GW
About
Global Work AIHow it worksFeaturesReviewsFAQ
Remote JobsCustomer ServiceData EntrySoftware EngineeringMarketingProjectSalesEntry LevelAll remote jobs
Onsite JobsJobs in CaliforniaJobs in TexasJobs in New YorkJobs in FloridaJobs in MassachusettsJobs in ColoradoAll onsite jobs
Hybrid JobsAll hybrid jobs
Companies
Popular companiesAmazonWalmartTargetCVS HealthStarbucksMicrosoft
 JPMorganChaseUnitedHealth GroupThe Home DepotAccentureEYCapgemini
Browse companiesAll companiesCompanies A–Z
Tools
Pay & hoursOvertime Calculator
All tools →
Blog
TopicsAI for Job SeekersCareer DevelopmentCover LettersJob InterviewsJob SearchResumeSalary & Job OffersWorkplace
All articles →
Log inTry itTry it now
GW
About
Global Work AIHow it worksFeaturesReviewsFAQ
Jobs
Remote JobsCustomer ServiceData EntrySoftware EngineeringMarketingProjectSalesEntry LevelAll remote jobs
Onsite JobsJobs in CaliforniaJobs in TexasJobs in New YorkJobs in FloridaJobs in MassachusettsJobs in ColoradoAll onsite jobs
Hybrid JobsAll hybrid jobs
Companies
Popular companiesAmazonWalmartTargetCVS HealthStarbucksMicrosoftJPMorganChaseUnitedHealth GroupThe Home DepotAccentureEYCapgemini
Browse companiesAll companiesCompanies A–Z
Tools
Pay & hoursOvertime Calculator
All tools
Blog
TopicsAI for Job SeekersCareer DevelopmentCover LettersJob InterviewsJob SearchResumeSalary & Job OffersWorkplaceAll articles
Log inTry it now
  1. Home
  2. ›Remote Jobs
  3. ›Nurse Analyst
‹ Remote Jobs

Remote Nurse Analyst jobs in the United States

Job type
Job type
Salary
Min. salary, $/year
Level
Level

Stop wasting hours
on applications

We find relevant roles, generate tailored resumes and cover letters, and apply automatically - you focus on interviews
Try it now
  • Sun
    • 1:00 PM - 2:00 PM

      Senior Product Manager Interview

      Sarah Jenkins

    • 2:30 PM - 3:00 PM

      Initial Interview

      Alex Chen

  • Mon
    • 11:00 AM - 11:15 AM

      Product Manager Interview

      David G. (Hiring Manager)

    • 4:15 PM - 5:15 PM

      First Round Interview

      Sophie L.

  • Tue
    • 1:20 PM - 1:45 PM

      Introductory Interview

      Marta W.

    • 2:30 PM - 3:00 PM

      Kick-off Interview

      Daria (HR)

  • Wed
    • 1:00 PM - 1:45 PM

      Qualifying Interview

      James Miller

    • 5:30 PM - 6:00 PM

      Discovery Interview

      Chris V.

  • Thu
    • 2:30 PM - 3:00 PM

      First Interview

      Michael T.

    • 4:00 PM - 5:00 PM

      Interview

      Den

Over 200,000 job seekers trust us

Diego Martínez
The AI tools here are outstanding. I found a job within a week of signing up, and the personalized job suggestions made the whole process effortless. I'm beyond impressed!
Feb 16, 2025
Brian Raine
I was skeptical, but this platform exceeded my expectations. The AI-driven resume builder helped me craft a professional resume. The auto-apply feature is a game-changer — saves so many tedious hours. I found a remote position eventually. Highly recommend Global Work AI.
Feb 16, 2025
Tomi Horvat
This site is amazing! The AI tools saved me so much time. I secured two contracts.
Feb 16, 2025
Elias Nyman
This platform is a must for anyone searching for freelance opportunities. The tools to optimize CVs and cover letters were invaluable. I've already referred a few friends because the results speak for themselves!
Feb 16, 2025
Ruben
This site has revolutionized the way I search for jobs. The AI-powered tools helped me polish my applications, and I've already signed a contract with a fast-growing tech startup as a part-time marketer.
Feb 16, 2025
Zayn
I was overwhelmed with my job search until I discovered GlobalWork. The AI CV builder helped me craft a standout resume, and I love that I can auto-apply to jobs without worrying about duplicates or scams. It feels good to know I'm only seeing verified listings.
Mar 9, 2025
Lena Kindler
My experience with Global Work AI has been fantastic. The platform tailors your resume and cover letter perfectly to each job description, making the whole application process so much easier. I even secured a job through the site and would recommend it to anyone looking.
Nov 24, 2025
Janos Kocsis
I am glad to have landed a job as an online tutor by using this Global Work platform. The CV builder was really helpful. I was also able to use the auto-apply feature, which saved me time. It is an ideal platform to look for remote jobs.
Nov 10, 2025
Andrea Martins
Global Work AI does a perfect job at collecting jobs that need people right away. The AI personalized my application for each role it applied to while passing the ATS compliance checks. I would highly recommend this service to other job seekers.
Aug 23, 2025

