Top 70 Medical cost containment Jobs in Remote

Senior Medical Cost Analytics Advisor (Remote)
The Cigna Group —Remote
- $112,800 - $188,000 a year
- Online Application
- Remote
- Finance
- 8 years
- Analysis skills
- Paid holidays
- Health insurance
Telephonic Medical Case Management Supervisor
TRISTAR MANAGED CARE INC —Remote
- $110,000 - $118,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Credentialing Specialist - Work from Home
Sagility —Remote
- From $20 an hour
- Email
- Remote
- Mid-level
- 1 year
- Communication skills
- Disability insurance
- Health insurance
Healthcare Data Analyst (Remote)
Blanchard Valley Health System —Findlay, OH
- Full-time
- Remote
- Nursing
- Microsoft Access
- Mid-level
2d
Regional Director of Operations
Telos Health Systems —Remote
- Remote
- Skilled nursing facility
- Bachelor's degree
- Travel
Quick Apply
12d
Healthcare Customer Service Specialist - Work from Home
Sagility —Remote
- From $14 an hour
- Email
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Payment Integrity Analyst III - QA Analyst
CorVel Corporation —Fort Worth, TX
- $73,345 - $113,247 a year
- Full-time
- Remote
- LVN
- RN License
- Research
- Health savings account
- Disability insurance
Quick Apply
CERIS Repricing Quality Assurance Analyst I
CorVel Corporation —Fort Worth, TX
- $19.21 - $28.73 an hour
- Full-time
- Remote
- High school diploma or GED
- Senior level
- Associate's degree
- Health savings account
- Disability insurance
Quick Apply
Work from Home: Customer Service Representative (Healthcare)
Sagility —Remote
- $14 - $15 an hour
- Weekends as needed
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Paid training
- Disability insurance
Operations Supervisor
Sagility —Remote
- Remote
- Mid-level
- High school diploma or GED
- 1 year
11d
Medical Bill Repricing Specialist (REMOTE w/in PA, NJ OR DE)
Independence Blue Cross —Remote
- Remote
- Research
- Mid-level
- High school diploma or GED
2d
Pharmacy Reporting Analyst
WellDyne —Remote
- Remote
- Bachelor of Science
- Mid-level
- Office
Quick Apply
Care Coordinator Specialist
Enlyte —Remote
- $18.23 - $28.84 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- LVN
- Health savings account
- AD&D insurance
8d
Bill Review Specialist
Ethos Risk Services —Lake Forest, CA
- $22 - $28 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
Quick Apply
Payment Integrity Analyst III - Trainer
CorVel Corporation —Fort Worth, TX
- $73,345 - $113,247 a year
- Full-time
- Remote
- LVN
- RN License
- Writing skills
- Health savings account
- Disability insurance
Quick Apply
Senior Claims Auditor- DRG
Cohere Health —Remote
- $74,000 - $90,000 a year
- Remote
- Nursing
- 6 years
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Case Manager - RN
Hines & Associates Inc —Elgin, IL
- $60,000 - $66,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
1d
Medical Director, Hospitals & Health Systems, Remote
Aledade PBC —Remote
- Full-time
- Remote
- Medicine
- Analysis skills
- Geriatrics
- Paid parental leave
- Paid holidays
Quick Apply
Bill Review Auditor
Claims Administrative Services, Inc. —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Administrative experience
Quick Apply
Revenue Cycle Specialist I
CorVel Corporation —Fort Worth, TX
- $19.21 - $28.73 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply

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Senior Medical Cost Analytics Advisor (Remote)

The Cigna Group -
Remote

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Job Details

Full-time
$112,800 - $188,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

AI models
Data visualization software proficiency
Automation
Machine intelligence
Healthcare financial management
Machine learning (ML) fundamentals
AI-driven automation
Healthcare reimbursement methods
Health economics data analysis
Data analysis software

Full Job Description

As aSenior Advisor, you’ll provide strategy and analytical support for the Payment Integrity team inclusive of evaluating the current payment integrity programs, from pre-payment and post-payment editing, clinical coding audits, and recovery. You will help translate the payment integrity program performance and results into actionable insights, business cases and identify new savings opportunities. In this role, you will and partner across finance, operations, clinical, network, claims, product and vendor teams to drive measurable progress toward enterprise affordability goals

What You’ll Do:

Support strategic medical cost analytics by identifying trends, risks, and affordability opportunities across cost containment and payment integrity programs.
Tell the story behind the data, translating complex findings into clear, executive-ready insights for technical, operational, and senior leadership audiences to short the strategic roadmap
Own financial impact assessments and business cases for initiatives, including forecasts, variance analysis, and recommendations to improve performance.
Support program measurement and performance monitoring for pre-payment and post-payment editing, coding audits, and recovery programs across dashboards, scorecards, and executive materials.
Identify and size new opportunities by assessing billing patterns, coding and reimbursement dynamics, and drivers of wasteful or abusive practices.
Partner across the enterprise (e.g., Contracting, Coverage Policy, Commercial Payment Integrity, Compliance, Network Analytics, Claims, Reserving, Product) to align insights to decisions and execution.
Support vendor evaluation and sourcing through data-driven analysis that informs negotiations, pricing structures, and performance guarantees.
Advance reporting and analytics by improving data quality, strengthening controls, and enabling scalable/self-service solutions through automation and thoughtful use of AI-enabled tools.

What You’ll Bring:

Proven ability to translate complex analyses into actionable business insights, with clear, confident communication for senior and executive audiences.
Knowledge of reimbursement methodologies and coding (e.g.,MS-DRG, APCs, HCPCs, RBRVS) and familiarity with professional and facility claim constructs.
Comfort working in regulated and compliance-aware environments (claims operations, audit programs, policy, and related controls).
Strong collaboration and influence skills, with the ability to balance multiple priorities in a matrixed environment.
Self-starter with a strong orientation toward continuous improvement, ownership, and impact.

Requirements:

Bachelor’s degree or in a quantitative field (e.g., Economics, Finance, Data Science, Data Analytics, Actuarial Science, Business, Public Health, Applied Mathematics) or equivalent experience
8 years of progressive experience in medical cost analytics, payment integrity, financial modeling, or related fields.
Strong analytical and technical skills, with hands-on experience using tools such asSQL, Excel, SAS, Tableau, Databricks (or similar platforms).
Knowledge of reimbursement methodologies and coding (e.g.,MS-DRG, APCs, HCPCs, RBRVS) and familiarity with professional and facility claim constructs.
Experience modernizing analytics through automation and thoughtful use ofAI-enabled and advanced analytics methods (e.g., predictive modeling, NLP, machine learning) where they add measurable value.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 112,800 - 188,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs,click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please emailseeyourselfthecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a mannerconsistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

medical cost containment jobs in remote

Senior Medical Cost Analytics Advisor (Remote)

Telephonic Medical Case Management Supervisor

Credentialing Specialist - Work from Home

Healthcare Data Analyst (Remote)

Regional Director of Operations

Healthcare Customer Service Specialist - Work from Home

Payment Integrity Analyst III - QA Analyst

CERIS Repricing Quality Assurance Analyst I

Work from Home: Customer Service Representative (Healthcare)

Operations Supervisor

Medical Bill Repricing Specialist (REMOTE w/in PA, NJ OR DE)

Pharmacy Reporting Analyst

Care Coordinator Specialist

Bill Review Specialist

Payment Integrity Analyst III - Trainer

Senior Claims Auditor- DRG

Case Manager - RN

Medical Director, Hospitals & Health Systems, Remote

Bill Review Auditor

Revenue Cycle Specialist I

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