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Healthcare NSA Analyst

Goldenpick Technologies LLC

Remote • Today

Easy Apply

Contract, Third Party

$60 - $65

Health Policy Analyst | Healthcare Program Analyst

Prexel LLC

Washington, District of Columbia • 2d ago

Easy Apply

Contract

System Analyst -II Healthcare -NASCO

CogniSoft Technologies

Hybrid in Detroit, Michigan • 30+d ago

Easy Apply

Third Party, Contract

$40 - $45

Healthcare System Analyst - Payer Systems

SoftPath Technologies LLC

Mason, Ohio • Today

Easy Apply

Full-time, Third Party

Depends on Experience

Healthcare Application Analyst

Randstad Digital

Remote or Sacramento, California • Today

Contract

USD70 - USD80

Healthcare System Analyst - Payer System, Onsite - 69872

PRIMUS Global Services Inc.

Mason, Ohio • Today

Easy Apply

Contract

Healthcare Reporting Analyst

Charter Global, Inc.

Baltimore, Maryland • 23d ago

Easy Apply

Contract, Third Party

Depends on Experience

Salesforce Analyst with healthcare domain & Salesforce health cloud

Intellisoft Technologies

Hybrid in East Hartford, Connecticut • Yesterday

Easy Apply

Contract

Depends on Experience

Healthcare Claims Functional Analyst - (Citizen & Permanent Resident) - Contract- Onsite in Baltimore, MD

Elite Technical

Baltimore, Maryland • Yesterday

Easy Apply

Contract

30 - 33

Healthcare Data Analyst(Epidemiology experience)

LinQ Global Group.

Boston, Massachusetts • Today

Easy Apply

Full-time

40 - 45

Hedis Healthcare Analyst with SQL Experience

SumasEdge Corporation

Hybrid in Philadelphia, Pennsylvania • Today

Easy Apply

Contract, Third Party

Depends on Experience

Data Analyst with Healthcare / QNXT experience

ec3 Federal Services

Remote • Yesterday

Easy Apply

Full-time

Depends on Experience

IT Integration Analyst (Healthcare)- Remote on East Coast

Calance

Remote • Today

Contract

Senior Healthcare Data Analyst

IntePros

Phoenix, Arizona • Today

Full-time

USD 95,000.00 - 105,000.00 per year

Healthcare System Analyst Payer Systems

Talent Groups

Mason, Ohio • 6d ago

Easy Apply

Contract, Third Party

55 - 65

Healthcare System Analyst – Payer Systems

Mpower Plus Rezolve AI Group LTD

Mason, Ohio • Today

Easy Apply

Contract

50 - 55

Healthcare Payer Systems Analyst

Echo IT Solutions, Inc.

Mason, Ohio • 2d ago

Easy Apply

Full-time

Depends on Experience

Healthcare System Analyst – Payer System

Innorev Technologies, Inc

Carmel-by-the-Sea, California • Today

Easy Apply

Contract

60+

Healthcare Data Analyst II

Inland Empire Health Plan

Rancho Cucamonga, California • Today

Full-time

USD 91,249.60 - 120,910.40 per year

Healthcare Claims Analyst- ONSITE

Vega Consulting Solutions

Baltimore, Maryland • Today

Easy Apply

Contract

Depends on Experience

Healthcare System Analyst - Payer Systems

SoftPath Technologies LLC

Calabasas, California • Today

Easy Apply

Full-time, Third Party

Depends on Experience

Senior Data Analyst - Healthcare Remote

City of Hope

Remote • Today

Full-time

USD 44.90 - 69.59 per hour

Systems Analyst with Healthcare Experience (Woodland Hills, CA) 15+Years

BridgeNexus Technologies Inc

Los Angeles, California • Today

Easy Apply

Contract

Depends on Experience

Senior Healthcare Data Analyst, Claims Analytics

Patient Point

Remote • Today

Full-time

USD 73,539.00 - 136,065.00 per year

Caboodle Healthcare Data Analyst

Pyramid Consulting, Inc.

Remote • 9d ago

Easy Apply

Contract

$85 - $90

Senior Healthcare Data Analyst Python/PySpark- 15+ yrs- New York, United States- Onsite

iMedhas Consulting Services

New York, New York • Today

Easy Apply

Contract, Third Party

Depends on Experience

Data Modeler / Analyst - Healthcare

Exusia

No location provided • 2d ago

Full-time

Systems Analyst (healthcare)

Apex Systems

Eden Prairie, Minnesota • Today

Easy Apply

Full-time

$58 - $68 per hour

Digital Sr Analyst - Healthcare Data Management

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 85,000.00 - 95,000.00 per year

Senior Healthcare Data Analyst, Provider Network - Kelsey Seybold, Pearland, TX

UnitedHealth Group

Pearland, Texas • Today

Full-time

USD 91,700.00 - 163,700.00 per year

Goldenpick Technologies LLC

Job Details

Skills

EDI
837
claims

Summary

Position : Healthcare NSA Analyst
Location : Remote
Duration : 1+ year

Job Summary

We are seeking a detail-oriented Healthcare NSA (No Surprises Act) Analyst to support compliance and claims resolution processes related to federal No Surprises Act requirements. The ideal candidate will bring strong local claims processing knowledge, hands-on EDI experience, and a solid understanding of Blue Card and HRP-to-TPA workflows to ensure accurate, compliant, and timely claims handling.

