Sr Claims Systems Analyst — AI-Enabled

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr Claims Systems Analyst — AI-Enabled based in the United States.

The Sr Claims Systems Analyst — AI-Enabled combines deep healthcare claims expertise with technical problem-solving and AI-assisted development to improve claims processing accuracy and efficiency. In this role, you will investigate complex adjudication, pricing, benefits, configuration, and payment issues, identifying root causes and developing practical solutions. You will use SQL, claims system data, and AI coding tools to analyze defects, quantify financial impact, and prepare tested code changes for engineering review. Working closely with Claims Operations and Engineering, you will help resolve production issues, reduce recurring errors, and strengthen automated controls and workflows. This opportunity is ideal for an experienced payer operations specialist who enjoys hands-on technical work and can take an issue from initial investigation through to an engineering-ready solution. You will contribute to a fast-growing healthcare environment focused on improving payment accuracy, reducing administrative costs, and making healthcare more accessible.