Remote Clinical Analyst – Healthcare Payer & Utilization

Global Alliant Inc.; United States; À distance; USD 70 000 - 110 000; Plein temps

Résumé du poste

Global Alliant Inc. is seeking a Clinical Analyst for remote engagement. The role requires US citizenship due to federal regulations and the ability to obtain Public Trust Clearance.

The position supports utilization management, claims review, and provider communications, with responsibilities spanning policy interpretation and case resolution. The contract/FTE opportunity emphasizes strong Excel/reporting skills and formal healthcare education, with coverage aligned to 8 AM–6 PM EST.

Qualifications

• US Healthcare / US Payer / Provider experience
• Utilization Management / Utilization Review / Prior Authorization
• Clinical or healthcare educational background
• ICD-10, CPT, HCPCS
• Claims, denials, billing or medical-necessity review
• Provider communication / provider calls
• Healthcare policy research and interpretation
• Case investigation / issue resolution
• Excel and reporting
• SOP/process documentation
• Strong written and verbal communication
• Able to work 8 AM–6 PM EST coverage

Description du poste

Global Alliant Inc. is seeking a Clinical Analyst for remote engagement. The role requires US citizenship due to federal regulations and the ability to obtain Public Trust Clearance.

The position supports utilization management, claims review, and provider communications, with responsibilities spanning policy interpretation and case resolution. The contract/FTE opportunity emphasizes strong Excel/reporting skills and formal healthcare education, with coverage aligned to 8 AM–6 PM EST.