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Health Care Claims Entry Level Analyst

Remote

Withum is a place where talent thrives - where who you are matters. It’s a place of endless opportunities for growth. A place where entrepreneurial energy plus inclusive teamwork equals exponential results.

Explore different industries. Learn new skills. Connect with our diverse teams of professionals to gain insight into the career you envision. Your Career Starts with You.

Experience the Transformative Power of Withum Plus You - that’s the Power in the Plus!

Withum is a forward-thinking, technology-driven advisory and accounting firm that helps clients be in a position of strength in today’s business landscape. Withum empowers clients with innovative tools and solutions to address their accounting, tax, and overall business management needs. We recruit the best and brightest people who are passionate about helping businesses grow and thrive.

Job Summary

The Healthcare Claims Analyst is responsible for analyzing and auditing healthcare claims data (medical, pharmaceutical, dental, supplemental sickness, etc.), identifying trends, and providing actionable insights to improve operational efficiency and client outcomes. This role requires strong analytical skills, attention to detail, and the ability to communicate findings effectively to stakeholders. Remote role with potential to travel. 

Responsibilities

  • Analyze healthcare claims data to identify patterns, anomalies, and cost-saving opportunities.
  • Prepare detailed reports and dashboards for internal and client use.
  • Collaborate with cross-functional teams to implement data-driven solutions.
  • Ensure compliance with healthcare regulations and data privacy standards.
  • Support audits and quality assurance processes related to claims data
  • Minimal travel may be required based on client needs

Qualifications

Minimum Qualifications

  • Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred
  • Relevant experience working for a medical TPA or PBM either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
  • 1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
  • Familiarity with healthcare databases and systems.
  • Proficiency in Microsoft Office and data analysis tools.

Preferred Qualifications

  • Master’s degree in business, healthcare administration, or accounting.
  • Experience with risk-based consulting methodologies.
  • Knowledge of healthcare compliance regulations.
  • Basic knowledge of medical and pharmaceutical claims processing practices
  • Thorough knowledge of medical coding terminology (e.g., Revenue, DRG, CPT, ICD-10, NDC codes)
  • Experience with Alteryx, SQL, and other data analysis tools.
  • Eastern Time Zone preferred 

Why Withum?

Withum is a firm built on the principle that the only limits to your growth are the ones you set for yourself. Our culture is centered around an expansion mindset, both in terms of the firm’s growth and the personal development of every team member. At Withum, you will find that your opportunities for advancement and success are directly tied to your initiative, ambition, and contributions. We actively encourage entrepreneurial thinking and reward those who take ownership of their careers.

Withum is experiencing rapid growth, with a strategic focus on expanding our footprint across key markets. As part of this expansion, we are investing heavily in our people, believing that a strong team forms the foundation for long-term success. For us, our people always come first, everything else follows from that core commitment.

If you want to be part of a forward-thinking firm that empowers you to take charge of your own professional journey, Withum is the place for you.

Take the first step toward a rewarding career in advisory services by joining Withum’s Advisory team today!

 

Be in a Position of StrengthSM. Start your career at Withum.

 

Withum will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.
 
No sponsorship is available for this position.

 

WithumSmith+Brown, PC is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, (including pregnancy), genetic information, marital status, domestic partnership status, familial status, affectional or sexual orientation, gender identity, citizenship status, national origin, disability or handicap, veteran status, weight, height, or any other classification protected by federal, state, or local law. Equal Employment Opportunity applies to all personnel practices, including (but not limited to) recruitment, hiring, training, promotion, termination, leaves of absence, compensation, discipline, evaluation, benefits, transfers, educational assistance, and social and recreational activities.

Our goal is to establish and maintain a work environment free from discrimination, coercion, and harassment. While the firm will not hire or promote any person who is not qualified for a job, we wish for our firm to be known as one that welcomes all qualified applicants, including those historically discriminated against, such as women, minority, disabled, and veteran applicants at all job levels and encourages their hire and promotion.

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