Medical Review Analyst II

Elevance Health

Medical Review Analyst II analyzing claims and medical records at Elevance Health. Virtual role with responsibilities including claims analysis and serving as a liaison for internal departments.

Posted 6/10/2026full-timeNorfolk • California, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $23 - $41 per hourWebsite

About the role

Key responsibilities & impact

Provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims
Utilize guidelines and review tools to analyze assigned claims and medical records
Approve or summarize and route claims to nursing and/or medical staff
Serve as a liaison between medical management and/or service operations and other internal departments
Serve as an internal resource for associates

Requirements

What you’ll need

Requires a HS Diploma or equivalent
Minimum of 5 years of claims processing or customer service experience
Experience with managing complex claims, provider, or member issues
Experience with medical coding and medical terminology required
Understanding of provider networks and medical record management processes preferred
Proficiency with internal local technology preferred
Associate Degree preferred.

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid Time Off
Paid holidays
Medical, dental, and vision benefits
Short and long term disability benefits
Wellness programs
Financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingmedical codingmedical terminologymedical record management

Soft Skills

communicationliaisoncustomer service

Certifications

HS DiplomaAssociate Degree