Analyst
Deloitte —St. Louis, MO
- $70,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
6d
EDI Analyst
Zelis —Creve Coeur, MO
- $65,000 - $82,650 a year
- Full-time
- Microsoft Word
- Computer science
- Microsoft Excel
- Paid holidays
- Disability insurance
14d
Financial Operations Lead Analyst- Hybrid
The Cigna Group —St. Louis, MO
- Online Application
- Hybrid work
- Microsoft Access
- Research
- Mid-level
14d
Analyst, Wealth Technology
Focus Financial Partners —St. Louis, MO
- $85,000 - $105,000 a year
- Office
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
14d
EB Benefits Analyst II
USI Holdings Corporation —Des Peres, MO
- $65,000 - $75,000 a year
- Computer literacy
- Mid-level
- High school diploma or GED
- Wellness program
- Health savings account
Mechanical Claims Analyst
AXIOM PAYROLL SERVICES LLC —O'Fallon, MO
- $21 - $26 an hour
- Full-time
- ASE Certification
- Mid-level
- High school diploma or GED
- Paid parental leave
- Paid holidays
Quick Apply
Analyst, Performance
NISA Investment Advisors, LLC —St. Louis, MO
- Full-time
- Microsoft Excel
- Office
- SQL
- Wellness program
- Health insurance
13d
Benefits Analyst
CareVet —Clayton, MO
- Mid-level
- Bachelor's degree
- 2 years
- Disability insurance
- Dental insurance
Quick Apply
Actuarial Analyst
Lockton, Inc. —St. Louis, MO
- $65,000 - $95,000 a year
- Full-time
- Customer service
- Mid-level
- Finance
- Wellness program
- Paid parental leave
Collision Data Analyst
Advantage Surveillance LLC —St. Louis, MO
- $28.50 - $38.50 an hour
- Part-time
- ASE Certification
- Mid-level
- Analysis skills
Quick Apply
14h
Senior Financial Analyst
Lockton, Inc. —St. Louis, MO
- $70,000 - $110,000 a year
- Full-time
- Finance
- Analysis skills
- Math
- Paid training
- Wellness program
Sr. Supply Chain Analyst
BUNGE —Chesterfield, MO
- Microsoft Excel
- 5 years
- Office
- Paid holidays
- Health insurance
Sr Credit Analyst
Metal Exchange —St. Louis, MO
- $70,000 - $89,000 a year
- Full-time
- Hybrid work
- Pass drug screening
- Office
- Finance
- Paid holidays
- Disability insurance
Epic Hospital Billing Analyst- Consultant-Project
Deloitte —St. Louis, MO
- Full-time
- Hybrid work
- Computer Science
- System design
- Mid-level
7d

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Expert Claims Review Business Analyst

Zelis -
Creve Coeur, MO

Apply Now

Job Details

Full-time
$71,000 - $90,250 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Prescription drug insurance

Qualifications

Stakeholder management

Full Job Description

Description

At Zelis, we Get Stuff Done. So, let’s get to it!

A Little About Us

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

A Little About You

You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.

Position Overview

Position Overview:
The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile or Kanban context that deliver valued business outcomes and informed decisions for Zelis’ key stakeholders. The Business Analyst works as part of the Scrum team to facilitate clear and open communication between Business Owners, Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing healthcare market. One of the core skills of a Business Analyst is requirements management (i.e., user and enabler stories). Developing stories and accurately defining the business solution begins with eliciting, understanding, and analyzing and the needs of the business. A core competency of this role is critical thinking, disciplined thinking that is clear, rational, open-minded, and informed by evidence. This person will act as liaison among Business Owners and/or Solutions Owners (i.e., Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies. They will create and maintain Kanban or Agile artifacts which could include but are not limited to

Workflows/diagrams
User Stories
Enabler Stories
Release Notes
User Guides.