Key Responsibilities

Review, process, and analyze claims impacted by the No Surprises Act (NSA), ensuring compliance with federal regulations and payer-specific requirements
Apply local claims processing knowledge within HRP (Health Rules Payer) to identify, research, and resolve claim discrepancies
Analyze and troubleshoot EDI transactions, with particular focus on 837 (claims submission) files, identifying and correcting errors or rejections
Support Blue Card claims processing, coordinating between local plans and host/home plans as needed
Manage and understand HRP-to-TPA (Third Party Administrator) workflows, ensuring accurate data exchange and claims handoff between systems
Investigate and resolve claim pricing, adjudication, and payment issues related to NSA-eligible services
Collaborate with cross-functional teams (claims, compliance, IT/EDI, provider relations) to identify root causes of processing issues and recommend solutions
Maintain documentation of NSA-related claims decisions, workflows, and process improvements
Monitor regulatory updates related to the No Surprises Act and assess impact on internal processes
Support audits, reporting, and quality assurance related to NSA claims compliance

Required Qualifications

Experience with local claims processing in HRP (Health Rules Payer) or similar claims platform
Hands-on experience with EDI files, specifically 837 transactions
Working knowledge of Blue Card processes and/or HRP-to-TPA workflows
General healthcare industry knowledge, including claims lifecycle, adjudication, and payer/provider relationships
Strong analytical and problem-solving skills
Ability to interpret regulatory requirements (No Surprises Act) and translate them into operational processes
Excellent attention to detail and organizational skills
Strong written and verbal communication skills

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91164342
Position Id: 942-36890-1787867586
Posted 3 hours ago

Company Info

About Goldenpick Technologies LLC

GoldenPick Technologies is a cutting-edge career search and leadership hiring firm that leverages innovative recruitment solutions to deliver exceptional talent. With over 20 years of industry expertise, we provide our clients with a high-caliber resource pool through our intelligent search and selection process. Our robust internal processes ensure precise candidate matching for current and future requirements. We prioritize client satisfaction, delivering prompt solutions with diligence, continuous feedback, and personal accountability.

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Goldenpick Technologies LLC

Job Details

Skills

EDI
837
claims

Summary

Position : Healthcare NSA Analyst
Location : Remote
Duration : 1+ year

Job Summary

We are seeking a detail-oriented Healthcare NSA (No Surprises Act) Analyst to support compliance and claims resolution processes related to federal No Surprises Act requirements. The ideal candidate will bring strong local claims processing knowledge, hands-on EDI experience, and a solid understanding of Blue Card and HRP-to-TPA workflows to ensure accurate, compliant, and timely claims handling.

Key Responsibilities

Review, process, and analyze claims impacted by the No Surprises Act (NSA), ensuring compliance with federal regulations and payer-specific requirements
Apply local claims processing knowledge within HRP (Health Rules Payer) to identify, research, and resolve claim discrepancies
Analyze and troubleshoot EDI transactions, with particular focus on 837 (claims submission) files, identifying and correcting errors or rejections
Support Blue Card claims processing, coordinating between local plans and host/home plans as needed
Manage and understand HRP-to-TPA (Third Party Administrator) workflows, ensuring accurate data exchange and claims handoff between systems
Investigate and resolve claim pricing, adjudication, and payment issues related to NSA-eligible services
Collaborate with cross-functional teams (claims, compliance, IT/EDI, provider relations) to identify root causes of processing issues and recommend solutions
Maintain documentation of NSA-related claims decisions, workflows, and process improvements
Monitor regulatory updates related to the No Surprises Act and assess impact on internal processes
Support audits, reporting, and quality assurance related to NSA claims compliance

Required Qualifications

Experience with local claims processing in HRP (Health Rules Payer) or similar claims platform
Hands-on experience with EDI files, specifically 837 transactions
Working knowledge of Blue Card processes and/or HRP-to-TPA workflows
General healthcare industry knowledge, including claims lifecycle, adjudication, and payer/provider relationships
Strong analytical and problem-solving skills
Ability to interpret regulatory requirements (No Surprises Act) and translate them into operational processes
Excellent attention to detail and organizational skills
Strong written and verbal communication skills

Dice Id: 91164342
Position Id: 942-36890-1787867586
Posted 3 hours ago

Company Info

About Goldenpick Technologies LLC

Go to company profile

Fitment

Dice Job Match Score™

🔢 Crunching numbers...

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Similar Jobs

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Remote jobs at Goldenpick Technologies LLC