... vendor claims and document limitations, dependencies, and recovery paths. • Define data/model ... in remote analysis, stakeholder discovery, quality review, and international travel when assigned ...
... vendor claims and document limitations, dependencies, and recovery paths. • Define data/model ... in remote analysis, stakeholder discovery, quality review, and international travel when assigned ...
Schedule Analyst
Washington, DC · Remote
No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings Expected) in The CONUS - Located In ... schedule recovery plans, and delay risk. RESPONSIBILITIES AND DUTIES - Schedule Analyst ...
Schedule Analyst
Washington, DC · Remote
No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings Expected) in The CONUS - Located In ... schedule recovery plans, and delay risk. RESPONSIBILITIES AND DUTIES - Schedule Analyst ...
... vendor claims and document limitations, dependencies, and recovery paths. * Define data/model ... Participate in remote analysis, stakeholder discovery, quality review, and international travel ...
Quick apply
... vendor claims and document limitations, dependencies, and recovery paths. * Define data/model ... Participate in remote analysis, stakeholder discovery, quality review, and international travel ...
Epic Denials Manager
Rosslyn, VA · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Epic Denials Manager
Rosslyn, VA · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Epic Denials Manager
Mclean, VA · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Epic Denials Manager
Mclean, VA · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Epic Denials Manager
Washington, DC · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Epic Denials Manager
Washington, DC · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Analyst
Washington, DC · On-site +1
Manage and coordinate real-time disaster recovery efforts, ensuring timely and effective response ... Familiarity with virtual meeting platforms and remote collaboration tools * Experience with event ...
Analyst
Washington, DC · On-site +1
Manage and coordinate real-time disaster recovery efforts, ensuring timely and effective response ... Familiarity with virtual meeting platforms and remote collaboration tools * Experience with event ...
Analyst
Washington, DC · On-site +1
Manage and coordinate real-time disaster recovery efforts, ensuring timely and effective response ... Familiarity with virtual meeting platforms and remote collaboration tools * Experience with event ...
Analyst
Washington, DC · On-site +1
Manage and coordinate real-time disaster recovery efforts, ensuring timely and effective response ... Familiarity with virtual meeting platforms and remote collaboration tools * Experience with event ...
... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Develop financial analyses and strategic business cases that support executive decision-making.
... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Develop financial analyses and strategic business cases that support executive decision-making.
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
Interface Analyst - RevCycle - EHR
Rockville, MD · Remote
$1.2K/wk
This position is fully remote, US based only. This role requires you to obtain and maintain an in ... Analyze financial and administrative workflows including claims, remittances, eligibility, payment ...
Interface Analyst - RevCycle - EHR
Rockville, MD · Remote
$1.2K/wk
This position is fully remote, US based only. This role requires you to obtain and maintain an in ... Analyze financial and administrative workflows including claims, remittances, eligibility, payment ...
Senior Business Analyst - Medicaid - SQL
Washington, DC · On-site +1
$74K - $106K/yr
Serve as a lead analyst for complex, multisystem claims and financial processing activities within ... Remote work environment with occasional travel to Washington, DC or other Gainwell locations as ...
Senior Business Analyst - Medicaid - SQL
Washington, DC · On-site +1
$74K - $106K/yr
Serve as a lead analyst for complex, multisystem claims and financial processing activities within ... Remote work environment with occasional travel to Washington, DC or other Gainwell locations as ...
... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Prepare reports, analyses, and presentations for leadership audiences. Primary Responsibilities:
... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Prepare reports, analyses, and presentations for leadership audiences. Primary Responsibilities:
Business Analyst (Remote)
Columbia, MD · On-site +1
From comprehensive case management software to disaster recovery services and content management ... We're looking for a business analyst who shares our commitment to leveraging technology to make a ...
Business Analyst (Remote)
Columbia, MD · On-site +1
From comprehensive case management software to disaster recovery services and content management ... We're looking for a business analyst who shares our commitment to leveraging technology to make a ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
Regulatory Affairs Expert - Remote
Washington, DC · Remote
$50 - $80/hr
Identify regulatory risks, inconsistencies, and unsupported claims. * Prepare structured, guideline ... Excellent analytical, critical thinking, and written communication skills. * Degree in Life ...
Quick apply
Regulatory Affairs Expert - Remote
Washington, DC · Remote
$50 - $80/hr
Identify regulatory risks, inconsistencies, and unsupported claims. * Prepare structured, guideline ... Excellent analytical, critical thinking, and written communication skills. * Degree in Life ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
... Management Analyst to support KMS and our government customer. The position is remote. This ... Knowledge of business continuity and disaster recovery planning for government organizations. Our ...
Remote Claims Recovery Analyst information
What is a remote claims recovery analyst?
A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.
