Medical Claim Analyst Jobs

We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description We are seeking a highly motivated individual for the role of Project Engineer, in the Engineering team within our Facilities and Engineering department. In this role, you will provide technical leadership for site projects and engineering changes involving facilities, utilities and equipment. You will translate business and operational needs into robust engineering solutions that meet safety, quality, compliance, cost and schedule requirements. Working closely with Project Managers and cross-functional stakeholders, you will guide technical solutions from problem definition and feasibility through design, execution, handover and operational readiness. You will join a team in which employees of all backgrounds and experiences are respected, and you will report to the Sr. Manager Engineering. Role: Lead the technical definition, design and delivery of facility, utility and equipment projects within the site portfolio. Translate business needs, problem statements, user requirements and operational constraints in

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This RN Case Manager position is 100% remote and candidates can apply from any state but must work the stated hours. There is a preference for nurses in a compact RN licensure state, however, that is not required. Normal Working Hours: Monday through Friday between the hours of 8:30am – 5:00pm in their time zone for a scheduled 8-hour shift. Weekends and holidays may be required per the needs of the department. Currently, both weekends and holidays are on-call only and covered on a volunteer basis. Less than 5% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness. RN Case Manager: – Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This RN Case Manager position is 100% remote and candidates can apply from any state but must work the stated hours. There is a preference for nurses in a compact RN licensure state, however, that is not required. Normal Working Hours: Monday through Friday between the hours of 8:30am – 5:00pm in their time zone for a scheduled 8-hour shift. Weekends and holidays may be required per the needs of the department. Currently, both weekends and holidays are on-call only and covered on a volunteer basis. Less than 5% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness. RN Case Manager: – Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This RN Case Manager position is 100% remote and candidates can apply from any state but must work the stated hours. There is a preference for nurses in a compact RN licensure state, however, that is not required. Normal Working Hours: Monday through Friday between the hours of 8:30am – 5:00pm in their time zone for a scheduled 8-hour shift. Weekends and holidays may be required per the needs of the department. Currently, both weekends and holidays are on-call only and covered on a volunteer basis. Less than 5% travel may be required for on-site meetings, trainings, or system updates, or to meet licensure requirements e.g., finger printing. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness. RN Case Manager: – Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as

The pay range per hour is $32.40 - $35.40. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . Available Shift: Saturday, Sunday, Monday from 5:00pm - 5:00am About us: Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. <a target="_blank" href="https://corporate.target.com/ab

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Community Health Worker Company: Oak Street Health Role Description: The purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient’s advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High levels of flexibility, problem solving, strong communication, and an intimate knowledge of the community served are required to be successful. CHWs work closely with Medical Social Workers to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. CHWs are expected to work within their scope of practice. There is no expected clinical license for this position. Core Responsibilities: Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs Manage patient referrals defined by the care team & collaborate with the Medical Social Work

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will use your clinical expertise to review cases, assess medical necessity, coordinate care, and help ensure members receive appropriate, high-quality healthcare services. What You'll Do Review clinical information and apply evidence-based criteria to support coverage determinations and care recommendations. Collaborate with providers, care teams, and internal partners to coordinate treatment and services. Identify opportunities to improve healthcare quality, outcomes, and benefit utilization. Refer members to appropriate programs and services that support their overall health needs. Serve as a clinical resource for utilization and benefit management questions. What We're Looking For - Required Qualifications Active, unrestricted RN license in your state of residence. 2&#43; years of RN experience in an adult acute care or critical care setting. Associate Degree in Nursing. Strong communication, multitasking, and computer navigation skills. Ability to work a designated schedule of 8:00 am to 5:00 PM

We anticipate the application window for this opening will close on - 3 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life As one of three comprehensive portfolios at Medtronic, Neuroscience is dedicated to improving the lives of people living with neurological disorders, spine conditions, and chronic pain. Guided by our Mission—to alleviate pain, restore health, and extend life—we develop technologies and therapies that help people regain function, reduce pain, and return to the activities that matter most. Our ENT operating unit provides innovative technologies for sinus, otology, neurotology, head & neck, skull base, and airway care. With advanced instruments, image-guided systems, and implants, we enhance precision, safety, and efficiency, supporting clinicians with education and clinical guidance to improve patient outcomes. Check us out on LinkedIn: Medtronic ENT Medtronic’s ENT Operating Unit is dedicated to advancing surgical care through innovative technologies that enhance precision, efficiency, and patient outcomes. With a comprehensive portfolio that includes the StealthStation™ ENT Navigation System, M4 & M5 Microdebriders, and NIM™ Nerve Monitoring Systems, we empower surgeons with cutting-edge tool

We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 75% of travel to enhance collaboration and ensure successful completion of projects. In this exciting role as a Principal Field Clinical Specialist, you will provide day-to-day field clinical study support, technical and education support, and site management, coordination and training for the Mitral and Tricuspid Therapies clinical programs. This role will promote clinical programs through education of current and new investigators, new technologies and case support to achieve safe patient outcomes and company objectives . The M&T Structural Heart Business is one of the fastest growing businesses in the medical device industry and expanding rapidly to serve patients globally. The Structural Heart and Aortic integrated operating unit offers <

