Top 637 claims analyst Jobs in remote. usa

Senior Business Analyst
Brooksource —Remote
- $55 - $70 an hour
- Contract
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
5d
Revenue Cycle Analyst
Omada Health —Remote
- $79,200 - $103,500 a year
- Remote
- HIPAA
- Mid-level
- SQL
- Dental insurance
- 401(k)
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5d
Accounts Receivables & Chargebacks Analyst
BioCare —Remote
- Microsoft Outlook
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Reconsideration Analyst II
TMF Health Quality Institute —Remote
- Full-time
- Remote
- Research
- Mid-level
- Administrative experience
- AD&D insurance
- Disability insurance
Dental Analyst III (Part-time)
Cotiviti —Remote
- $30.00 - $37.25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- 3 years
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8d
Claims Analyst
SOUTHWEST SERVICE ADMINISTRATORS INC —Remote
- $19.00 - $25.50 an hour
- Full-time
- Remote
- Microsoft Word
- Writing skills
- Mid-level
- AD&D insurance
- Disability insurance
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13d
Denials Management Analyst
Shriners Children's —Remote
- $77,020 - $115,530 a year
- Full-time
- 5 years
- Research
- Bachelor's degree
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Senior Claims Analyst
Claritev —Remote
- $70,000 - $80,000 a year
- Full-time
- HIPAA
- Research
- Mid-level
- Paid parental leave
- Employee stock purchase plan
Denials Recovery Analyst
Revecore —Remote
- Remote
- Background check
- Microsoft Excel
- Computer literacy
- Paid training
- Paid holidays
12d
Revenue Operations Analyst
VetComm —Remote
- $75,000 a year
- Full-time
- Remote
- Scripting
- Senior level
- 401(k)
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12d
Analyst - Fraud/Loss Prevention - Part time - Evening shift
Live Nation —Remote
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- Paid holidays
16h
Business Analyst (Claims)
Windward Risk Managers —Remote
- $80,000 - $100,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- 3 years
Quick Apply
Payment Analyst, Healthcare
Signature Performance, Inc —Remote
- $118,000 a year
- Full-time
- Background check
- 5 years
- System design
- Paid holidays
- Disability insurance
Quick Apply
Risk Analyst
Parsons —Remote
- $74,800 - $130,900 a year
- Overtime
- Remote
- Mid-level
- 3 years
- Finance
- Wellness program
- Paid holidays
Reconsideration Analyst III
TMF Health Quality Institute —Remote
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- AD&D insurance
- Disability insurance
Revenue Analyst, Rehab & Therapy Services
Shriners Children's —Remote
- $77,020 - $115,530 a year
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
2d
Business Analyst (remote)
Claritev —Remote
- $80,000 - $100,000 a year
- Full-time
- Remote
- Computer Science
- HIPAA
- Mid-level
- Paid parental leave
- Employee stock purchase plan
12d
Managed Care Appeals Analyst
Elevate Patient Financial Solutions —Remote
- $24 - $30 an hour
- Full-time
- Remote
- Microsoft Word
- Surgery
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Healthcare Analyst II
Cohere Health —Remote
- $85,000 - $92,000 a year
- Remote
- Mid-level
- SQL
- Bachelor's degree
- Paid parental leave
- Health savings account
Quick Apply
14d
Information Security Analyst
Xpansiv —Remote
- $80,000 - $95,000 a year
- Full-time
- Remote
- Computer science
- Azure
- Computer Science

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Senior Business Analyst

Brooksource -
Remote

Quick Apply

Job Details

Contract
$55 - $70 an hour
5 days ago

Benefits

Health savings account
Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Jira
HIPAA compliance
Medicare
Requirements specification
Medical law
Requirements design
Managed care organization experience
Health insurance policy knowledge
Business analysis
Software implementation
HIPAA
Enterprise solutions implementation
IT experience within insurance industry
Process mapping
Bachelor's degree
Medicare regulations
Software documentation
Requirements management
Technical writing
Meeting facilitation
Digital project management boards
Agile software development
Business Administration
Analysis (software development lifecycle)
Defect tracking tools
Cross-functional collaboration
Project leadership
Project stakeholder communication
Product design documentation
Stakeholder relationship building

Full Job Description

Senior COB Business Analyst
12 Month Contract
Remote (working in CST)

Pay Range: $55-70hr (negotiable based on experience)

Position Summary:

We are seeking a highly experienced Senior Business Analyst with deep, specialized expertise in Coordination of Benefits (COB) to join our critical transformation program. This individual will be a subject matter expert responsible for dissecting the complex, enterprise-wide COB function and translating its intricate requirements into actionable solutions for our Net New system.

