Healthcare analyst jobs in baltimore, md

Healthcare Claims Functional Analyst-Excel -Contract-to-Hire !

Baltimore, Maryland

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21d ago

Absolutely no third parties please ! COMPENSATION$ 33.00 per hour on a W2, then convert to full-time after 1 year at $ 65,900 plus benefits. LOCATION 100% onsite - 1501 South Clinton St. Baltimore MD 21224 Training: 3 weeks. Then chairside training an addtl 3 weeks alongside another Functional Analyst. The schedule during Training is 8 to 4:30. After training the resource can start as early as 7am 9am. PLEASE NOTE - Must have a laptop during the contracting phase - once converted to FTE status

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Contract

Healthcare Claims Functional Analyst - Temp to Perm - Onsite in Baltimore, MD

Baltimore, Maryland

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21d ago

Healthcare Claims Functional AnalystElite Technical is seeking a Healthcare Claims Functional Analyst to support our client, a major Healthcare organization. This position is 100% onsite in Baltimore Maryland (M-F) and is a Contract to Permanent opportunity with our client. The selected candidate will analyze Healthcare Claims information in different formats (mostly MS Excel), then enter/map this information into our clients benefits system. Provides Operations Support by obtaining facts; anal

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Contract

30 - 30

Pega Healthcare System Analyst

Remote

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Yesterday

Pega Healthcare Systems Analyst Location: Remote USA Experience: 10+ Years Preferred Domain: Healthcare / Health Insurance Payer Job Summary We are seeking an experienced Pega Healthcare Systems Analyst with strong healthcare payer domain expertise and hands-on experience with FACETS. The ideal candidate must have experience analyzing healthcare payer systems, gathering business requirements, and supporting processes involving claims, membership, enrollment, providers, benefits, and bi

Contract, Third Party

Depends on Experience

Senior Data Analyst, Healthcare Payer Side - Predictive Analytics - Full Time, Direct Only

Remote

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15d ago

Remote opportunity for Permanent Residents Only The Senior Data Analyst will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and generating (SQL) and analyzing data and processes to identify opportunities for improvement, predictive ROIs and KPIs for Population Health Programs. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program stra

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Full-time

110,000 - 130,000

Healthcare Clinical Data Analyst

Remote or New York, New York

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14d ago

Summary: As a Data Analyst you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: Minimum 12+ years' experience as a senior Data Analyst in the healthcare sector. Knowledge of FHIR Excellent skills building source to target mappings using hL7/FHIR messaging protocols, technical and functional requirements and conducting analysis in healthcare setting. Experience analyzing proc

Full-time

Senior Healthcare Data Analyst

Remote

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Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 140,000.00 - 170,000.00 per year

Senior Clinical Data Analyst (Healthcare Analytics)

Remote or Chicago, Illinois

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Today

As a Senior Clinical Data Analyst, you will identify operational improvement opportunities through analytics that help Tendo's customers meet or exceed their financial, quality, and operational goals. Success in this role depends on deep familiarity with inpatient workflows and how care is actually documented in the EHR, including flowsheet rows and templates, order sets and orderables, clinical notes, ADT and bed movement, results and charge capture, and the ability to translate that raw docume

Full-time

USD 97,750.00 - 132,250.00 per year

Pega System Analyst (Healthcare)

Remote

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Yesterday

Required Qualifications5+ years of experience in business systems analysis, systems analysis, or functional analysis, preferably with Pega implementations. Strong understanding of Pega PRPC/Pega Platform, case management, workflow automation, and business process management. Experience working on healthcare payer, provider, health insurance, or healthcare administration projects. Knowledge of healthcare processes such as claims adjudication, member enrollment, eligibility verification, prior aut

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Full-time

Depends on Experience

Fraud Analyst / Healthcare Domain

Remote

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Today

Summary: Validate whether the FWA detection approach surfaces real, actionable fraud/waste/abuse signal, and produce substantiated findings to support FWA product development. Responsibilities: Review claims flagged by detection logic and determine true positive vs. false positiveArticulate the specific billing pattern, code combination, or provider behavior driving each callCarry select flagged leads through to a documented, substantiated findingPartner with product and data science teams to tr

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Contract

$40 - $50

Pega System Analyst - Healthcare

Remote

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Yesterday

Key ResponsibilitiesRequirements Analysis & Elicitation: Facilitate workshops and discovery sessions with business stakeholders to capture, analyze, and document functional and non-functional requirements. Translate business processes into Pega Case Management concepts, including Stage/Step models, Data Models, and User Personas. Pega Solution Design: Define and document detailed system designs, including Decision Rules, Declarative Rules, Data Transforms, UI Portals/Views, and SLA rules. Map en

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Contract

Depends on Experience

Digital Sr Analyst - Healthcare Data Management

Remote or Chicago, Illinois

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Today

Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future. Join our team as the expert you are now and create your future. At Huron, you have the opportunity to discover your professional passions by being an integral part of our tea

Full-time

USD 85,000.00 - 95,000.00 per year

Senior SIU Analyst / Fraud Analyst / Healthcare Domain Only

Remote

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Today

The Senior SIU Analyst - FWA Detection is a highly analytical role focused on identifying and mitigating Fraud, Waste, and Abuse (FWA) as a leading provider of cloud-based healthcare software. Core Responsibilities Data-Driven Detection: Analyze healthcare claims data, dashboards, and predictive models to uncover anomalies, atypical billing patterns, and emerging fraud trends.Investigation Management: Lead complex, multi-layered investigations from inception through resolution, including overpay

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Contract

45 - 50

Data Analyst with Healthcare / QNXT experience

Remote

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Yesterday

We are seeking to hire a Conversion Data Analyst with expertise in Medicare / Healthcare Claims systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holida

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Full-time

Depends on Experience

Sr ETL Data Analyst with QNXT / healthcare domain experience

Remote

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Yesterday

We are seeking to hire a Senior ETL Data Analyst with QNXT / schema and healthcare domain knowledge, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holidays,

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Full-time

Depends on Experience

Functional Analyst 834 EDI / Facets

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Functional Analyst 834 EDI / Facets Location: Baltimore, MD (Remote Require

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Contract

Depends on Experience

Senior QA / Reconciliation Analyst with Healthcare payer / Medicaid / MMIS testing experience : Remote

Remote

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Today

Senior QA / Reconciliation Analyst Job Description Role Summary Senior QA and data-validation role focused on ETL testing, large-scale data reconciliation, regulatory-output validation, and root-cause analysis for AWS Databricks data pipelines. Roles & Responsibilities Define and execute test strategies for complex ETL / ELT pipelines and regulatory data outputs. Perform record-count, control-total, field-level, segment-level, and file-level reconciliation. Validate source-to-target mappings,

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Contract, Third Party

Depends on Experience

Senior Java Developer Healthcare Claims Maryland

Hybrid in Columbia, Maryland

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Today

Please, no agencies or recruiters, only W2 applicants. Vega Consulting is staffing a Healthcare Claims Java developer for our direct Maryland based client. The selected candidate will be required to travel onsite for 2 days a month. The Senior Developer will support a custom system built from the ground up and organized into use cases for FEP Bridge. The role includes identifying technical risks, developing mitigation strategies, and recommending industry best practices and standards for the pr

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Contract

Depends on Experience

Data Analyst III Healthcare Analytics, Medical Economics

Remote or Florida

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Today

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop

Full-time

USD 70,100.00 - 126,200.00 per year

Healthcare Business Analyst

Remote

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Yesterday

Role Summary We are seeking an experienced Healthcare Business Analyst with strong hands-on experience in Electronic Prior Authorization (ePA), CMS-0057, FHIR, and healthcare interoperability. The candidate should be able to work directly with clients, partners, product, and technical teams and contribute quickly to complex healthcare implementations. Key Responsibilities Gather, analyze, and document business and functional requirements for ePA and FHIR-based solutions.Support CMS-0057 requirem

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Contract, Third Party

$50 - $55

HMS Analyst

Remote or Raleigh, North Carolina

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Today

DatamaUSA LLC has an exciting opportunity for a talented HMS Analyst to work with one of our direct clients to work in Raleigh, NC (Remote). We love referrals! Please refer us to your friends, family and colleagues for this opportunity. DatamanUSA LLC gives referral bonuses if they get selected and perform well for our clients. Job Details: Job ID: 813952 Title: HMS Analyst Client: NC Department of Information Technology (NCDIT) Duration: 12+ Months (with high possibility of extension) Loc

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Full-time, Part-time, Third Party, Contract

USD 64-70

Healthcare analyst jobs in Baltimore, MD, USA