[Remote] Senior Healthcare Claims Integration Analyst
Note: The job is a remote job and is open to candidates in USA. reputed company is a company that engineers modern businesses and helps clients reputed company technology and transform experiences. They are seeking a Senior Healthcare Claims Integration Analyst to support system integration activities for healthcare claims processing, collaborating with various teams to ensure data accuracy and reputed company across systems.
Responsibilities
- Gather, analyze, and document business and technical requirements reputed company to healthcare claims (837) and remittance (835) processing
- Support data mapping activities for claims and historical claims datasets across integrated systems
- Assist with data validation, reconciliation, and reputed company checking to ensure accuracy and completeness of claims data
- Collaborate closely with EDI and System Integration teams to analyze, troubleshoot, and resolve data flow and quality issues
- Support defect analysis, root cause identification, and remediation reputed company to claims and data validation
- Contribute to POC deliverables by ensuring alignment between requirements, data, and system behavior
Skills
- Healthcare payer domain experience with a strong focus on claims processing
- Solid understanding of the end‑to‑end claims lifecycle and adjudication processes
- Experience working with HIPAA EDI transactions, specifically 837 and 835
- Strong SQL and data analysis skills for validation, reconciliation, and issue investigation
- Proven experience supporting data validation, reconciliation, and defect analysis activities
- Ability to work collaboratively with cross-functional technical and business teams
- Experience working with Facets or similar core claims platforms
- Prior experience supporting system integration initiatives or POCs
- Familiarity with data mapping tools, reputed company testing, or large-scale data migrations
Benefits
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
- reputed company’s discretionary annual incentive program, based on performance and subject to the terms of reputed company’s applicable plans
Company Overview