FULLY REMOTE Senior Medical Claims Analyst

TEKsystems; San Antonio (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading technology staffing company is seeking a fully remote Seasoned Medical Claims Analyst. Candidates should have over 5 years of in-depth research experience in PBM claims and at least 3 years of Excel expertise, including querying and V-lookups. This position offers a pay range of $35.00 - $45.00/hr with various benefits including medical and retirement options.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account

Employee Assistance Program

Time Off/Leave

Qualifications

• 5+ years of in-depth research within PBM claims.
• 3+ years of experience running queries in Excel and performing V-lookups.

Responsibilities

• Assist the client’s coupon process in claims system including review of claims.
• Work with Excel to run queries and adjust pricing for accurate billing.
• Perform manual Excel tasks daily.

Skills

Research within PBM claims

Excel queries and V-lookups

Tools

Excel

Job description

Overview

TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. If you have 5+ years of completing a deep level of research within PBM claims, and have 3+ years of experience running queries on Excel and completing V-lookups, please send your most updated resume to rsison @ teksystems.com - interviews are first come, first serve, and the client is moving quickly!

If you do not have the non-negotiables listed above, please do not apply to this role. Your application will be denied immediately.

Responsibilities

• Assist the client’s coupon process in their claims system, including reviewing full claims and applying coupons to ensure accurate billing.
• Work with Excel to run queries and reformulate pricing numbers so the final invoice reflects correct billing.
• Perform hands-on manual Excel work and formulas as part of daily tasks.

Qualifications

• 5+ years of in-depth research within PBM claims.
• 3+ years of experience running queries in Excel and performing V-lookups.

Pay and Benefits

The pay range for this position is $35.00 - $45.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 24, 2025.

About TEKsystems

We are partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.