We are looking for a detail-oriented Medical Claims Analyst to join a team supporting Medicaid audit and claims review activities in Raleigh, North Carolina. This contract opportunity is ideal for someone who can evaluate provider billing practices, examine payment accuracy, and contribute to compliance-focused reviews with growing independence. The role offers the chance to apply analytical judgment, strengthen audit documentation, and help improve the integrity of Medicaid-related claims operations.<br><br>Responsibilities:<br>• Review provider billing records and medical claim activity to identify discrepancies, validate payments, and assess adherence to Medicaid guidelines<br>• Carry out structured audit procedures for claims, denials, rejected claims, and billing documentation to support program integrity efforts<br>• Interpret applicable Medicaid requirements and federal regulatory standards when analyzing audit results and determining potential issues<br>• Develop clear working papers, summaries, and preliminary findings that accurately document testing performed and conclusions reached<br>• Partner with internal stakeholders to clarify claim exceptions, address audit questions, and support corrective action recommendations<br>• Analyze medical billing and Medicaid claim data to detect patterns, trends, and areas requiring additional review<br>• Contribute to compliance examinations involving provider assessments, payment verification, and operational claim review activities
We are looking for a Medical Claims Analyst to join our team in Raleigh, North Carolina on a Contract to permanent basis. This position is ideal for a detail-oriented individual who can evaluate Medicaid-related claims activity, support audit initiatives, and help maintain compliance with healthcare payment standards. The role offers the opportunity to work independently on analytical reviews while partnering with internal teams to strengthen accuracy, documentation, and regulatory alignment.<br><br>Responsibilities:<br>• Review provider records and claims activity to assess payment accuracy and identify discrepancies requiring follow-up.<br>• Perform audit procedures tied to Medicaid claims, billing practices, denials, and rejected claims to support program integrity efforts.<br>• Interpret Medicaid rules and applicable federal guidance when evaluating findings and determining compliance outcomes.<br>• Prepare organized workpapers, summaries, and preliminary reports that clearly document testing results and supporting analysis.<br>• Investigate claim issues and collaborate with stakeholders to address exceptions, recommend corrective actions, and support resolution plans.<br>• Analyze medical billing and reimbursement data to detect trends, payment concerns, and areas of potential financial risk.<br>• Support compliance reviews involving provider activity, claim adjudication, and payment validation across assigned cases.
<p>We are looking for an experienced Accounts Receivable Clerk to join a growing pharma company in Raleigh, North Carolina. In this role, you will play a vital part in managing cash applications, customer credits, and billing processes while ensuring accuracy and efficiency in all financial transactions. This position requires someone with a keen eye for detail and strong organizational skills, who can effectively collaborate across departments to meet customer needs. Pharma and SAP experience is preferred. </p><p><br></p><p>Responsibilities:</p><p>• Process incoming cash receipts and accurately apply them to the appropriate accounts based on customer remittances.</p><p>• Investigate discrepancies between billed amounts and payments received, ensuring timely resolution.</p><p>• Maintain daily cash receipt records and balance them against the general ledger.</p><p>• Research, analyze, and validate customer debit memos, coordinating with other departments to process credit requests.</p><p>• Prepare and issue credit memos for various scenarios, such as promotional goods, damaged items, rebates, and chargebacks.</p><p>• Manage and document customer rebills, ensuring timely and precise billing processes.</p><p>• Conduct ongoing reconciliations to maintain the integrity of billing and receivable data.</p><p>• Distribute monthly financial statements and respond to customer inquiries in a timely manner.</p><p>• Access and utilize customer portals for processing transactions and retrieving necessary documentation.</p><p><br></p>
<p>Robert Half is looking for an experienced Financial Analyst to join our client's team. In this role, you will collaborate with finance leaders to develop and implement financial policies, strategies, and reporting systems that support organizational goals. This position requires a strong analytical mindset and a proven ability to manage budgets, analyze financial data, and provide actionable insights to drive business success.</p><p><br></p><p>Responsibilities:</p><p>• Develop annual and quarterly budgets by collecting, consolidating, and validating financial data from various cost centers.</p><p>• Collaborate with the land department to prepare, analyze, and validate proformas for new community opportunities.</p><p>• Produce monthly management accounts, including cash flow and profit forecasts, for submission to regional and corporate leadership.</p><p>• Support the preparation of monthly consolidated financial results to ensure accurate reporting.</p><p>• Generate detailed analytical reports on a monthly and quarterly basis for management and corporate finance teams.</p><p>• Consolidate and validate organizational financial data to ensure consistency and accuracy.</p><p>• Analyze statistical data to ensure alignment with financial projections and identify trends.</p><p>• Conduct ad hoc financial analyses and assist with other duties as required.</p><p>• Design and maintain financial reporting formats to enhance clarity and usability.</p><p>• Provide guidance and support to regional, corporate, and field teams by addressing financial inquiries and improving procedures.</p><p><br></p><p>For immediate consideration please apply or contact directly Steve Fields at 919-787-8226</p>
We are looking for a Financial Analyst to support the financial performance and reporting needs of our homecare operations in Raleigh, North Carolina. This role is well suited for a finance specialist who enjoys turning complex data into clear business insight and partnering with accounting to strengthen reporting accuracy. The successful candidate will contribute to monthly close activities, recurring performance analysis, and leadership reporting that helps guide operational and strategic decisions.<br><br>Responsibilities:<br>• Lead the monthly close support process for assigned homecare entities, helping ensure financial results are completed accurately and on schedule.<br>• Analyze profit and loss results in detail and work closely with accounting partners to identify discrepancies, validate data, and improve reporting quality.<br>• Produce recurring budget-versus-actual reporting on a weekly basis and highlight meaningful variances, trends, and performance drivers.<br>• Calculate quarterly incentive compensation using financial and operational data, ensuring timely and reliable results.<br>• Develop and distribute monthly financial reporting packages for all entities, presenting key metrics and business insights in a clear format.<br>• Perform ad hoc financial reviews at the brand level, including areas such as operating expenses, staffing patterns, and retention-related metrics.<br>• Use spreadsheet-based modeling and data analysis techniques to support forecasting, decision-making, and special projects as business needs evolve.