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Medical Claim Analyst Jobs

3,323 active opportunities · Updated for October 2026

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Explore current medical claim analyst jobs. Use filters to narrow by work mode, employment type, experience and date posted.

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Quality leadership at Baxter directly influences the safety, reliability, and availability of products used in patient care around the world. As Vice President, Global Quality Assurance for MDS, you will lead quality strategy across three global medical device businesses, supporting products from development through post-market use. You will strengthen quality systems, guide critical product decisions, and build a high-performing organization that enables innovation while protecting patients and maintaining regulatory compliance. Your Role at Baxter As Vice President, Global Quality Assurance, you will set the strategic direction for the MDS Quality organization and serve as a key member of the MDS and Global Quality leadership teams. Your scope will include global manufacturing quality, research and development quality, design quality, product quality, supplier quality

supply chainrecruitment
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Job Title: Clinical Pharmacist Banding: Band 8 Location: Northwest London Start Date: 1st October 2026 Duration: Until 31st October 2026 Hourly Rate: Competitive Working Hours: Monday to Friday, 09:00 to 17:00/17:30 (7.5 hours per day, Full-Time) Job Overview Pulse is currently seeking an experienced and motivated Band 8 Clinical Pharmacist to join the pharmacy team in Northwest London. This is an excellent opportunity to work within one of the UK's leading private healthcare hospitals, providing specialist clinical pharmacy services and supporting the safe, effective, and patient-centred use of medicines. The successful candidate will work closely with multidisciplinary teams to deliver high-quality pharmaceutical care, support medicines optimisation, and ensure the highest standards of clinical practice across inpatient services. Key Responsibilities Provide specialist clinical pharmacy services across designated wards and clinical areas. Review prescriptions and support the safe and effective use of medicines. Undertake clinical medication reviews and medicines reconciliation activities. Provide expert pharmaceutical advice to consultants, nursing staff, and other healthcare professionals. Support medicines optimisation initiatives to improve patient outcomes. Contribute to safe discharge planning and continuity of care. Participate in clinical governance, audit, and service improvement activities. Maintain accurate documentation in accordance with professional and regulatory standards. Qualifications and Experience Be registered with the General Pharmaceutical Council (GPhC). Have substantial hospital pharmacy experience. Demonstrate experience working at Band 8 level or equivalent. Possess strong clinical knowledge across a broad range of therapeutic areas. Be confident working independently and within multidisciplinary teams. Have excellent communication, organisational, and clinical decision-making skills. Experience within a private healthcare setting is des

recruitment
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G
Gilead
📍 California• $177.9K – $230.2K/yr
1mo ago

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 An exciting opportunity has arisen to join the U.S. Medical Affairs Team with a focus on Lymphoma & Leukemia. In this role, you will contribute to one of the recent, most impactful medical advancements in patient care and will work towards better outcomes for patients with hematological malignancies. We are seeking a highly motivated individual to join our U.S. Medical Affairs team as an Associate Director, to support our lymphoma franchise. This role will work cross-functionally with multiple stakeholders including: Field Medical, Commercial, Market Access, HEOR/RWE and Global Medical Affairs, along with other cross-functional subject matter experts and key business partners to implement on tactics consistent with overall in-line and pipeline strategy. This position will report to the U.S. Lymphoma Medical Strategy Lead. Position will be filled and report into Foster City, CA, El Segundo, CA, T

Excelproject managementrecruitment
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KH
K Health
📍 New York• $120K – $140K/yr
7 days ago

About the role: The Senior Operations Manager owns the daily performance of the Care Concierge function for a dedicated pod of health system clinics, and manages the people who deliver it. You are accountable for how Care Concierge agents are staffed, trained, coached, and held to a consistent standard across a 24/7 operation, so that clinics meet their SLAs without escalation. Success is measured on three outcomes: meeting SLAs by clinic at the lowest achievable cost per visit, converting scheduled appointments into completed visits, and preventing patient and partner escalations. A full pod supports 35+ Care Concierge staff working both in-person and remotely, so you will lead through Team Leads rather than a long list of direct reports. Leads own shift supervision and first-line issue resolution. You own pod performance, including the Leads themselves, and developing them into capable supervisors is a core expectation of the role. This role requires in-office presence in our New York office four days per week. People Management Leadership & Coaching: Manage and develop Team Leads with a consistent 1:1 cadence across day and overnight teams. Talent Lifecycle: Own hiring, onboarding, performance management, and schedule coverage for a 24/7 operation. Talent Development: Build an internal bench to promote Leads and Senior Agents from within. Run Daily Operations Operating rhythm: Manage clinic queues, monitor team performance, and clear blockers in real time. SLAs: Own SLA performance and act on leading indicators before they become patient or partner escalations. Workflow: Maintain SOPs, review workflows, and drive appointment conversion improvements. Manage escalations Per the SOP for routing clinical and non-clinical escalations: Non-clinical: Resolve operational, access, scheduling, and behavioral issues that exceed Lead authority. Clinical: Identify clinical, safety, and privacy issues and route them immediately to the right clinical or compliance ow

