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Healthcare Claims Functional Analyst

Contract · In Office · Baltimore, Maryland (USA)

Posted Jul 9, 2026

Work Options
Skills
Industry
Job Type
Position Group
  • Healthcare Claims Functional Analyst
  • Location: Baltimore (Canton), MD (100% Onsite)
  • Job Type: Contract-to-Hire (6 Months)
  • Pay Rate: $33/hour W2
  • About the Role
  • We are seeking a Healthcare Claims Functional Analyst to join a leading healthcare organization in Baltimore, MD. This is a 100% onsite Contract-to-Hire opportunity supporting the operations team responsible for healthcare claims analysis, validation, reporting, and benefits system updates.
  • Key Responsibilities
  • Analyze healthcare claims data from various sources, primarily Microsoft Excel.
  • Validate and map claims information into the organization's benefits system.
  • Research claims discrepancies and identify root causes.
  • Review, analyze, and maintain claims-related reports and data.
  • Perform data entry with a high level of accuracy.
  • Develop and execute testing procedures to validate system updates and enhancements.
  • Document testing results and operational processes.
  • Create and maintain Standard Operating Procedures (SOPs).
  • Provide operational support by answering questions and assisting internal users.
  • Participate in process improvement initiatives to enhance operational efficiency.
  • Required Qualifications
  • High School Diploma or GED required; Bachelor's Degree preferred
  • Minimum 2 years of healthcare insurance claims experience
  • Strong understanding of healthcare claims processing and claims validation
  • Excellent data entry skills with exceptional attention to detail
  • Advanced Microsoft Excel skills including:
  • Pivot Tables
  • VLOOKUPs
  • Data analysis and reporting
  • Strong analytical and problem-solving abilities
  • Excellent communication and organizational skills
  • Preferred Qualifications
  • Experience with ICD-9 and/or ICD-10 coding
  • Experience with FixIT
  • Experience with Adobe
  • Experience with LuminX
  • Previous experience as a Healthcare Claims Analyst
  • Strong Claims Processors with analytical experience are encouraged to apply
  • Work Schedule
  • Monday – Friday
  • 40 hours per week
  • 8:00 AM start time (strict)
  • 100% onsite in Canton, Baltimore, MD
  • Additional Information
  • Contract-to-Hire (6 months)
  • Conversion salary: Approximately $65,900 annually
  • Local candidates only (within approximately 10–15 miles of Canton, MD)
  • Must be authorized to work in the U.S. (U.S. Citizen or Green Card holder)
  • During the contract period, candidates must use their own Windows-based laptop (Mac devices are not permitted). A company laptop will be provided upon permanent hire.
  • Interview process consists of one to two rounds (video interview followed by onsite, or direct onsite interview).

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Healthcare Claims Functional Analyst

ZealoTech People

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