Claims data analysis jobs

Account Executive, Surety

CAC Group · Posted Nov 9, 2026

Open

Houston, Texas, United States
Full-time · Senior
8–10 years

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Account Executive, Surety

CAC Group · Posted Nov 9, 2026

Open

Houston, Texas, United States
Full-time · Senior
8–10 years

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Revenue Cycle Specialist

Brave Health · Posted Nov 9, 2026

Open

Remote, United States
Remote
Full-time
3+ years

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Responsible for accurate billing and timely submission of electronic and paper claims, monitoring claim status, resolving denials, and managing collections within the Revenue Cycle Management function.

Responsibilities

Identify and analyze denial trends
Research and resolve unpaid, denied, and rejected claims
Handle EDI transactions and reconcile payer submissions
Partner with Insurance Verification team
Collaborate with team members and other departments

Requirements

High school diploma or GED
Nice to have: mental or behavioral health billing
Nice to have: Spanish language
Nice to have: Microsoft Excel
Nice to have: Microsoft Word

Skills

medical billing systems EDI transactions claims data analysis customer service HIPAA compliance Medicaid billing Medicare billing

Associate Director, Marketing

Lexeo Therapeutics · Posted Nov 4, 2026

Open

New York, New York, United States
Hybrid
Manager
7+ years

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Lead the launch strategy, brand planning, and cross-functional coordination for Lexeo’s first commercial product LX2006 and support early commercial planning for LX2020.

Responsibilities

Develop and execute the LX2006 US launch strategy and brand plan
Translate strategy into an integrated launch roadmap and prepare materials for Launch Readiness Reviews, senior leadership and Board discussions
Define launch KPIs and analytics and CRM capabilities
Serve as a core member of the cross-functional US and ex-US Launch Readiness Teams
Drive launch timelines, deliverables, interdependencies, risks and decisions across Commercial, Medical Affairs, Patient Affairs, Market Access/HEOR, Regulatory, Clinical, Legal and CMC

Requirements

MBA or other advanced degree
Nice to have: gene therapy or cell and gene therapy launch experience
Nice to have: prior management or strategy consulting experience in life sciences
Nice to have: experience in cardiology and/or neurology marketing
Nice to have: exposure to market access, pricing and reimbursement for high-cost, one-time therapies

Skills

brand strategy positioning HCP and/or patient campaigns

Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ

Capital Health (US) · Posted Nov 2, 2026

Open

Pennington, New Jersey, United States
Full-time
$21–$28 per hour
5+ years

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Responsible for reviewing managed care contracts and ensuring accurate pricing and compliance

Compensation

Pay Range: $21.33 - $27.73

Responsibilities

Facilitates and coordinates process standardization with vendor to promote accurate contractual allowances in the contract management tool
Reviews claim calculations in contract management tool, identifies discrepancies between the tool and contractual terms and works with the vendor or the payer to resolve discrepancies
Performs root cause analysis behind payment calculation variances and identifies improvement opportunities for contract management software vendor
Provides ongoing evaluation and assessment of payer contracts, correlation tables, fee schedules, etc. through claims data to ensure the contract management tool remains current and accurate
Coordinates with management and other revenue cycle leaders on contract valuation issues resulting in payment discrepancies

Requirements

High School degree or equivalent
Bachelor’s degree preferred

Skills

healthcare billing ICD-10 knowledge Microsoft Office

Claims Business Analyst

sfhup · Posted Nov 5, 2026

Open

Full-time · Associate
$29–$48 per hour
2+ years

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The Claims Business Analyst is responsible for investigating complex claims processing and payment issues, identifying root causes, and developing effective solutions to ensure accurate claims adjudication and payment across Medicaid, Commercial, and other managed care lines of business.

Compensation

Salary Range: Minimum 28.90/hour - Maximum 47.71/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

Responsibilities

Investigate complex claims processing and payment issues
Identify root causes and develop effective solutions
Translate business needs into actionable solutions
Drive process improvements
Analyze claims data and recommend corrective actions

Requirements

Bachelor's Degree in business administration, information technology, or a related field

Skills

claims processing claims data analysis claims system configuration provider reimbursement methodologies fee schedule maintenance

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