Nurse Analyst Remote Jobs — Discover Opportunities Across the USA

Healthcare organizations nationwide are expanding their data-driven teams, creating strong demand for skilled professionals who can bridge clinical expertise with analytics. With 500+ open positions available, this remote opportunity allows nurse analysts to support hospitals, insurers, and health systems from anywhere in the country while contributing to better patient outcomes through data insight.

Successful candidates typically bring a strong clinical background paired with proficiency in data analysis tools such as SQL, Excel, and healthcare information systems. Employers searching to hire a nurse analyst often look for critical thinking, attention to detail, and the ability to translate complex clinical data into actionable reports. Strong communication skills and familiarity with quality improvement metrics or electronic health records are highly valued, making these nurse analyst vacancies ideal for detail-oriented professionals who enjoy blending healthcare knowledge with analytics.

Remote work has become increasingly common for nurse analyst positions, as healthcare systems embrace digital transformation and flexible staffing models. Across the USA, hiring outlook remains strong, with organizations seeking professionals who can work independently while collaborating virtually with clinical and IT teams. This shift reflects a broader trend toward decentralized healthcare operations, giving candidates the flexibility to balance professional growth with personal lifestyle preferences.

If you are ready to advance your career, now is the time to explore nurse analyst jobs in the USA. Global Work AI connects talented professionals with top healthcare employers offering remote opportunities nationwide. Take the next step in your career journey and discover how your clinical expertise can make a meaningful impact through data-driven healthcare solutions.

Frequently Asked
Questions

Everything you need to know about
finding your next role
  • What does a nurse analyst do in a remote job?

    A nurse analyst in a remote setting supports healthcare decision-making by reviewing clinical records, interpreting patient-care patterns, and turning that information into useful recommendations. In the USA, this role often sits between nursing, quality improvement, and healthcare analytics, so the work may involve chart review, utilization trends, compliance checks, and reporting for hospitals, payers, or vendors. Because the job is remote, clear communication and disciplined documentation matter even more. Understanding how your background fits this mix can help you compare similar openings and spot the right scope.
  • What qualifications are required for a nurse analyst in the USA?

    Most employers in the USA look for an active RN license, a nursing degree, and several years of clinical experience before moving into a nurse analyst role. Many listings also prefer familiarity with quality metrics, case management, utilization review, or healthcare operations. For remote positions, strong computer literacy and the ability to work independently are usually expected. Some employers may ask for a bachelor’s degree, while others value equivalent experience plus industry knowledge. Reviewing current job postings can show how requirements shift between health systems, insurers, and consulting firms.
  • What skills are needed for a remote nurse analyst role, including EHR, clinical documentation review, and data analysis?

    Success in this role depends on a blend of clinical judgment and technical fluency. Employers usually value EHR navigation, clinical documentation review, spreadsheet skills, and basic data analysis for identifying trends or gaps in care. Many remote nurse analyst positions in the USA also call for experience with reporting tools, quality measures, and clear written communication. Attention to detail matters when comparing chart data across systems, and comfort with HIPAA-safe workflows is essential. If you are evaluating openings, look for the software stack and reporting expectations first.
  • What is the salary range for a nurse analyst in the USA, especially for remote roles?

    Pay in the USA varies by employer type, years of experience, and whether the role is tied to clinical operations, insurance review, or healthcare analytics. A nurse analyst working remotely often sees salaries roughly in the mid-$70,000s to low-$110,000s, with senior or specialized roles sometimes higher. Large national health plans, consulting groups, and technology vendors may offer broader ranges than smaller organizations. Location can still matter for compensation even when the job is remote, so it helps to compare listings with the same job scope and credential expectations.
  • Is nursing experience required for a nurse analyst role, or is healthcare data and quality improvement experience enough?