What are the key skills and qualifications needed to thrive as a remote claims recovery analyst, and why are they important?
To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.
What are some common challenges faced by remote claims recovery analysts, and how can they be managed effectively?
Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.
What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?
| Aspect | Remote Claims Recovery Analyst | Remote Insurance Claims Adjuster |
|---|---|---|
| Required Credentials | Claims certification, insurance knowledge | Adjuster license, insurance certification |
| Work Environment | Office or remote, claims department | Remote or on-site, claims handling |
| Employer & Industry | Insurance companies, third-party administrators | Insurance carriers, independent agencies |
| Common Search & Comparison | Claims recovery, debt collection | Claims assessment, settlement |
The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.
What are the most commonly searched types of Claims Recovery Analyst jobs in Washington?
The most popular types of Claims Recovery Analyst jobs in Washington are:
What are popular job titles related to Remote Claims Recovery Analyst jobs in Washington?
For Remote Claims Recovery Analyst jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Claims Recovery Analyst jobs in Washington look for?
The top searched job categories for Remote Claims Recovery Analyst jobs in Washington are:
What cities in Washington are hiring for Remote Claims Recovery Analyst jobs?
Cities in Washington with the most Remote Claims Recovery Analyst job openings:
AI, Data Platforms & Responsible AI Governance Lead - R-07B
Washington, DC • On-site, Remote
Full-time
Posted 7 days ago
Job description
AI, Data Platforms & Responsible AI Governance Lead - R-07B
Requisition: R-07B
Opportunity: 26-0015 / 1131PL26R0058
Location Anchor: Washington, DC 20001
Work mode: Fully remote / U.S.-based
Travel: Europe/Eurasia as assigned
Engagement: Contingent expert
Role purpose
Lead feasibility and project-scoping analysis for public-sector AI, data platforms, analytics, and responsible-AI governance within Europe/Eurasia digital-infrastructure opportunities. Translate policy goals and incomplete data environments into implementable use cases, architectures, governance controls, procurement requirements, budgets, schedules, and measurable outcomes.
Representative assignment problems
•Assess data availability, quality, ownership, interoperability, privacy, residency, security, institutional capacity, and public acceptance.
•Define AI/data-platform alternatives across cloud, data-center, edge, and connectivity environments.
•Evaluate model purpose, training and inference data, human oversight, explainability, bias, safety, cybersecurity, vendor lock-in, lifecycle cost, and operating capacity.
•Develop phased roadmaps, pilots, TOR/SOW requirements, budgets, schedules, acceptance tests, and responsible-AI controls.
•Support digital-government, critical-infrastructure, service-delivery, urban/municipal, geospatial, or cross-border data use cases when assigned.
Responsibilities
•Own AI/data analysis modules and integrate them with cybersecurity, data-center, connectivity, finance, regulatory, and regional work.
•Produce evidence-traceable inputs for Preliminary Assessments, Project Reports, TORs, independent budgets, schedules, and the cumulative Final Report.
•Distinguish proven use cases from speculative vendor claims and document limitations, dependencies, and recovery paths.
•Define data/model governance, monitoring, incident, human-approval, and independent-review requirements.
•Participate in remote analysis, stakeholder discovery, quality review, and international travel when assigned.
•Protect sensitive information and disclose actual, potential, or apparent conflicts.
Minimum evidence-based qualifications
•10+ years of relevant data-platform, AI/ML, analytics, digital-government, or technology-governance experience, with dated named projects; the résumé must separately show the duration of direct AI work.
•Direct responsibility for AI/data feasibility, architecture, governance, deployment roadmap, procurement/TOR/SOW, or implementation decisions-not only software development or tool use.
•Evidence addressing data quality, privacy, interoperability, model risk, cybersecurity, human oversight, adoption, and measurable outcomes.
•Public-sector, regulated-infrastructure, international-development, or Europe/Eurasia experience strongly preferred.
•U.S. citizen or lawful permanent resident; Axyde will request written confirmation but not identity documents during recruiting.
•Strong written English, independent technical judgment, contingent availability, and international-travel ability.
Evidence to submit
•Current résumé with month/year dates and exact project responsibilities.
•Short project list naming client, country, period, data/AI use case, architecture or governance product, and outcome.
•One nonproprietary example of an AI/data options analysis, roadmap, governance framework, procurement package, or TOR.
•Current city/state, hourly-rate expectation, availability, travel status, and employment/country/customer/conflict restrictions.
Application questions
1. Identify three relevant data/AI projects and state the years of direct AI work separately from general IT tenure.
2. Describe one public-sector or regulated-infrastructure use case and the decision product you led.
3. Explain how you addressed data quality, privacy/residency, cybersecurity, bias/model risk, human oversight, and vendor lock-in.
