CareSourceHiring

Claims Reimbursement Analyst II

  • Remote, United States
  • Mid-level
  • Posted 2 days ago
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In one line

Analytical role on a health plan's claims team, checking that reimbursements are paid correctly and match contracts; remote-friendly with standard hours.

About the role

Remote work with a cross-functional group spanning claims, configuration and provider contracting. Success means fewer payment variances and cleaner, well-tested reimbursement logic.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Skills
Claims reimbursement, User acceptance testing, Root-cause analysis, Managed care, Government program products
Posted
2 Nov 2026
Last checked
3 Nov 2026

What you will do

  • Build and maintain reimbursement guidelines for assigned products so claims processes stay consistent and compliant
  • Analyze payment data and outcomes to spot discrepancies, trends and anomalies across providers and products
  • Run user acceptance testing and post-production checks on configuration and reimbursement logic

What they look for

  • Bachelor's degree in business, healthcare administration, finance or analytics, or equal work experience
  • Three years in product management, reimbursement policy or claims, plus two years in healthcare reimbursement or payment operations
  • Familiarity with managed care and government program products

Nice to have

  • Prior work with state and federal regulators in a managed care setting

How Keywordise applies for you

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ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
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  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
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ChatGPT

  1. In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
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Connector URL
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Muse

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Message for Muse
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Muse is available in the US only for now.

Prompt
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How to connect

Questions about this job

Can I do this job remotely, and from which countries?

Yes. The posting lists Claims Reimbursement Analyst II as a remote role for candidates in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: bachelor's degree in business, healthcare administration, finance or analytics, or equal work experience; three years in product management, reimbursement policy or claims, plus two years in healthcare reimbursement or payment operations; familiarity with managed care and government program products. Skills it names include Claims reimbursement, User acceptance testing, Root-cause analysis, Managed care.

How do I apply with Keywordise AI?

Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.

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