Senior Healthcare Payer Analyst
Job in
Mason, Warren County, Ohio, 45040, USA
Listed on 2026-08-06
Listing for:
Health Here
Full Time
position Listed on 2026-08-06
Job specializations:
-
Healthcare
Healthcare / Medical Sales, Healthcare Administration
Job Description & How to Apply Below
The role requires a Senior Analyst with extensive expertise in the US Healthcare Payer domain
. Key responsibilities include
- Analyzing payer-side business processes such as claims, enrollment, membership, and benefits
- Collaborating with business and technology teams to deliver scalable healthcare solutions
- Gathering requirements and conducting business process analysis
- Applying Agile methodologies (Scrum/SAFe) and using tools like JIRA, Rally, or ALM
- Performing data validation with basic SQL and understanding healthcare data standards
- 8+ years of domain experience in US Healthcare Payer
- Knowledge of claims processing, enrollment, benefits, billing, and provider interactions
- Familiarity with EDI transactions (837, 835, 834), HIPAA compliance, and healthcare standards like HL7 and FHIR
- Preferred experience with Medicare, Medicaid, commercial plans, provider & network management, and claims adjudication systems
- Strong analytical, documentation, and collaboration skills
Position Requirements
10+ Years
work experience
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×