4. Describe one roadmap, procurement package, TOR/SOW, pilot design, or acceptance framework you produced.
5. Identify Europe/Eurasia countries/languages and international-development experience.
6. Are you a U.S. citizen or lawful permanent resident? Answer only yes/no/category; do not upload identity documents.
7. Confirm availability, travel ability, conflicts/restrictions, employer approvals, and rate expectation.
Contingent-opportunity notice
This posting supports a competitive federal proposal. It is not an offer or guarantee of employment, subcontract, hours, travel, award, or assignment. Selection is conditioned on written résumé authorization, evidence review, eligibility, availability, conflict review, rate agreement, proposal strategy, award, and customer direction. Do not submit passports, Social Security numbers, immigration documents, classified/export-controlled information, or customer-proprietary material.
Requisition: R-07B
Opportunity: 26-0015 / 1131PL26R0058
Location Anchor: Washington, DC 20001
Work mode: Fully remote / U.S.-based
Travel: Europe/Eurasia as assigned
Engagement: Contingent expert
Role purpose
Lead feasibility and project-scoping analysis for public-sector AI, data platforms, analytics, and responsible-AI governance within Europe/Eurasia digital-infrastructure opportunities. Translate policy goals and incomplete data environments into implementable use cases, architectures, governance controls, procurement requirements, budgets, schedules, and measurable outcomes.
Representative assignment problems
•Assess data availability, quality, ownership, interoperability, privacy, residency, security, institutional capacity, and public acceptance.
•Define AI/data-platform alternatives across cloud, data-center, edge, and connectivity environments.
•Evaluate model purpose, training and inference data, human oversight, explainability, bias, safety, cybersecurity, vendor lock-in, lifecycle cost, and operating capacity.
•Develop phased roadmaps, pilots, TOR/SOW requirements, budgets, schedules, acceptance tests, and responsible-AI controls.
•Support digital-government, critical-infrastructure, service-delivery, urban/municipal, geospatial, or cross-border data use cases when assigned.
Responsibilities
•Own AI/data analysis modules and integrate them with cybersecurity, data-center, connectivity, finance, regulatory, and regional work.
•Produce evidence-traceable inputs for Preliminary Assessments, Project Reports, TORs, independent budgets, schedules, and the cumulative Final Report.
•Distinguish proven use cases from speculative vendor claims and document limitations, dependencies, and recovery paths.
•Define data/model governance, monitoring, incident, human-approval, and independent-review requirements.
•Participate in remote analysis, stakeholder discovery, quality review, and international travel when assigned.
•Protect sensitive information and disclose actual, potential, or apparent conflicts.
Minimum evidence-based qualifications
•10+ years of relevant data-platform, AI/ML, analytics, digital-government, or technology-governance experience, with dated named projects; the résumé must separately show the duration of direct AI work.
•Direct responsibility for AI/data feasibility, architecture, governance, deployment roadmap, procurement/TOR/SOW, or implementation decisions-not only software development or tool use.
•Evidence addressing data quality, privacy, interoperability, model risk, cybersecurity, human oversight, adoption, and measurable outcomes.
•Public-sector, regulated-infrastructure, international-development, or Europe/Eurasia experience strongly preferred.
•U.S. citizen or lawful permanent resident; Axyde will request written confirmation but not identity documents during recruiting.
•Strong written English, independent technical judgment, contingent availability, and international-travel ability.
Evidence to submit
•Current résumé with month/year dates and exact project responsibilities.
•Short project list naming client, country, period, data/AI use case, architecture or governance product, and outcome.
•One nonproprietary example of an AI/data options analysis, roadmap, governance framework, procurement package, or TOR.
•Current city/state, hourly-rate expectation, availability, travel status, and employment/country/customer/conflict restrictions.
Application questions
1. Identify three relevant data/AI projects and state the years of direct AI work separately from general IT tenure.
2. Describe one public-sector or regulated-infrastructure use case and the decision product you led.
3. Explain how you addressed data quality, privacy/residency, cybersecurity, bias/model risk, human oversight, and vendor lock-in.
4. Describe one roadmap, procurement package, TOR/SOW, pilot design, or acceptance framework you produced.
5. Identify Europe/Eurasia countries/languages and international-development experience.
6. Are you a U.S. citizen or lawful permanent resident? Answer only yes/no/category; do not upload identity documents.
7. Confirm availability, travel ability, conflicts/restrictions, employer approvals, and rate expectation.
Contingent-opportunity notice
This posting supports a competitive federal proposal. It is not an offer or guarantee of employment, subcontract, hours, travel, award, or assignment. Selection is conditioned on written résumé authorization, evidence review, eligibility, availability, conflict review, rate agreement, proposal strategy, award, and customer direction. Do not submit passports, Social Security numbers, immigration documents, classified/export-controlled information, or customer-proprietary material.