    Direct bedside experience is common, but not every employer requires recent floor nursing. In the USA, many nurse analyst openings prefer an RN background because it helps with chart interpretation, care pathways, and clinical judgment. That said, healthcare data, quality improvement, utilization review, and performance reporting experience can also be very relevant, especially if paired with strong documentation skills. Some organizations are flexible if the candidate can show measurable results in process improvement or analytics. The deciding factor is usually how closely your background matches the team’s workflow and reporting needs.
  • What are the typical responsibilities of a nurse analyst in a remote healthcare analytics position?

    Day-to-day work often centers on reviewing clinical information, validating data, and translating findings into reports that support care quality or cost management. A remote nurse analyst may audit documentation, track outcomes, assist with case or utilization reviews, and flag patterns that suggest gaps in service. In the USA, responsibilities can also include supporting dashboards, helping with regulatory reporting, and coordinating with clinical teams by phone or secure systems. The exact mix depends on whether the employer is a hospital, payer, or health-tech company, so checking team structure is useful.
  • What certifications are most valued for a nurse analyst in healthcare or insurance companies?

    The most respected credentials depend on the employer, but several stand out in the USA. An active RN license is foundational, and certifications such as CPHQ, CCM, or CPHQ-related quality credentials can strengthen a nurse analyst profile. Some insurance companies also appreciate URAC- or utilization-focused training, while data-oriented teams may value Excel, SQL, or analytics certificates alongside nursing credentials. Certification is usually a plus rather than a strict requirement, but it can help when competing for remote roles. Looking at posted requirements across healthcare and insurance employers can reveal which credentials matter most.

Resources

  • Frequently asked questions
  • Contact us
  • Privacy policy
  • Money back policy
  • Terms of use

Top job offers

  • Data Analysis
  • Data Entry Clerk
  • Customer Service Rep
  • Human Resource
  • Marketing Manager
  • Customer Service Manager
  • Project Manager
  • Financial Manager
  • Account Manager
  • Operations
  • All remote job titles A–Z
Career Blog
  • AI for Job Seekers
  • Career Development
  • Cover Letters
  • Job Interviews
  • Job Search
  • Resume
  • Salary & Job Offers
  • Workplace
Top Companies
  • JPMorganChase
  • Starbucks
  • EY
  • Accenture
  • Capgemini
  • Allied Universal
  • Bosch
  • Citi
  • Aramark
  • Compass Group
GW
Copyright © 2026, Global Work AI
The names and logos of the companies mentioned are trademarks of their respective owners. Unless explicitly stated, these references are not intended to indicate any endorsement or affiliation with Global Work AI. By continuing to use the website, you agree to the Terms and Conditions and the Privacy Policy.
Copyright © 2026, Global Work AI

500+ jobs found

  • Murtech

    Murtech

    Today

    Clinical quality management analyst-22692-hold 11/12 @ 1:00 pm

    Conduct comprehensive medical record reviews to evaluate clinical documentation and compliance with standards. Analyze clinical information to support HEDIS and quality improvement initiatives. Identify discrepancies in medical documentation and coding accuracy.

    remote, PA, United States
    Full TimeMiddle (2-4 years)
  • Murtech

    Murtech

    Today

    Clinical quality management analyst- 22693-hold 11/12@ 1:00 pm

    Conduct comprehensive medical record reviews to evaluate clinical documentation and compliance with standards. Analyze clinical information to support HEDIS and quality improvement initiatives. Identify discrepancies in medical documentation and coding accuracy.

    remote, PA, United States
    Full TimeMiddle (2-4 years)
  • Gainwell Technologies LLC

    Gainwell Technologies LLC

    Today

    Senior business analyst (medicaid programs)

    Serve as the Functional Area Business Lead for Wisconsin's Children's Long-Term Support (CLTS) program. Lead operational initiatives, maintenance activities, and project work from initiation to closure.

    remote, United States
    $69k – $99k/yrFull TimeSenior (5+ years)
  • Crawford & Company

    Crawford & Company

    a day ago

    Medical claim analyst

    Manage medical-only and maintenance claims, ensuring accurate processing and payment approvals. Review and update claims data in a computerized system, contact claimants and medical providers for information, and document medical reports.