Working in a balanced capacity, this role will partner with our existing BA to lead stakeholder workshops, document detailed functional specifications, and serve as the central point of knowledge for all things COB across multiple portfolios. The ideal candidate is an expert listener who asks insightful, clarifying questions to uncover hidden complexities and ensure the delivered solution is robust, compliant, and operationally sound.

Job Responsibilities:

Serve as the primary subject matter expert (SME) for all Coordination of Benefits (COB) processes, rules, and system interactions across Commercial and Medicare lines of business.
Lead and facilitate deep-dive workshops and interviews with business stakeholders, operational teams, and other portfolio leaders to map current-state and design future-state COB business processes.
Analyze and decompose complex COB scenarios, including primary/secondary determinations, Medicare as secondary, coordination with group health plans, and various state-specific regulations.
Author and maintain detailed functional specifications, business requirement documents (BRDs), process flows, and user stories with clear, unambiguous acceptance criteria for the COB workstream.
Collaborate with cross-functional portfolio teams (Claims, Data, Membership, Compliance, Reporting) to define integration points, data dependencies, and handoff procedures, ensuring a seamless end-to-end solution.
Identify, document, and analyze the impact of COB-related risks, dependencies, and functional gaps, proposing viable solutions and mitigation strategies.
Provide expert guidance during testing phases (SIT, UAT) by clarifying requirements, validating test cases, and assisting with root cause analysis for COB-specific defects.
Act as a trusted advisor to project leadership, providing clear and concise updates on the COB workstream's progress, challenges, and decision points.

Job Requirements (Experience & Qualifications):

10+ years of experience as a Business Analyst, with a minimum of 4-5 years dedicated exclusively to Coordination of Benefits (COB) within a US healthcare payer or health insurance environment.
Demonstrated, deep expertise in COB principles, including Medicare Secondary Payer (MSP) rules, HIPAA transaction standards (270/271/276/277), and state-specific COB regulations.
Proven experience leading the requirements-gathering and design process for a complex COB system implementation, migration, or major enhancement.
Exceptional facilitation and stakeholder management skills, with the ability to lead workshops with diverse groups of technical and business professionals.
Strong analytical and problem-solving skills, with a talent for asking insightful questions that uncover critical details and hidden assumptions.
Expertise in creating clear, comprehensive documentation, including process flows, functional specs, and user stories with well-defined acceptance criteria.
Familiarity with Agile/Scrum methodologies and tools (e.g., JIRA, Confluence).
Experience working in a multi-vendor, matrixed project environment with a clear understanding of managing cross-functional dependencies.

Preferred Qualifications:

Experience with large-scale payer transformations or core system modernization projects.
Payer experience with Medicare Advantage lines of business.
Experience working within Enrollment portfolios
Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or a related field.

Why Join Us?

401(k) Matching Plan
Medical, Dental, & Vision Plans
Relationship Driven Process to Find Your Best Fit
6 Paid Holidays
Regular Meetings to Ensure Quality in Your Engagement

About Us:

At Brooksource, relationships are the foundation of everything we do. Since 2000, we’ve built lasting partnerships with clients, consultants, and internal teams to deliver an exceptional experience across every engagement. As a trusted IT and Engineering services provider, Brooksource supports Fortune 500 organizations through Experience-Driven Staffing, Professional Services, and Elevate, our proprietary Workforce Transformation program. Whether you're hiring for software development, cloud computing, cybersecurity, data analytics, or enterprise IT, our customized staffing solutions are designed to align with your company’s unique goals, culture, and technology stack. We offer flexible hiring models, including contract, contract-to-hire, and direct placement to meet your evolving business needs.

We are a certified partner of leading platforms, including Salesforce, AWS, Microsoft, and Google Cloud, enabling us to deliver scalable, end-to-end technology solutions. With a growing national footprint, Brooksource is redefining expectations in IT consulting, engineering services, and technology workforce solutions.

EEO Statement:

Brooksource is an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, lactation and related medical conditions), gender identity or gender expression, sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

Benefits & Perks:

Brooksource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.

Pay Disclaimer:

The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Pay: $55.00 - $70.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Vision insurance

Experience:

Coordination of Benefits: 4 years (Required)
Business analysis: 9 years (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

claims analyst jobs in remote. usa

Senior Business Analyst

Revenue Cycle Analyst

Accounts Receivables & Chargebacks Analyst

Reconsideration Analyst II

Dental Analyst III (Part-time)

Claims Analyst

Denials Management Analyst

Senior Claims Analyst

Denials Recovery Analyst

Revenue Operations Analyst

Analyst - Fraud/Loss Prevention - Part time - Evening shift

Business Analyst (Claims)

Payment Analyst, Healthcare

Risk Analyst

Reconsideration Analyst III

Revenue Analyst, Rehab & Therapy Services

Business Analyst (remote)

Managed Care Appeals Analyst

Healthcare Analyst II

Information Security Analyst

I want to receive the latest job alert for claims analyst in remote. usa

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