LyricHiring

Clinical Analyst

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 5 days ago
In one line

Clinical role writing coverage criteria and claims logic for health plans, working with claims data and medical literature; US-based.

About the role

Health plans need fast, accurate coverage and payment decisions, and this job supplies the clinical content behind them. The work spans diagnostic testing, payment integrity and care delivery.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
Claims analytics, ICD-10-CM, MS Excel, Jira, Utilization management
Visa
No sponsorship
Posted
30 Oct 2026
Last checked
3 Nov 2026

What you will do

  • Use claims analytics to find where coverage criteria and claim edits could be added.
  • Read and judge medical literature to support evidence-based policy.
  • Draft and maintain coverage criteria by age, clinical picture and risk factors.
  • Recommend and program denial rules that match the written policies.
  • Enter clinical content into internal tools and support customers alongside customer operations.

What they look for

  • Bachelor's degree in biology, nursing, health sciences or a similar field.
  • Solid analytical skills across qualitative and quantitative information, plus clear written and spoken communication.

Nice to have

  • Master's degree in nursing, physician associate studies or similar.
  • Radiology technician, technologist or radiologist assistant certification.

How Keywordise applies for you

  1. 1Upload your CVAdd your CV once. It takes about a minute.
  2. 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
  3. 3The form fills itselfName, email, experience and screening questions, field by field.
  4. 4Application sentYou get a receipt and follow it in your dashboard.

Apply with Keywordise AI7-day free trial, no card.

Apply from your AI assistant

Connect Keywordise to your assistant once, then send it the prompt. It applies for you.

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

ChatGPT

  1. In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
  2. Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
  3. Log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
Apply to Keywordise job tqriprvrd2
How to connect

Questions about this job

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

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

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a mid-level role. The posting asks for: bachelor's degree in biology, nursing, health sciences or a similar field; solid analytical skills across qualitative and quantitative information, plus clear written and spoken communication. Skills it names include Claims analytics, ICD-10-CM, MS Excel, Jira.

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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