aisalesforcerecruitment
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KH
K Health
📍 New York• $50K – $55K/yr
15 days ago

About the role: We are seeking a patient-first minded Care Concierge Agent to join our Clinic Team. The successful candidate will take a white glove approach to handling the needs of patients within the Clinic. This includes coordinating appointments, providing information about treatment options, handling support questions, and managing provider schedules to ensure the clinic operates smoothly to deliver high quality medicine. Must be flexible including nights, weekends and some holidays. Core Competencies: Hospitality : ​​Care Concierge agents provide a warm and welcoming experience for both providers and patients, while being open and accommodating to new ideas and processes for continuous improvement. The ideal candidate will have a patient first mindset. Accountability : Care Concierge agents take responsibility for the patient and provider experience, follow through on commitments and hold themselves to delivering high-quality results.The ideal candidate will be able to work independently to contribute to the team’s goals. Enterprising : Care Concierge agents demonstrate resourcefulness, initiative and drive to tackle their work energetically and with curiosity.The ideal candidate has a “get it done” attitude. Professionalism : Care Concierge creates a positive and productive work environment for themselves and others. They achieve this by communicating with clarity and conciseness, actively listening and responding timely to requests.The ideal candidate is responsible and takes their work seriously. Collaboration and Feedback : Care Concierge agents work effectively with others towards shared goals, value different opinions and perspectives, are willing to assist others when needed and are flexible and willing to adjust to changing circumstances. The ideal candidate works with their team to support the overall patient experience of the clinic. What you will do: Patient Experience Management Develops close relationships with and serves as primary p

airecruitment
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Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X . About This Role: Axsome Therapeutics is seeking a Director/Senior Director, HEOR Modeling and Evidence Synthesis to serve as the company’s senior technical expert for health economic modeling and comparative evidence generation. Reporting to the Associate Vice President of Health Economics & Evidence Generation Strategy, this hands-on role will conceptualize, build, validate, interpret, and communicate fit-for-purpose models supporting marketed products and pipeline assets across rare and prevalent CNS conditions. The Director/Senior Director will lead the scientific strategy and execution of cost-effectiveness, budget impact, disease, and other decision-analytic models; and lead systematic literature reviews, indirect treatment comparisons, and formal network meta-analyses. The individual will partner closely with HEOR Product Leads, HEOR Analytics, Medical Strategy, Market Access, Publications, and other cross-functional colleagues to translate clin

pythonExcelrecruitment
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At Kailera, we are bold, authentic and committed to our mission of developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, we are working together to advance Kailera’s mission to advance novel therapies for obesity and related conditions. We are passionate about creating an inclusive workplace that promotes collaboration, integrity, and excellence. As we expand, we seek the most talented individuals with diverse backgrounds, cultures, perspectives, and experiences to join our team. What You’ll Do: The Associate Director, Scientific Communications is responsible for leading the strategic planning, development, and execution of high‑quality scientific communications that advance Kailera’s Medical Affairs objectives. As a key member of a highly collaborative and fast-moving team, this individual will shape scientific narratives, drive publication strategy, and ensure the delivery of clear, accurate, and impactful scientific communication materials. Required location: Waltham, MA (hub-based, onsite 3-4 days per week) Responsibilities: Provide strategic leadership for scientific communications across our portfolio of assets, including publications, field medical resources, medical symposia content, and internal/external training materials Lead cross‑functional planning discussions and oversee timely development of scientific communications deliverables in a dynamic, fast‑paced environment Manage external agencies, writers, and vendors to ensure high‑quality, cost‑effective execution aligned with program strategy Ensure all materials are scientifically rigorous, accurate, balanced, compliant, and consistent with Kailera policies and industry standards (e.g. GPP, ICMJE) Contribute to the evolution of scientific platforms, lexicons, and communication frameworks that support Kailera’s growing pipeline Represent Scientific Communication

WPP is the trusted growth partner for the world’s leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. We work with the world's most valuable brands and have global reach across 100+ markets, with deep local expertise. Our people are the key to our success. We're committed to fostering a culture of creativity, belonging and continuous learning, attracting and developing the brightest talent, and providing exciting career opportunities that help our people grow. For more information, visit WPP.com. Account Manager SECTION 1: ROLE OVERVIEW As an Account Manager, you will leverage your existing knowledge of the healthcare communications industry to play a pivotal role in managing client relationships and delivering high-quality, integrated communications programs. You will contribute to the success of the agency by overseeing the efficient execution of day-to-day tasks, ensuring that client objectives are met with precision and strategic foresight. Your responsibilities will range from managing tactical and administrative processes to developing strong relationships with mid-level clients and overseeing creative, strategic, and digital planning. You will also have a hands-on approach in ensuring that projects are managed effectively, meeting deadlines and financial targets. Under the guidance of senior team members, you will refine your leadership skills while providing mentorship to junior staff, supporting both their personal and professional growth. You will collaborate closely with clients and internal teams to deliver successful outcomes and will actively contribute to agency growth and new b

Excelproject managementrecruitment
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WPP is the trusted growth partner for the world’s leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. We work with the world's most valuable brands and have global reach across 100+ markets, with deep local expertise. Our people are the key to our success. We're committed to fostering a culture of creativity, belonging and continuous learning, attracting and developing the brightest talent, and providing exciting career opportunities that help our people grow. For more information, visit WPP.com. ACCOUNT EXECUTIVE JOB SUMMARY As an Account Executive at GCI Health, you will play an important role in ensuring that audiences experience our clients’ brands consistently, at all touchpoints, driving the greatest impact while retaining and building new business. You will support account teams’ day-to-day activities, providing exceptional client service and participating in integrated marketing communications (IMC), planning, execution and measurement activities. Key responsibilities include crafting professional, client-facing communications – such as updates on media opportunities, status reports, campaign summary reports and general account activity reports – so being a proactive and detail-oriented team member is a must! CORE JOB RESPONSIBILITIES Client Service: Keep up with the industry. Learn everything you can about your clients and understand the trends and issues (e.g., media, business, political and cultural) that could impact them, their competitors and the overall patient journey. Participate in client planning meetings and calls. Ask informed questions and absorb important details.

recruitment
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M
Midjourney
📍 San Francisco Bay Area• Full-time• Remote• $146K – $154K/yr
1mo ago

What You'll Do Physical scientist/engineer to take responsibility for testing and validation of novel hardware systems What We're Looking For Hands-on laboratory experience and the ability to work independently Familiarity with test and measurement equipment including: oscilloscopes, lock-in amplifiers, spectrum analyzers, PID controllers, etc. Proven diagnostic and troubleshooting skills, coupled with the drive to understand experimental results fully before proceeding Diligent record-keeping habits and facility with Python/Matlab/equivalent for data analysis and visualization Ability to work on-site (up to five days/week) in the San Francisco Bay Area Given the nature of the work, U.S. citizenship is required. Useful Experience Background in experimental physics, particularly in quantum or optical measurements Hands-on EE design and manufacturing experience: analog and digital electronics, board layout, soldering, etc. Excellent data presentation skills A desire to learn new skills outside your current area of expertise Proficiency using the latest AI tools to accelerate workflow

REMOTEpythonai
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M
Midjourney
📍 San Francisco Bay Area• Full-time• Remote• $237K – $250K/yr
1mo ago

What you’ll do Own the tissue-class segmentation and labeling models for the ultrasound CT clinical analysis layer, and the pipelines that make them trainable and verifiable. Retune across 2D per-slice, 3D volumetric, and 2D×3D fusion as reconstructed image inputs are continuously updated, and clinical indications for use expand. Define training/evaluation pipelines, datasets, and metrics from the ground up or from open source; map model behavior to user needs and design requirements. Work with data labeling contractors, expert clinicians, and our internal cloud/data teams on labeling specs, QC, and dataset versioning. Help productionize models into a versioned, HIPAA-bound analysis service: reproducible/low-latency inference, per-prediction confidence, drift monitoring, and safe fallbacks. What we’re looking for Strong applied ML experience with a track record of developing new models — architecting, training, and evaluating from scratch as well as benchmarking against existing models. Experience with image segmentation (semantic/instance, 2D and ideally 3D/volumetric) and the modeling and training-data choices that make it robust across diverse patient anatomy. Comfortable moving fluidly between open-ended research iteration and producing quantifiable, testable models. Fluent in modern deep-learning tooling (e.g., PyTorch) and current development practices. Comfortable working under design controls, where model changes carry documentation and verification weight. Useful experience Image segmentation and label generation with modern architectures (U-Net / nnU-Net, 3D U-Net, transformer-based and promptable segmentation like SAM), including the geometry that ties voxel- and mesh-level predictions back to a coordinate frame. Learning under limited or noisy supervision: self-supervised / semi-supervised methods (masked autoencoders, contrastive pretraining like DINO/SimCLR), active learning, weak labels, and simulation-driven pretraining. Hands-on experience with data

REMOTEmachine learning
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M
Midjourney
📍 San Francisco Bay Area• Full-time• Remote• $155K – $159K/yr
1mo ago

What You'll Do Midjourney is seeking physicists to develop revolutionary quantum hardware technologies. What We're Looking For Multiple years of experience working in experimental quantum physics (Ph.D.-level or similar) Proficiency in the design, implementation, and troubleshooting of experiments Hands-on experience with laser-based optical measurements Ability to work on-site (up to five days/week) in the San Francisco Bay Area Given the nature of the work, U.S. citizenship is required. Useful Experience: Broad familiarity with quantum computing and/or sensing platforms Track record of delivering cutting-edge systems that work outside the lab Strong physical intuition about fundamental signal origins and noise sources Hands-on experience with optics, optoelectronics, photodetectors, and optical fibers Familiarity with next-generation photonic technologies Experience inventing new tools and processes to address experimental challenges Proficiency using the latest AI tools to accelerate workflow Excellent data visualization and presentation skills

REMOTEai
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M
Midjourney
📍 San Francisco Bay Area• Full-time• Remote• $93K – $98K/yr
2mo ago

What you'll do Run human-subjects recording sessions end-to-end: participant prep and fitting, sensor configuration and calibration, stimulus delivery, real-time signal monitoring, and session documentation. Own daily system QC for a one-of-a-kind sensing instrument: baseline noise recordings, per-sensor health checks, log review, and escalation of anomalies before they touch a dataset. Own participant operations: recruitment coordination, scheduling, screening, consent, and compliant handling of participant records. Stand up and maintain the operational backbone of the program: SOPs for acquisition, QC, and participant workflows — documentation that survives you. Handle first-pass data operations: file conversion, organization, metadata, and quality review in Python. Partner daily with the program lead to refine acquisition protocols and improve system performance over time. What we're looking for Hands-on experience acquiring physiological or imaging data from human participants in a clinical or research setting Obsessive consistency and attention to detail: you notice when something is off and you don't let it slide. Professional, patient, and calm with research participants — sessions succeed or fail on how people feel in the room. Basic scripting ability (Python and/or shell) for QC and data-handling tasks, or clear aptitude and motivation to build it. High ownership of the unglamorous parts: scheduling, documentation, tidy data hygiene. Discretion — parts of this program are not yet public. We'll walk you through the specifics, including the exact technology you'd be operating, in the first conversation. Useful experience Controlled or low-noise recording environments and highly sensitive instrumentation. Physiological signal-processing tools in Python. Human-subjects research administration (IRB protocols, consent workflows). Research studies involving structured tasks or sensory protocols with human participants.

REMOTEpythonrecruitment
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M
2mo ago

What you’ll do Execute weekly system-level exploratory testing across the scanner and supporting software; log and triage issues with clear reproduction steps. Work with engineering to debug root cause and validate fixes. Help maintain the DHF and traceability between user needs, design requirements, tests, and results. Own practical test execution logistics (fixtures, test data, environments, calibration artifacts) and keep things repeatable. Help build the continuous testing strategy: automated tests where feasible, plus structured manual and system tests. Support V&V activities, including coordination with external partners as needed. What we’re looking for Strong hands-on testing instincts for complex electromechanical systems with substantial software. Ability to write clear bug reports and communicate risk/impact. Experience building and maintaining test plans/protocols; comfort operating lab equipment and debugging across layers. Useful experience Experience testing complex systems end-to-end (automation where it pays off, plus hands-on hardware/instrumentation). Medical device or other safety-critical environments and comfort translating risk into practical test coverage.

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