    remote, United States
    Full TimeJunior (<2 years)
  • Parkview Health

    Parkview Health

    a day ago

    Ent credential &enroll analyst

    Manage enterprise credentialing and enrollment processes, ensuring compliance with regulatory and payer requirements. Collaborate with providers and internal teams to streamline workflows and maintain accurate provider data.

    remote, Fort Wayne, IN, United States
    Full TimeMiddle (2-4 years)
  • Revecore

    Revecore

    2 days ago

    Underpayment analyst

    Examine hospital claims to verify reimbursement accuracy, investigate discrepancies, and resolve issues with insurance companies. Prepare and submit correspondence related to underpayments and maintain documentation of findings.

    remote, AL, United States
    Full TimeJunior (<2 years)
  • PACS

    PACS

    5 days ago

    Senior reimbursement accounting analyst

    Prepare and analyze Medicare and Medicaid cost report templates, ensuring accurate cost identification in departments. Compile and reconcile financial data for cost report preparation, analyze general ledger activity, and review cost reports for compliance.

    remote, UT, United States
    Full TimeSenior (5+ years)
  • CorVel Career Site

    CorVel Career Site

    5 days ago

    Provider management analyst ii

    Verify provider information and documentation requests for auditing claims, including itemized bills and medical records. Ensure accuracy of patient, provider, and client information. Maintain production standards and quality of work while assisting team members and reporting issues proactively.

    remote, Fort Worth, TX, United States
    $31k – $48k/yrFull TimeEntry with Degree
  • Bonner General Health

    Bonner General Health

    6 days ago

    Rn clinical analyst/information systems/local remote only

    Support and optimize patient care information systems, focusing on computerized physician order entry, electronic documentation, and interoperability. Perform project management and provide application support and optimization.

    remote, IA, United States
    Full TimeMiddle (2-4 years)
  • UnitedHealth Group

    UnitedHealth Group

    6 days ago

    Clinical program analyst, medication star clinical program - remote

    Analyze clinical outcomes data and develop strategies for clinical pharmacy programs. Present findings to stakeholders, oversee pharmacy projects, and assess customer needs.

    remote, United States
    $92k – $164k/yrFull TimeMiddle (2-4 years)
  • CERIS

    CERIS

    6 days ago

    Provider management analyst ii

    Verify provider information and documentation requests for auditing claims, including itemized bills and medical records. Ensure accuracy of patient, provider, and client information. Communicate issues to leadership and maintain production standards.

    remote, Fort Worth, TX, United States
    $31k – $48k/yrFull TimeEntry with Degree
  • EXL

    EXL

    7 days ago

    Quality analyst - clinical validation auditor (cva), healthcare

    Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.

    remote, United States
    $60k – $99k/yrFull TimeLead / Manager
  • Alliance

    Alliance

    7 days ago

    Principal clinical informatics analyst (full time, remote, north carolina based)

    Analyze clinical workflows for optimization, develop and maintain process documentation, and ensure system configurations align with workflows. Lead HEDIS lifecycle support, analyze healthcare data for trends, and provide recommendations for improvement.

    remote, NC, United States
    $91k – $116k/yrFull TimeSenior (5+ years)
  • SKYLAND TRAIL

    SKYLAND TRAIL

    7 days ago

    Revenue cycle analyst-private pay

    Manage daily operations of the Patient Accounts Department, including payment posting, billing, and follow-up on accounts. Analyze account history to expedite payments and improve cash flow. Communicate with the director regarding issues and status updates, and assist in preparing reports as needed.

    remote, GA, United States
    Full TimeSenior (5+ years)
  • Centene Corporation

    Centene Corporation

    7 days ago

    Behavioral health medical policy analyst

    Assist the Chief Medical Director with technical writing and research on clinical practices and policies. Conduct research on evidence-based criteria for clinical decision-making and support medical technology assessments.

    remote, FL, United States
    $70k – $126k/yrFull TimeMiddle (2-4 years)
  • Jobgether

    Jobgether

    8 days ago

    Patient journey lead - rn

    Coordinate and optimize patient support operations, ensuring timely access to medications. Monitor patient journey processes and operational performance, identifying opportunities for improvement. Provide operational reporting and insights to leadership, and support compliance and program delivery.

    remote, United States
    Full TimeSenior (5+ years)
  • CorVel Career Site

    CorVel Career Site

    8 days ago

    Provider management analyst i

    Verify provider information and documentation requests for auditing claims, including itemized bills and medical records. Ensure accuracy of patient, provider, and client information. Maintain production standards and quality of work, assist team members, and report issues proactively.

