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Clinical Analyst

Role overview

Qualifications

  • US citizenship
  • Ability to obtain Public Trust Clearance
  • US Healthcare / US Payer / Provider experience
  • Clinical or healthcare educational background

Responsibilities

  • Utilization Management / Utilization Review / Prior Authorization
  • Claims, denials, billing or medical-necessity review
  • Provider communication / provider calls
  • Healthcare policy research and interpretation

About the company

Global Alliant Inc logo

Global Alliant Inc

IT Services & IT Consulting

Global Alliant (GA) is an award-winning IT and software development company recognized as one of the nation’s fastest-growing and most innovative technology leaders. We partner with federal, state, and local government agencies, providing cutting-edge solutions to tackle complex, mission-critical challenges. GA delivers adaptive program oversight and technical expertise by leveraging AI, digital transformation, cloud modernization, agile engineering, and process automation. Our commitment to innovation ensures we consistently exceed client expectations, driving transformative results across diverse sectors. Proven technology innovator focused more on maximizing efficiency and faster automation for better results. We are an 8(a) company with certifications including CMMI SVC and DEV Level 3 and ISO 9001, 20000, and 27001. We also have contract vehicles such as STARS III, GSA MAS, CIO-SP4 8(a), and FAA eFAST.

Company details

IndustryIT Services & IT Consulting
Company size51 - 200

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Job description

Job Title: Clinical Analyst

Job Location: Remote

Job Duration: Contract / FTE

Client: Federal

Criteria- Need US citizenship because of federal regulations and the sensitive nature of the work involved.

Ability to obtain Public Trust Clearance



Must-have skills

  • US Healthcare / US Payer / Provider experience
  • Utilization Management / Utilization Review / Prior Authorization
  • Clinical or healthcare educational background
  • ICD-10, CPT, HCPCS
  • Claims, denials, billing or medical-necessity review
  • Provider communication / provider calls
  • Healthcare policy research and interpretation
  • Case investigation / issue resolution
  • Excel and reporting
  • SOP/process documentation
  • Strong written and verbal communication
  • Able to work 8 AM–6 PM EST coverage

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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