Business Analysts will always look for ways to improve the current state (“AS-IS”) by recommending a more efficient future state (“TO-BE”)

What you’ll do:

Participate in relevant ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.
Leverage AI through all aspects of the role to facilitate user stories and requirements, acceptance criteria or any other aspect of their role
Assist with the elaboration of the user stories and requirements, supporting team members with their work where required
Be responsible for providing multi-disciplinary teams with user stories and coaching to define the business-driven acceptance criteria and test cases. Proactively support the uplift of Agile or Kanban practices and foster a culture of continual service improvement
Consult with the business and product owners to prioritize and shape the product backlog, using Agile or Kanban practices for prioritization around business value
Define, implement, and maintain business processes and procedures to meet business objectives. Analyze and identify opportunities for business process improvements.
Collaborate with Solution Owners and/or Product Managers when defining product release content and timeline, applying product development principles, innovative thinking and a focus around the customer or user experience
Critically evaluate information gathered from multiple sources, reconcile conflicts, and decompose high-level information into details.
Create and maintain workflows, approval processes, and validation rules based on internal stakeholder requirements.
Create training materials and documentation for internal and/or external applications.
Perform a thorough gap analysis of existing to potential functionality for internal and/or external applications.
Create Release Notes as determined by Product Owner.
Perform analysis and identify gaps in functionality for system integrations.
Collaborate with the Scrum team to establish the technical vision and analyze tradeoffs between usability and performance needs.
Improves systems by studying current practices, designing modifications.
Assist in Quality Assurance (QA) and/or User Acceptance Testing (UAT) of new software or enhancements to existing software as needed.
The ability to multi-task and work on multiple assignments will be required.

What you’ll bring to Zelis:

Bachelor’s Degree
4+ years of experience with Business Analysis and/or Business Process Engineering
Disciplined, structured and logical approach to problem solving
Experience in Healthcare industry preferred
Knowledge of Payment Integrity solutions (hospital billing, claims editing, reimbursement methodologies and acceptable billing practices) preferred
Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards preferred
SQL experience preferred
Ability to learn a new business and translate these needs into new products, and perform high-level troubleshooting functionality
Solid troubleshooting, analytical, and business process development skills
Clear and concise communication both verbally and in writing.
Preferred - SAFe POPM, Agilist, Teams, or Leading Safe certification

Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.

Location and Workplace Flexibility

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies.

While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule.

Base Salary Range

$71,000.00 - $90,250.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.

Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected].

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Apply Now

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Description

Participate in relevant ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.

Leverage AI through all aspects of the role to facilitate user stories and requirements, acceptance criteria or any other aspect of their role

Assist with the elaboration of the user stories and requirements, supporting team members with their work where required

Be responsible for providing multi-disciplinary teams with user stories and coaching to define the business-driven acceptance criteria and test cases. Proactively support the uplift of Agile or Kanban practices and foster a culture of continual service improvement

Consult with the business and product owners to prioritize and shape the product backlog, using Agile or Kanban practices for prioritization around business value

Define, implement, and maintain business processes and procedures to meet business objectives. Analyze and identify opportunities for business process improvements.

Collaborate with Solution Owners and/or Product Managers when defining product release content and timeline, applying product development principles, innovative thinking and a focus around the customer or user experience

Critically evaluate information gathered from multiple sources, reconcile conflicts, and decompose high-level information into details.

Create and maintain workflows, approval processes, and validation rules based on internal stakeholder requirements.

Create training materials and documentation for internal and/or external applications.

Perform a thorough gap analysis of existing to potential functionality for internal and/or external applications.

Create Release Notes as determined by Product Owner.

Perform analysis and identify gaps in functionality for system integrations.

Collaborate with the Scrum team to establish the technical vision and analyze tradeoffs between usability and performance needs.

Improves systems by studying current practices, designing modifications.

Assist in Quality Assurance (QA) and/or User Acceptance Testing (UAT) of new software or enhancements to existing software as needed.

The ability to multi-task and work on multiple assignments will be required.

Bachelor’s Degree

4+ years of experience with Business Analysis and/or Business Process Engineering

Disciplined, structured and logical approach to problem solving

Experience in Healthcare industry preferred

Knowledge of Payment Integrity solutions (hospital billing, claims editing, reimbursement methodologies and acceptable billing practices) preferred

Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards preferred

SQL experience preferred

Ability to learn a new business and translate these needs into new products, and perform high-level troubleshooting functionality

Solid troubleshooting, analytical, and business process development skills

Clear and concise communication both verbally and in writing.

Preferred - SAFe POPM, Agilist, Teams, or Leading Safe certification