We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 75% of travel to enhance collaboration and ensure successful completion of projects. In this exciting role as a Principal Field Clinical Specialist, you will provide day-to-day field clinical study support, technical and education support, and site management, coordination and training for the Mitral and Tricuspid Therapies clinical programs. This role will promote clinical programs through education of current and new investigators, new technologies and case support to achieve safe patient outcomes and company objectives . The M&T Structural Heart Business is one of the fastest growing businesses in the medical device industry and expanding rapidly to serve patients globally. The Structural Heart and Aortic integrated operating unit offers <

We anticipate the application window for this opening will close on - 3 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Facilities function is responsible for maintaining and optimizing building infrastructure, equipment, utilities, and support services to ensure safe, reliable, and efficient operations. This team oversees facility maintenance programs, capital improvement projects, contractor management, space planning, building systems, and workplace services that support day-to-day business operations. This onsite position is based at the distribution center in Swedesboro, New Jersey. The Senior Facilities Supervisor provides leadership for facility operations, maintenance activities, vendor services, and continuous improvement initiatives across the site. No travel is required for this position. The Senior Facilities Supervisor leads facility operations and maintenance activities to support a safe, compliant, and efficient workplace. This role oversees team performance, facility systems, contractor activities, maintenance planning, and site improvement projects while ensuring reliable building operations and service delivery. Primary Responsibilities Lead daily facilities operations and maintenance activities across building systems, equipment, and site services Supervise, coach, and develop facilities p

Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life A career at Medtronic is like no other. We’re purposeful. We’re committed. And we’re driven by our Mission to alleviate pain, restore health and extend life for millions of people worldwide. A Sr. Process Engineer is responsible for developing, optimizing, and maintaining manufacturing processes to ensure efficient, safe, and high‑quality production. This role focuses on improving process performance, reducing waste, and supporting continuous improvement initiatives across manufacturing operations. Key responsibilities typically include analyzing production workflows, implementing process improvements, troubleshooting manufacturing issues, and collaborating with cross‑functional teams such as quality, operations, and supply chain. The engineer also develops process documentation, validates new equipment or processes, and ensures compliance with regulatory and safety standards. The position requires strong analytical and problem‑solving skills, knowledge of manufacturing methods and quality systems, and the ability to use data to drive operational improvements. Manufacturing Process Engineers play a critical role in increasing productivity, maintaining product quality, and supporting scalable manufacturing operations. Responsibilities may include the following and other duties may be assigned. Provides technical and sustaining en

We anticipate the application window for this opening will close on - 5 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a highly motivated Finance Forward Deployed Engineer (FDE) to join our Finance Analytics and Transformation team. This role sits at the intersection of Finance, Data, Analytics, Automation, and Artificial Intelligence. Unlike a traditional data engineering or analytics role, the Forward Deployed Engineer will work alongside Finance teams to deeply understand business processes, identify high-value opportunities, and rapidly design, deploy, and scale solutions that improve how Finance operates and makes decisions. The ideal candidate combines strong Finance and business acumen with hands-on technical capabilities. This individual will be comfortable participating in forecasting, planning, performance reviews, management reporting, and other Finance processes while also working directly with data, building analytical solutions, automating workflows, and applying emerging AI capabilities. The role requires a strong builder mindset: someone who can move from an ambiguous business problem to a working solution, partner with users to iterate quickly, and ultimately transition successful solutions into scalable enterprise capabilities. At Medtronic, we bring bold ideas forward with speed and

We anticipate the application window for this opening will close on - 28 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Cardiac Rhythm Management (CRM) portfolio delivers therapies designed to restore, support, and protect every heartbeat through advanced pacing, defibrillation, and remote monitoring solutions. CRM's unique ability to pair proven life-saving therapies with intelligent technology gives clinicians and patients greater confidence. Clinical impact and innovation come together to improve lives through meaningful patient outcomes. Provide technical, educational, operational and sales support to assist the district in meeting Cardiac Rhythm Management (CRM) sales and customer service objectives . CR M seeks collaborative candidates who will meet our customer expectations by striving without reserve for the greatest possible reliability and quality in our products, processes, and systems by being accountable, having a voice and acting promptly . This role supports the Baltimore territory and requires candidates to

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary : Sales Executives are professionals who help us build our Small & Mid Sized Group market business via the broker distribution channels for Medical and Ancillary products. Their goal is to understand and meet customer needs using Aetna’s and CVS’ combined products and services. This position is eligible to participate in our sales incentive compensation program. Fundamental Components: Builds strategic partnerships with assigned producers and customers to achieve profitable growth and cross sell objectives for assigned business or customer segments, products, and assigned geographies. Strong understanding of customer needs and expectations across multiple market segments. Moderate influence on the sale and retention of business. Oversees targeted business prospects to develop new opportunities and cross sell business to ensure profitable customers and help grow the business through consultative consulting, issue resolution, and superior service. Manages and builds producer relations as needed depending on book of business or market segment(s) being supported. Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines