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Reconsideration Analyst Jobs (NOW HIRING)

J29 Inc.

Dispute Resolution Analyst I

Millersville, MD · On-site +1

$16.25 - $18.25/hr

Dispute Resolution Analyst Overview: J29, Inc. (J29) has been supporting commercial, State, and ... Builds a reconsideration/dispute resolution case file from evidence submitted and received and ...

TMF Health Quality Institute

ALJ Analyst

Austin, TX · On-site +1

Monitors the contractor's interactions with and support of reconsideration decisions rendered to ... Assists in performing data analysis on cases returned to higher-level appeal authority and ...

Avalon Healthcare Solutions

Business Claims Associate

Tampa, FL · On-site

$16.75 - $22.75/hr

... analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and ... Responsibilities of the Claims Associate includes the submittal of weekly Provider Reconsideration ...

Wolters Kluwer

Consultant, LBA QA

Minneapolis, MN · On-site

The Legal Bill Analysis ("LBA") process involves the prompt, accurate and efficient auditing of ... Address law firm requests for reconsideration of adjusted amounts while utilizing careful judgment ...

Wolters Kluwer

Consultant, LBA QA

Minneapolis, MN · On-site

The Legal Bill Analysis ("LBA") process involves the prompt, accurate and efficient auditing of ... Address law firm requests for reconsideration of adjusted amounts while utilizing careful judgment ...

Wolters Kluwer

Consultant, LBA QA

Minneapolis, MN · On-site

The Legal Bill Analysis ("LBA") process involves the prompt, accurate and efficient auditing of ... Address law firm requests for reconsideration of adjusted amounts while utilizing careful judgment ...

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Reconsideration Analyst information

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$123K

How much do reconsideration analyst jobs pay per year?

As of Jul 15, 2026, the average yearly pay for reconsideration analyst in the United States is $71,511.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,500.00 and $79,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Reconsideration Analysts when reviewing appeals, and how can they effectively address them?

Reconsideration Analysts often encounter challenges such as incomplete documentation, tight deadlines, and navigating complex regulations while reviewing appeals. To address these, it's important to maintain strong organizational skills, communicate clearly with both internal teams and claimants, and stay updated on relevant policies and procedures. Collaborating closely with other departments, such as medical review or legal teams, can also help ensure thorough and accurate assessments. Proactively seeking clarification and maintaining attention to detail are key strategies for success in this role.

What are Reconsideration Analysts?

Reconsideration Analysts are professionals who review and evaluate appeals or requests for reconsideration of decisions, often within insurance, healthcare, or government agencies. Their main responsibility is to assess cases where a claim, application, or request was initially denied, ensuring all relevant information and regulations are considered before making a new determination. They communicate with claimants, gather additional documentation if needed, and provide a thorough and unbiased review of each case. Reconsideration Analysts play a crucial role in ensuring fairness and compliance in the decision-making process.

What are the key skills and qualifications needed to thrive as a Reconsideration Analyst, and why are they important?

To thrive as a Reconsideration Analyst, you need strong analytical abilities, attention to detail, and knowledge of relevant regulations, often supported by a background in healthcare, insurance, or claims processing. Familiarity with claims management systems, case tracking software, and possibly certifications in medical coding or claims adjudication is usually required. Excellent communication, problem-solving, and organizational skills help you effectively review appeals and interact with stakeholders. These skills are crucial for ensuring accurate, timely, and fair resolution of reconsideration requests, ultimately supporting compliance and customer satisfaction.
More about Reconsideration Analyst jobs
What are the most commonly searched types of Reconsideration Analyst jobs? The most popular types of Reconsideration Analyst jobs are:
What job categories do people searching Reconsideration Analyst jobs look for? The top searched job categories for Reconsideration Analyst jobs are:
Reconsideration Analyst jobs near you
Infographic showing various Reconsideration Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $71,511 per year, or $34.4 per hour.
Reconsideration Analyst I (Part C)

Reconsideration Analyst I (Part C)

TMF Health Quality Institute

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 4 days ago

Job description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**
*This position is located Remote United States*
*This position requires working weekends, and rotating holidays as needed *
*Please note the start date is on or after July 6, 2026*
Position Purpose:
Serves as a support person for the reconsideration professionals and physician reviewers for second level reconsiderations resolutions.
Essential Responsibilities:
  • Coordinates the delivery of appeals case files resolution documents and reconsideration decisions from and to the external entities.
  • Builds a reconsideration case file from evidence submitted or auto-forwarded from Plans and analyzes each case to ensure it meets the requirements for a valid reconsideration as mandated by Centers for Medicare and Medicaid Services (CMS) or other customer entities.
  • Analyzes and makes decisions based on medical vs. non-medical case type, appeal/review categories, validity of appeal.
  • Inputs appropriate data regarding reconsiderations into the applicable required systems.
  • Responds to reconsideration from appellants//providers.

Minimum Qualifications
Education
  • High School Diploma or equivalent

Experience
  • One (1) year of general office experience
    • College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
  • Medicare Part C related appeals activities, preferred
  • Resided in the United States for a minimum of three (3) years out of the last five (5) years (Per Contract Requirement)

Benefits
C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement

EOE Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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