    remote, Fort Worth, TX, United States
    $28k – $41k/yrFull TimeEntry with Degree
  • State of Michigan

    State of Michigan

    8 days ago

    Departmental analyst 12 (senior mco analyst) - managed care oversight unit - mdhhs oig

    Review and investigate complex activities of Medicaid Managed Care Entities (MCEs) and MI Choice Waiver Agencies regarding fraud, waste, and abuse. Ensure compliance with program integrity requirements, monitor corrective action plans, and advise on regulatory changes.

    remote, MI, United States
    $62k – $91k/yrFull TimeSenior (5+ years)
  • Valeris

    Valeris

    8 days ago

    Patient journey lead - rn

    Monitor patient journey processes, assist stakeholders by providing detailed program information, and advocate for patient access to medications. Evaluate and recommend improvements for program processes, ensure adherence to SOPs, and provide operational reporting.

    remote, United States
    Full TimeSenior (5+ years)
  • Peraton

    Peraton

    8 days ago

    Medical review analyst - medicare

    Conduct medical record reviews and apply clinical judgment to claim payment decisions. Perform research on medical claims data to identify issues and support fraud investigations.

    remote, United States
    $66k – $106k/yrFull TimeSenior (5+ years)
  • Healthcare Outcomes Performance Co. (HOPCo)

    Healthcare Outcomes Performance Co. (HOPCo)

    8 days ago

    Remote medical economics analyst

    Lead complex medical economic projects, applying statistical analysis to develop algorithms and reporting tools. Provide medical cost trend analytics and assess variances for health insurer clients. Develop studies and presentation materials, presenting findings to management.

    remote, Phoenix, AZ, United States
    Full TimeMiddle (2-4 years)
  • DaVita Kidney Care

    DaVita Kidney Care

    8 days ago

    Clinical programs sr analyst (ikc)

    Participate in development sessions, collaborate with teammates, and complete a 3-week analyst skills training. Work on team projects, present business cases, and receive 360-degree feedback.

    remote, United States
    $62k – $95k/yrFull TimeSenior (5+ years)
  • Gainwell Technologies LLC

    Gainwell Technologies LLC

    11 days ago

    Provider enrollment analyst - remote ca

    Review, process, and maintain healthcare provider enrollment applications and documentation. Verify provider demographic information, National Provider Identifier (NPI), and Tax Identification Number (TIN) for accuracy.

    remote, United States
    $38k – $54k/yrFull TimeJunior (<2 years)
  • InductiveHealth

    InductiveHealth

    12 days ago

    Senior hl7 and interoperability analyst

    Serve as the expert for HL7 v2 immunization messaging and healthcare interoperability standards. Collaborate with Product, Engineering, and Client teams to design and support interoperability solutions. Troubleshoot interoperability issues and lead FHIR initiatives.

    remote, United States
    $145k – $168k/yrFull TimeSenior (5+ years)
  • CoventBridge Integrity Systems

    CoventBridge Integrity Systems

    12 days ago

    Medicaid/medicare program integrity analyst ii

    Evaluate leads, complaints, and investigations to verify potential fraud. Conduct independent reviews and utilize data analysis techniques to detect anomalies in Medicare and Medicaid claims.

    remote, OH, United States
    $70k – $77k/yrFull TimeJunior (<2 years)
  • Peraton

    Peraton

    12 days ago

    Medical review analyst

    Conduct medical record reviews and apply clinical judgment to claim payment decisions. Perform research on medical claims data to identify issues and support fraud investigations.

    remote, United States
    $51k – $82k/yrFull TimeSenior (5+ years)
  • TEKsystems

    TEKsystems

    12 days ago

    Epic beacon analyst

    Lead the Epic Beacon build, configuration, enhancement, and optimization efforts. Collaborate with clinical and operational leaders to drive planning, design, testing, implementation, and go-live activities for oncology initiatives.

    remote, NC, United States
    $100k – $115k/yrFull TimeLead / Manager
  • Valley Health Systems

    Valley Health Systems

    13 days ago

    Coding analyst - remote

    Audit health records for accurate diagnostic and procedural coding. Collect timely and accurate health information, including demographic data and payer reviews. Ensure compliance with laws and regulations while supporting patient care quality.

    remote, Holyoke, MA, United States
    Full TimeJunior (<2 years)
  • Lifepoint Health

