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Remote Drg Analyst Jobs (NOW HIRING)

This individual must have excellent communication skills and an analytical mindset to achieve and ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...

DRG Clinical Validation Nurse

Manhattan, NY · On-site +1

$85K - $95K/yr

This individual must have excellent communication skills and an analytical mindset to achieve and ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...

Outpatient Analyst

Seattle, WA · On-site +1

$90K/yr

WORK SCHEDULE 100% FTE, Days 8:00 am - 5:00 pm Mondays - Fridays 100% REMOTE POSITION HIGHLIGHTS ... Respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or ...

WORK SCHEDULE 100% FTE, Days 8:00 am - 5:00 pm Mondays - Fridays 100% REMOTE POSITION HIGHLIGHTS ... Respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or ...

... DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote ... Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics

... DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote ... Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and ... DRG and/or specialty audits * Utilize applicable tools and resources to complete internal audits ...

... DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote ... Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics

This is a remote Work at Home position and can be located anywhere in the United States. In this ... Proactively use data analysis to identify opportunities for quality improvement and positively ...

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Remote Drg Analyst information

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How much do remote drg analyst jobs pay per year?

As of Aug 22, 2026, the average yearly pay for remote drg analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

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Cities with the most Remote Drg Analyst job openings:

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What states have the most Remote Drg Analyst jobs?

States with the most job openings for Remote Drg Analyst jobs include:

Medicaid Economics Data Analyst - Full Time - Remote Role

GD Resources

Sterling, VA • Remote

Full-time

Re-posted 18 days ago


Job description


Data Analyst III – Medical Economics
Location: Fully Remote (CST/EST preferred; CA candidates must start ~6:00am PST)
Type: Permanent
Salary: $85,000–$95,000 base + 8% target bonus 
Industry: Healthcare / Managed Care
Overview
We are expanding our Medical Economics team and are seeking a Data Analyst III with strong managed care analytics experience. This role focuses on Medicare, Medicaid, and Marketplace analytics, reimbursement methodologies, and financial performance insights that support affordability, quality, and MLR targets.
The ideal candidate has hands-on experience working with large healthcare datasets, payment methodologies, and cross-functional stakeholders, with exposure to actuarial or medical economics workstreams.
Key Responsibilities
  • Analyze Medicare, Medicaid, and Marketplace data to support medical cost, utilization, and reimbursement insights
  • Develop and maintain complex SQL queries to extract, validate, and analyze large datasets
  • Perform financial and medical cost analyses related to payment and reimbursement methodologies (DRG, APC, EAPG)
  • Build and maintain Power BI dashboards using DAX and Power Pivot to track KPIs, MLR, and QAI initiatives
  • Create advanced Excel models using Pivot Tables, Power Query, nested formulas, and lookups to support financial modeling
  • Collaborate with Medical Economics, Actuarial, Finance, and other cross-functional teams
  • Support evaluation of Quality & Affordability Initiatives (QAI) and Medical Loss Ratio (MLR) performance
  • Ensure data accuracy through validation, reconciliation, and documentation

Required Qualifications
  • Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field
    • Equivalent experience considered
  • 4+ years of experience working with large datasets, data management, and analytics
    • OR 2+ years of IT/data-focused experience with healthcare exposure
  • Strong experience in Managed Care / Medical Economics analytics
  • Demonstrated knowledge of payment and reimbursement methodologies (DRG, APC, EAPG)
  • Advanced SQL skills (complex SELECTs, multiple JOINs, subqueries)
  • Advanced Excel skills (Pivot Tables, Power Query, VLOOKUP/XLOOKUP, financial modeling)
  • Power BI experience, including DAX and Power Pivot

Preferred / Nice-to-Have
  • Experience with actuarial or financial analytics in a healthcare setting
  • Exposure to Python and/or R
  • Consulting experience within managed care or medical economics

Additional Notes
  • No relocation available
  • No sponsorship
  • This is a new position due to team expansion
  • Candidates with actuarial-adjacent experience or prior medical economics consulting backgrounds have been especially successful in this team

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