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Remote Claims Analyst Jobs in Raleigh, NC (NOW HIRING)

Manager, Data Engineer (Remote)

Raleigh, NC ยท Remote

$100K - $174K/yr

As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.

Manager, Data Engineer (Remote)

Raleigh, NC ยท Remote

$100K - $174K/yr

As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... Must have a current Epic Tapestry Certification (any of these Claims, Membership, Enrollment ...

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Remote Claims Analyst information

See Raleigh, NC salary details

$14

$26

$50

How much do remote claims analyst jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for remote claims analyst in Raleigh, NC is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $19.62 and $30.62 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Claims Analyst position, and why are they important?

Excelling as a Remote Claims Analyst requires strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, typically supported by a relevant bachelor's degree or work experience in insurance or finance. Familiarity with claims management software (such as Guidewire or Xactimate), proficiency in Microsoft Office Suite, and knowledge of data security protocols are highly valuable, while certifications like AIC (Associate in Claims) can be advantageous. Outstanding organizational abilities, time management, strong written and verbal communication, and problem-solving skills help set top performers apart in this remote role. These competencies ensure accurate claim assessments, efficient remote collaboration, and high levels of customer satisfaction.

What are some common challenges faced by Remote Claims Analysts, and how can they be overcome?

Remote Claims Analysts often encounter challenges such as managing a high volume of claims, communicating complex case details virtually, and staying organized without on-site supervision. To overcome these, successful analysts use robust task tracking systems, maintain proactive communication with colleagues and clients through digital channels, and regularly update their knowledge of industry practices. Time management and self-motivation are key to meeting deadlines in a remote work environment. Many employers also provide online training and resources to help analysts adapt and grow in their roles.

What is a Remote Claims Analyst job?

A Remote Claims Analyst reviews and processes insurance claims from a remote location, ensuring accuracy, compliance, and adherence to company policies. They analyze claim details, verify documentation, and determine coverage eligibility. The role may also involve communicating with policyholders, healthcare providers, or other parties to gather necessary information. Strong analytical skills and knowledge of insurance regulations are essential for success in this position.

What are the most commonly searched types of Claims Analyst jobs in Raleigh, NC? The most popular types of Claims Analyst jobs in Raleigh, NC are:
What are popular job titles related to Remote Claims Analyst jobs in Raleigh, NC? For Remote Claims Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What cities near Raleigh, NC are hiring for Remote Claims Analyst jobs? Cities near Raleigh, NC with the most Remote Claims Analyst job openings:
Infographic showing various Remote Claims Analyst job openings in Raleigh, NC as of June 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Contract. Highlights an 82% Physical, 7% Hybrid, and 11% Remote job distribution, with an average salary of $55,384 per year, or $26.6 per hour.
340B Program Compliance Analyst Certified

340B Program Compliance Analyst Certified

UNC HEALTH

Morrisville, NC โ€ข On-site, Remote

$28.87 - $41.50/hr

Full-time

Posted 19 days ago


Job description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Certified Compliance Analyst demonstrates a high level of expertise and skill in the 340Bprogram through direct 340B experience and by completing 340B Apexus Certification. The role includes serving as a SME on implementation projects, participating in external audits, presenting educational content, and developing and presenting corrective action plans from audit findings to stakeholders..
Responsibilities:
Develop, optimize, and perform routine and ad-hoc complex audits to resolve compliance gaps while minimizing drug expense.
Critically evaluate findings from audits to determine appropriate next steps. If problems or gaps are identified through audits, develop and execute action plans to resolve identified problems or gaps in collaboration with organizational leadership and stakeholders.
Serve as subject matter expert on implementation projects with external vendors; complete follow up deliverables; engage stakeholders to ensure resolution of issues.
Develop relationships with internal and external counterparts to facilitate productive exchanges of information to improve program efficiency.
Review system logic and configuration settings for each third party administrator system to ensure compliance of claims qualification.
Demonstrate understanding of and ability to articulate 340B Program requirements and best practices.
Present compliance education and other relevant topics to 340B Oversight Council and stakeholders.
Coordinate annual program audits for assigned entity in collaboration with organizational leadership. Support preparation for and execution of annual program audits and HRSA audits. Assist with training of new analysts.
Other Information
Other information:
Education Requirements:
โ€ข Bachelor's degree or equivalent.
Licensure/Certification Requirements:
โ€ข 340B Apexus Certified Expert
Professional Experience Requirements:
โ€ข One year of 340B experience required.
โ€ข AA with 3 years of pharmacy experience
Knowledge/Skills/and Abilities Requirements:
โ€ข Critical thinking ability Analytical skills Presentation skills
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Pharmacy 340B Programs
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $28.87 - $41.50 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.