    Lifepoint Health

    13 days ago

    Analyst, clinical adoption ambulatory

    Train providers and clinical staff on the athena clinical system, manage provider scheduling, and serve as the first point of contact for clinicians. Review and communicate issues to vendors and leadership, provide go-live support, and coordinate training logistics.

    remote, United States
    Full TimeJunior (<2 years)
  • Next Move Healthcare

    Next Move Healthcare

    15 days ago

    Clinical product research analyst – remote (united states)

    Conduct research and evaluations of medical supplies and equipment across various healthcare settings. Perform functional equivalency assessments and compare product specifications to determine clinical suitability.

    remote, United States
    $121k/yrFull TimeMiddle (2-4 years)
  • University Hospitals

    University Hospitals

    15 days ago

    Clinical documentation integrity (cdi) analyst (remote)

    Educate and train CDI Specialists on clinical documentation integrity and coding regulations. Perform post-discharge reviews of medical records to ensure accurate reporting of patient acuity and DRG assignment. Document findings, coordinate with coding teams, and provide feedback for improvement.

    remote, United States
    Full TimeMiddle (2-4 years)
  • Stryker

    Stryker

    15 days ago

    Clinical consultant (field-based)

    Deliver ProClinical support in customer accounts, utilizing clinical theories and principles. Analyze data to develop action plans based on market insights and customer needs. Collaborate with stakeholders to enhance service offerings and ensure improved outcomes for customers.

    remote, United States
    $89k – $179k/yrFull TimeMiddle (2-4 years)
  • EXL

    EXL

    19 days ago

    Quality analyst - clinical validation audit

    Oversee clinical audits to ensure accuracy in DRG coding. Conduct quality reviews of inpatient medical records and mentor Clinical DRG auditors. Identify audit trends and provide root cause analysis on errors. Document audit findings and recommend process improvements.

    remote, United States
    $85k – $100k/yrFull TimeLead / Manager
  • Gainwell Technologies LLC

    Gainwell Technologies LLC

    19 days ago

    Medicaid fraud, waste & abuse (fwa) analyst

    Analyze Medicaid claims data using established fraud, waste, and abuse (FWA) analytic models. Deliver monthly FWA lead referral reports and produce clear, actionable intelligence for state OIG staff.

    remote, United States
    $69k – $99k/yrFull TimeSenior (5+ years)
  • The Wilshire Group

    The Wilshire Group

    22 days ago

    Senior patient access analyst/ project manager

    Lead and coordinate large-scale Epic Patient Access projects, developing project plans and timelines. Collaborate with IT, clinical, and operational teams to ensure project alignment.

    remote, United States
    $202k – $242k/yrFull TimeSenior (5+ years)
  • Gainwell Technologies LLC

    Gainwell Technologies LLC

    22 days ago

    Senior long-term care - rate setting analyst

    Lead the development and documentation of rate-setting models for long-term care programs. Utilize advanced analytical techniques to evaluate costs and reimbursement outcomes, and assess the impact of rate changes on Managed Care Organizations (MCOs).

    remote, United States
    $69k – $99k/yrFull TimeSenior (5+ years)
  • Milliman

    Milliman

    23 days ago

    Healthcare data analyst (medicaid finance & policy)

    Analyze healthcare data including claims datasets, service-related trends, and provider cost data. Design and develop data models, review model outputs, and assist with Medicaid policy research.

    remote, United States
    $72k – $132k/yrFull TimeSenior (5+ years)
  • Pivotal Health

    Pivotal Health

    23 days ago

    Analyst, state dispute operations

    Prepare and submit state dispute filings through various portals, ensuring compliance with state-specific requirements. Track deadlines, fees, and payments, following up on late or incorrect payments. Maintain accurate case records and update internal systems with case details.

    remote, United States
    Full TimeJunior (<2 years)
  • Alliance

    Alliance

    25 days ago

    External clinical quality analyst ii (full-time remote, north carolina based)

    Manage quality review processes for provider-led care management programs. Conduct audits and reviews of documentation and activities to ensure compliance with NC DHHS guidelines. Analyze program data to identify trends and develop corrective action plans.

    remote, NC, United States
    $70k – $89k/yrFull TimeMiddle (2-4 years)
  • EXL

    EXL

    a month ago

    Quality analyst iv - clinical validation auditor (cva), healthcare

    Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.

    remote, United States
    $85k – $110k/yrFull TimeLead / Manager

10,000,000+ more jobs available!