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Remote Nurse Analyst Jobs (NOW HIRING)

Epic Certified Orders Analyst REMOTE 12+ Months Epic Orders Analyst provides application support ... The analyst collaborates with clinical providers, nursing staff, pharmacists, and ancillary ...

Epic Orders Analyst Remote Role Description: Epic Orders Analyst provides application support ... This position ensures that orders management workflows-such as provider order entry, nursing orders ...

REMOTE RN - Quality Review

Phoenix, AZ ยท Remote

$42 - $43.50/hr

Analyze trends and assist in identifying patterns in care delivery and outcomes * Collaborate with clinical leadership, including Medical Directors, to review findings * Participate in quality ...

... N Analysts responsible for producing Availity's Auth AI platform. Specifically, the Medical ... Remote, US Education and Experience: * MD/DO with at least 8 years of clinical experience. * At ...

LPN or RN CONTRACTOR REMOTE

Huntsville, AL ยท Remote

$25.50 - $34/hr

GRIFFIN Recruiters Job Openings >> LPN or RN CONTRACTOR REMOTE LPN or RN CONTRACTOR REMOTE Summary ... Analyze prospect requirements and needs to meet the client needs and resolve their problems

It is a 100% remote opportunity. For this role you must have a passion for healthcare data and ... Provide training and support to end-users, including physicians, nurses, and other healthcare staff ...

Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS ... remote environment while maintaining performance expectations. This position is ideal for ...

CDCE Data Analyst

Atlanta, GA ยท Remote

$52.37 - $65.06/hr

... remote setting. Minimum Required Qualifications: * Education - Bachelor's degree in Computer Sciences, HIM, Data analytics, * Nursing Experience - 4 years minimum experience Knowledge, skills, and ...

... remote setting. Minimum Required Qualifications: * Education - Bachelor's degree in Computer Sciences, HIM, Data analytics, * Nursing Experience - 4 years minimum experience Knowledge, skills, and ...

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Remote Nurse Analyst information

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$34.5K

$72.9K

$122.5K

How much do remote nurse analyst jobs pay per year?

As of Jun 9, 2026, the average yearly pay for remote nurse analyst in the United States is $72,854.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $76,000.00 per year, depending on experience, location, and employer.

What is a Remote Nurse Analyst job?

A Remote Nurse Analyst is a licensed nurse who reviews medical records, insurance claims, or healthcare data to ensure accuracy, compliance, and quality of care. They often work for insurance companies, healthcare organizations, or legal firms, analyzing patient documentation to identify trends, errors, or areas for improvement. This role requires strong attention to detail, clinical experience, and familiarity with medical coding and regulations. Since the job is remote, nurses use secure digital platforms to access and evaluate medical information while maintaining patient confidentiality.

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

A Remote Nurse Analyst requires an active RN license, strong clinical experience, and proficiency in data analysis and healthcare documentation. Familiarity with electronic health records (EHR) systems, medical coding tools, and relevant certifications such as Certified Professional in Healthcare Quality (CPHQ) or similar are often needed. Excellent attention to detail, critical thinking, and strong written communication help distinguish top candidates. These skills ensure accurate analysis and reporting of healthcare data, driving quality improvement and compliance initiatives from a remote setting.

What are some typical responsibilities of a Remote Nurse Analyst on a daily basis?

A Remote Nurse Analyst typically reviews clinical documentation, analyzes patient data, and prepares quality or compliance reports to support healthcare operations. Daily tasks often include collaborating with multidisciplinary teams via virtual meetings, ensuring coding accuracy, and identifying opportunities for process improvement. The role also involves keeping up-to-date with regulatory changes and employing best practices in healthcare analytics. By contributing to data-driven decision-making, Remote Nurse Analysts have a direct impact on patient care outcomes and organizational efficiency.

More about Remote Nurse Analyst jobs
What cities are hiring for Remote Nurse Analyst jobs? Cities with the most Remote Nurse Analyst job openings:
What states have the most Remote Nurse Analyst jobs? States with the most job openings for Remote Nurse Analyst jobs include:
What job categories do people searching Remote Nurse Analyst jobs look for? The top searched job categories for Remote Nurse Analyst jobs are:
Infographic showing various Remote Nurse Analyst job openings in the United States as of June 2026, with employment types broken down into 74% Full Time, 13% Part Time, 4% Temporary, and 9% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $72,854 per year, or $35 per hour.
Appeals & Grievance Nurse Analyst

Appeals & Grievance Nurse Analyst

BlueCross BlueShield of Tennessee

Chattanooga, TN โ€ข Remote

Full-time

Posted 13 days ago


Job description

We are hiring an Appeals & Grievance Nurse Analyst at BCBST!

In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare guidelines. You will evaluate cases, determine next steps, and manage multiple priorities while meeting strict turnaround times.

You will also review clinical and medical records, summarize findings for Medical Director review, and operate within turnaround times as short as 24-72 hours. Your work will play a critical role in maintaining regulatory compliance, improving member experience, and supporting high-quality outcomes through detailed case analysis and effective use of digital tools.

To be successful in this role, you'll bring strong analytical skills, attention to detail, and a customer-focused approach. You will be a strong candidate if you have knowledge of Medicare, CMS, and TennCare regulations, along with experience in appeals and grievance processes. Clinical knowledge, strong data entry accuracy, case management skills, and experience (or interest) in using AI tools such as Copilot to improve efficiency will further strengthen your candidacy.

Note
This is a fully remote role with a 40-hour workweek; flexibility is required based on business needs, including potential weekend coverage
Sponsorship is not available for this role

Job Responsibilities

  • Ensures timeliness and quality is met per regulations/guidelines.
  • Utilize multiple systems in order to appropriately research and document the substance and validity of the appeal or QOC grievance.
  • Evaluate and research medical necessity documentation submitted for clinical review including complex situations. Conduct outreach as applicable for clinical information and preparing case files for the Medical Director to review.
  • Create detailed member and provider specific individualized appeal and QOC grievance response letters; assess appeal and QOC grievance response letters for accuracy and compliance as well as providing recommendations for improvement, if needed.
  • Work collaboratively with the clinical and non-clinical staff for appropriate resolution of appeals and quality of care cases.

Job Qualifications

Experience

  • 3 years - Clinical nursing experience required

Skills\Certifications

  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills

License

  • Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.