Healthcare Functional Analysts

Healthcare Functional Analyst — Onsite (Baltimore, MD)

Location:

Canton Crossing — Baltimore, MD (21224) Type:
Contract-to-Hire (6 months CTH)

Schedule:

40 hours/week | 8:00 AM – 4:30 PM (some flexibility may be available later) Pay (W2): $33.00/hr (no PTO) Work Setup: 100% onsite | must have your own laptop

In this role, you'll support an Operations team within a healthcare claims environment by researching issues, validating data, and helping improve day-to-day processes. You'll work heavily in Excel (daily), contribute to documentation/SOPs, and partner with internal customers to answer questions and provide operational support. You'll ramp with training/resources provided—starting with mail operations-related tracking/research and moving into broader claims and appeals support work.

Note:

"Mail operations" in this role means logging/entering details in spreadsheets and researching items. It is not a mail-clerk role focused on opening/sorting/scanning mail.

• Research operational/system issues by gathering facts, identifying root cause, and helping drive resolution
• Validate claims-related data and ensure accuracy (investigate exceptions, reconcile details, run checks)
• Build and maintain Excel trackers and reports (including pivot tables and lookup functions)
• Support claims and appeals processes through research, documentation, and follow-up
• Provide operating information to internal customers, answer questions, and support basic training/process guidance
• Help develop and maintain SOPs and other essential documentation
• Support testing efforts by helping define test approach, executing tests, and documenting results
• Multitask and pivot between priorities throughout the day in a hands-on, onsite environment

• Bachelor's degree, OR equivalent experience
  • In lieu of a Bachelor's degree: additional 4 years of relevant experience (in addition to required experience)
• 2+ years in an operational/functional analyst-type role (Functional Analyst, Claims Analyst, Claims Processor, etc.)
• 1–2 years of data entry experience
• Intermediate to advanced Excel (pivot tables, VLOOKUP/lookup functions; comfortable working in spreadsheets daily)
• Strong analytical/problem-solving skills and high attention to detail
• Strong communication and organization skills; able to meet deadlines and work independently
• Able to work onsite full-time in Baltimore, MD (21224)
• Must have your own laptop

• Healthcare / Health insurance / Medical operations background
• Claims processing familiarity (strong plus)
• Basic medical billing familiarity
• ICD-10 exposure
• Experience with tools such as Luminex (plus, not required)