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# Sr Claims Systems Analyst - AI-Enabled

- **Company:** Curative Inc.
- **Location:** Austin, TX, United States
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, Data Analysis, Business Logic, Database Queries, Programming Tools, Python (Programming Language), SQL Databases, Scripting, Claude Code, Snowflake, AI Coding Agents, Git, Gsuite, Claude, Streamlit Framework, OpenAI Codex
- **Published:** October 28, 2026
- **Apply:** https://www.dice.com/job-detail/ee49107b-ec64-4a9b-ba00-eafb4e881988

## About the Role

* 5+ years of hands-on healthcare payer experience, including claims adjudication, pricing, benefits and reimbursement.
 * Production claims-platform configuration or troubleshooting experience (e.g., HealthRules Payer, Facets, Trizetto, or proprietary systems).
 * Strong SQL skills; ability to trace issues across data, configuration and application logic.
 * Practical experience using AI coding tools such as Claude Code, Codex or equivalents to create or modify code.
 * Working knowledge of Git, PRs, testing and Python or comparable scripting.
 * Proficiency in Google Workspace and experience with audit tracking systems and data analytics tools (Snowflake, Streamlit, Claude).
 * Independent problem-solving and clear communication with claims stakeholders and software engineers.

Ideal candidate: A hands-on claims systems specialist who knows payer operations, embraces AI-assisted development and can independently move an issue from investigation to an engineering-ready fix. These skills and competencies are also important for success:

 * BA/BS degree in a related field
 * Certification / substantial experience working with ICD-10CM, MS-DRG, AP-DRG, and APR-DRG coding standards.
 * Experience with claims configuration validation
 * Experience working in a high-growth environment

## Description

At Curative, we're challenging the status quo in healthcare by removing barriers to care and creating a health plan experience that is transparent, proactive, and built around member health outcomes. Curative is seeking a technically skilled healthcare claims expert who can investigate complex claims processing issues and turn findings into actionable system fixes. This role combines deep claims adjudication knowledge with modern AI-assisted development tools, including Claude Code and OpenAI Codex. You will work across Claims Operations and Engineering to diagnose production issues, quantify impact, and create tested, engineering-ready pull requests (PRs) that improve our core claims processing platform.

We need someone who can do more than identify a problem-they can help build the solution.

What you will do

 * Investigate: Troubleshoot claims adjudication, pricing, benefits, configuration and payment issues to identify root causes.
 * Analyze: Use SQL and system data to identify affected claims, quantify financial exposure and validate findings.
 * Build: Use Claude Code, Codex and similar AI tools to investigate code, develop fixes, write tests and create Git pull requests for engineering review.
 * Validate: Reproduce defects, test proposed corrections and verify accurate claims outcomes.
 * Improve: Partner with Claims Operations and Engineering to eliminate recurring issues, automate workflows and improve accuracy. Support the implementation of automated controls, advanced editing/AI solutions, and workflow enhancements to improve payment accuracy, reduce administrative costs, and contribute to the development of audit tools, policies, and procedures.
 * Champion: Ensure operational excellence by validating claims configuration, reimbursement methodologies, and processing logic.