Research Analyst – Medical Management

Providence

Research Analyst managing solutions for claims payment integrity at Providence Health Plan. Collaborating with teams to analyze data and implement process improvements while working remotely.

Posted 5/12/2026full-timeRemote • California, Oregon, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $29,056 - $57,556 per yearWebsite

About the role

Key responsibilities & impact

Identify, develop, and implement solutions to improve accuracy and integrity of claims payments across the Plan.
Scope PI initiatives and analyze claims data.
Develop implementation assessment plans and collaborate with internal and external stakeholders.
Optimize payment processes by leveraging understanding of Providence Health Plan infrastructure and related functions.

Requirements

What you’ll need

Bachelor's Degree, or 3 years equivalent experience.
3 years experience with performance improvement/organizational change tools.
3 years experience working with large data sets and analytics teams.
3 years claims processing experience within the health insurance industry.
Experience with reimbursement methodologies, including the Centers for Medicare & Medicaid Services (CMS), provider contracts, and medical coding practices.
Healthcare experience in project coordination encompassing operations analysis, outcomes measurement methodology, data management and quality improvement process design.

Benefits

Comp & perks

Health care benefits (medical, dental, vision)
401(k) Savings Plan with employer matching
Paid parental leave
Paid vacations
Paid holidays
Time off benefits
Disability insurance
Life insurance
Voluntary benefits
Well-being resources

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analysisclaims processingperformance improvement toolsorganizational change toolsreimbursement methodologiesmedical coding practicesdata managementquality improvement process designoutcomes measurement methodologylarge data sets

Soft Skills

collaborationstakeholder engagementproject coordinationorganizational skillsanalytical skills

Certifications

Bachelor's Degree