- Highmark Health (Annapolis, MD)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Annapolis, MD)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Rocket Software (Annapolis, MD)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our Shipyard ... will be performed on-site in Washington DC. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and comment on the accuracy, integrity, and… more
- AON (Baltimore, MD)
- Health and Benefits Actuarial Analyst This is a hybrid role with the flexibility to work both virtually and from our Baltimore office Aon is in the business of ... working relationships with client teams + Analyzing population and claims data to perform demographic and geographic analyses +...the applicable incentive plan. #LI-KT1 #LI-HYBRID 2571019 Health and Benefits Actuarial Analyst This is a hybrid… more
- Public Consulting Group (Annapolis, MD)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Aegon Asset Management (Baltimore, MD)
- …and Savings & Investments, comprised of life insurance, annuities, employee benefits , retirement plans, and Transamerica Investment Solutions, and 3) Financial ... information, visit transamerica.com . Job Description Summary The Corporate Insurance Analyst will assist in managing corporate non-life insurance programs for the… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Point32Health (Washington, DC)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- Baylor Scott & White Health (Annapolis, MD)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
- Cognizant (Annapolis, MD)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Humana (Annapolis, MD)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Prime Therapeutics (Annapolis, MD)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Elevance Health (Hanover, MD)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Humana (Annapolis, MD)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Norstella (Annapolis, MD)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Cognizant (Annapolis, MD)
- **Job Title: Sr. QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a **Sr. QNXT Configuration Analyst ** , ... make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a valued member… more
- Cognizant (Annapolis, MD)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more