Remote Health Insurance Operations Analyst

Naukri Mitra; United States; Remote; USD 63,000 - 77,000; Full time

Benefits offered by this job

Fully remote setup with tech allowance

Flexible working hours

Professional development stipend

Health, dental, and vision coverage

Generous paid time off

Job summary

Naukri Mitra is seeking a Remote Health Insurance Operations Analyst to optimize claims workflows, improve accuracy, and support member services in a fully remote environment. The role emphasizes analytics, cross-functional collaboration, and compliance across Health Plans.

The position offers a competitive salary, a remote-first culture, and opportunities for growth within a rapidly scaling team. Applicants from multiple international regions are welcome.

Qualifications

• Bachelor’s degree in healthcare admin, data analytics, or public health.
• 2–4 years in health insurance operations or claims analysis.
• Strong problem-solving and regulatory compliance skills.
• Proficient with data tools and health informatics platforms.

Responsibilities

• Analyze claims data and workflows to identify trends.
• Collaborate with cross-functional teams to improve operations.
• Design dashboards to monitor key health plan metrics.
• Ensure process documentation stays current for compliance.
• Lead initiatives to reduce waste and improve eligibility verifications.

Skills

Data analysis

Regulatory compliance

Communication

Problem solving

Education

Bachelor's degree in healthcare admin or related field

Tools

Power BI

Tableau

Looker

SQL

Excel

Job description

Remote Health Insurance Operations Analyst

Take charge of your future—and make an impact where it truly counts. Are you passionate about creating smoother, more intelligent systems in the healthcare industry? Are you ready to leverage your analytical talents in a remote environment that values innovation, flexibility, and personal growth? This is your chance to become a vital part of an expanding team on a mission to reimagine how health insurance operations are run. This is more than a job—it's your next big leap.

Why This Role Matters

In today’s fast-evolving healthcare landscape, the need for strategic, detail-oriented professionals has never been greater. As a Remote Health Insurance Operations Analyst, you will play a key role in optimizing workflows, improving claims accuracy, and helping ensure members receive the benefits they deserve, on time and without hassle. Your analytical mindset and operational knowledge will shape how we scale, support, and sustain our mission. With an annual salary of $70,210, this role offers financial reward and the fulfillment of meaningful work that touches lives daily. We’re growing fast; this is your moment to grow with us.

What You’ll Do

Be the engine behind operational excellence. In this role, you’ll drive improvement by identifying bottlenecks, automating outdated processes, and keeping our systems running at peak performance. You'll collaborate across departments to make our services faster, more innovative, and more efficient daily. Your key responsibilities will include:

• Analyzing healthcare claims data and insurance workflows to uncover trends and propose actionable insights.
• Collaborating with cross-functional teams to enhance provider network operations, claims processing, and member services.
• Designing dashboards and performance reports to monitor key health plan metrics and identify operational gaps.
• Supporting compliance with health insurance regulations by ensuring process documentation is always up to date.
• Leading initiatives that boost claims accuracy, reduce administrative waste, and streamline eligibility verifications.
• Using cloud-based platforms and enterprise tools to improve remote process management and operational tracking.
• Helping implement new systems or process improvements through change management and user training.

Tools & Technology

You’ll Use You’ll use cutting-edge digital tools designed for seamless remote collaboration and performance analytics to thrive in this role. You’ll get hands‑on experience with:

• Health insurance claims systems and benefits administration software.
• Business intelligence tools like Power BI, Tableau, or Looker are used for visualizing operational data.
• SQL and Excel for in-depth analysis and reporting.
• Remote productivity tools like Slack, Zoom, and project management platforms like Asana or Jira.

Work Environment

This fully remote opportunity is designed for professionals who thrive in a structured yet flexible work‑from‑home setting. Whether you’re analyzing data from your home office or brainstorming process enhancements with your team on Zoom, you’ll be empowered to do your best work without the commute. We promote:

• Autonomy and ownership of your projects.
• Clear communication and team alignment through weekly check-ins and planning sessions.
• A culture of continuous improvement and collaboration across departments.

What You Bring to the Table

You’re not just analytical—you’re resourceful, collaborative, and passionate about transforming the healthcare experience from the inside out. You care about the details, but you also see the bigger picture. We’re looking for candidates who bring:

• A bachelor’s degree in healthcare administration, data analytics, public health, or a related field.
• 2–4 years of experience in health insurance operations, medical claims analysis, or healthcare systems support.
• Strong problem‑solving skills and the ability to navigate complex regulatory or compliance requirements.
• Fluency in using data tools and health informatics platforms to interpret operational trends.
• Excellent written and verbal communication skills—especially in remote settings.
• The ability to prioritize multiple initiatives while staying results-driven and deadline-focused.

Perks That Set Us Apart

That Set Us Apart We believe people do their best work when they’re supported—personally and professionally. That’s why we’ve built a remote‑first culture with benefits that matter. Here’s what you can expect:

• Fully remote setup with tech allowance.
• Flexible working hours to suit your lifestyle.
• Ongoing professional development and learning stipends.
• Comprehensive health, dental, and vision coverage.
• Generous paid time off and wellness days.
• Virtual team events, offsite retreats, and more.

Your Growth Path

This isn’t just a job—it’s a launching pad. You’ll be at the forefront of initiatives defining healthcare operations' future. Your contributions will shape internal systems and impact thousands of members nationwide.

What’s more? We recognize and reward ambition. With time, dedication, and results, you can evolve into senior roles such as:

• Senior Operations Analyst – Health Plans
• Remote Process Improvement Lead
• Health Systems Strategy Consultant

Where We're Headed

We’re building smarter, more human-centric health systems—digitally, ethically, and with purpose. Our momentum is fueled by passionate professionals who believe in bettering lives through operational transformation. With increasing demand for efficient, member‑first experiences in health insurance, we’re scaling rapidly, and we want you to join us.

Your Next Big Opportunity Awaits—

This is your moment if you’re ready to apply your expertise, own meaningful projects, and thrive in a supportive remote culture. Make an impact in healthcare. Step into a career that challenges you, supports your goals, and rewards your ambition.

Building a Global Workforce: Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.