Health Insurance Expert | Remote

Role Details

Compensation: $1.1K-$1.4K one-time

Work style: Remote

Duration: Project-based with potential ongoing engagement

Role Overview

Seeking experienced health insurance professionals to contribute domain expertise across coverage determination, claims workflows, plan design, and regulatory evaluation projects.

What You Will Be Doing

• Review and evaluate outputs related to coverage decisions, claims adjudication, and benefit design
• Create realistic scenarios based on utilization management, prior authorization, and payer workflows
• Annotate and validate data across insurance operations, policy interpretation, and coding accuracy
• Provide structured feedback on regulatory frameworks, compliance requirements, and industry terminology
• Collaborate asynchronously on evaluation and quality improvement initiatives

Who We Are Looking For

• Background in health plans, benefits administration, managed care, underwriting, or claims operations
• Strong familiarity with commercial plans, government programs, or utilization management workflows
• Experience with areas such as claims adjudication, benefits administration, compliance, actuarial analysis, or care management
• Strong analytical thinking with the ability to translate operational workflows into structured evaluations
• Clear written communication and high attention to detail

How To Apply

Click Easy Apply to proceed

Shortlisted candidates will be contacted with next steps