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Remote Claims Quality Analyst Jobs in Raleigh, NC

IQVIA

Data Analytics Analyst II

Durham, NC · Remote

$56K - $140K/yr

... our proprietary claims engine. From our position atop this wealth of information, we seek to ... A willingness or ability to travel as needed ( This is a remote / WFH role open to candidates ...

ClinDCast LLC

EHR Epic Analyst

Cary, NC · Remote

EHR Epic Analyst Duration: 5+ Months Start Date: ASAP Location: Remote (Based in Raleigh, NC ... Strong experience in software quality assurance, testing, and project management . This is a remote ...

The Wilson Group KW23

Data Analyst

Raleigh, NC · On-site +1

This is a remote full-time post with lots of possibilities for advancement. By means of data ... Suggest and implement modifications to data processes and systems to raise data quality and ...

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All JobsClaims Quality Analyst JobsRemote Claims Quality Analyst JobsRemote Claims Quality Analyst Jobs in Raleigh, NC

Remote Claims Quality Analyst information

See Raleigh, NC salary details

$14

$26

$50

How much do remote claims quality analyst jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote claims quality 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 is the difference between Remote Claims Quality Analyst vs Remote Claims Examiner?

AspectRemote Claims Quality AnalystRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; certifications like CPC or CCAHigh school diploma or equivalent; certifications like CPC or CCA
Work EnvironmentRemote, quality assurance focus, reviewing claims for accuracyRemote, processing and reviewing insurance claims
Industry UsageUsed across insurance companies for quality controlUsed across insurance companies for claims processing
Common Search/ComparisonYesYes

The Remote Claims Quality Analyst primarily focuses on reviewing and ensuring the accuracy of insurance claims, emphasizing quality control. In contrast, the Remote Claims Examiner processes and evaluates claims for approval or denial. Both roles often require similar certifications and work in remote insurance environments, but their core responsibilities differ—quality assurance versus claims processing.

What are the most commonly searched types of Claims Quality Analyst jobs in Raleigh, NC? The most popular types of Claims Quality Analyst jobs in Raleigh, NC are:
What are popular job titles related to Remote Claims Quality Analyst jobs in Raleigh, NC? For Remote Claims Quality Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Quality Analyst jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Quality Analyst jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Quality Analyst jobs? Cities near Raleigh, NC with the most Remote Claims Quality Analyst job openings:
Remote Claims Quality Analyst jobs near you
Infographic showing various Remote Claims Quality Analyst job openings in Raleigh, NC as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $55,384 per year, or $26.6 per hour.

Data Analytics Business Analyst (Full-Time Remote)

Alliance

Morrisville, NC • On-site, Remote

$81K - $104K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

The Data Analytics Business Analyst gathers and documents business and technical needs for data and analytics projects, converts them into analytical specifications and test plans, assists in building and validating dashboards, reports, and predictive models, and safeguards data quality and HIPAA compliance across all analytical solutions.
This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed.
Responsibilities & Duties
Elicit and Document Analytics Requirements
  • Lead discovery meetings to capture business objectives, key performance indicators (KPIs), and reporting needs
  • Capture data source requirements, frequency, granularity, and any service level expectations (e.g., refresh windows)
  • Produce requirements artifacts such as Business Requirements Documents (BRDs), data modeling diagrams, and acceptance criteria that define the desired analytics outcomes
  • Analyze and Profile Data Perform data profiling on source systems (e.g., relational databases, data lakes, SaaS APIs) to understand completeness, consistency, and distribution of fields
  • Conduct gap analysis to identify missing attributes or mismatches against reporting specifications
  • Document data quality issues, propose validation rules, and define reconciliation procedures that support accurate analytics

Translate Requirements into Analytical Specifications
  • Develop detailed functional and technical specifications for data models, dimensional schemas (star/snowflake), and analytical pipelines (ETL/ELT, data wrangling scripts, BI tool configurations)
  • Collaborate with data engineers, data scientists, and BI developers to align design patterns, naming conventions, and reusable components
  • Ensure specifications address scalability, security (including HIPAA related data handling), and maintainability of analytical solutions

Plan and Execute Testing of Analytical Solutions
  • Create test plans, test cases, and validation data sets for unit, integration, and user acceptance testing of dashboards, reports, and predictive models
  • Support business stakeholders with UAT; log defects, prioritize fixes, and oversee retesting cycles
  • Verify performance (e.g., query response time, model runtime) against agreed upon thresholds

Support Implementation and Ongoing Operations
  • Assist with go live activities such as preparation of runbooks, standard operating procedures (SOPs), and cut over checklists for analytics releases
  • Monitor initial production runs, perform data reconciliations, and address any discrepancies that arise
  • Participate in incident response, root cause analysis, and documentation of lessons learned for continuous improvement

Maintain Documentation and Knowledge Base
  • Keep current inventories of data sources, data dictionaries, lineage diagrams, and model documentation up to date
  • Author and refresh end user guides, technical "how to" documents, and metadata catalogs in line with departmental standards

Communication and Collaboration
  • Translate complex analytical concepts into clear language for both technical and non technical audiences
  • Partner with internal business units, external data providers, and vendor teams to ensure alignment on data definitions, delivery schedules, and reporting expectations
  • Contribute to data governance initiatives, supporting standards for data stewardship, privacy, and compliance

Continuous Improvement
  • Identify opportunities to streamline analytics workflows through reusable templates, automation (e.g., CI/CD pipelines for data models), and self service tooling
  • Define and track analytics related KPIs such as report delivery timeliness, data quality error rates, and model accuracy
  • Recommend best practice enhancements to increase efficiency, data reliability, and user satisfaction

Minimum Requirements
Education and Experience
Vocational or Technical Training in in Computer Science, Information Systems, Business Administration, or a related field; and six (6) years of experience in data analytics or data science;
Or
Associate's degree from an accredited university in Computer Science, Information Systems, Business Administration, or a related field; and five (5) years of experience in data analytics or data science;
Or
Bachelor's degree from an accredited university in Computer Science, Information Systems, Business Administration, or a related field; and five (3) years of experience in data analytics or data science.
Knowledge, Skills, & Abilities
  • SQL (preferably T-SQL)
  • Communication skills
  • Data Visualization Tools
  • Software Development Life Cycle (SDLC)
  • Data Governance
  • Documentation Tools and Platforms

Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.
Salary Range
$81,873-104,388/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
  • Medical, Dental, Vision, Life, Long and Short-Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

Equal Opportunity Employer
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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