Healthcare System Analyst Payer Systems

Position: System Analyst Location: Remote Duration: Long-term Job Description: Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management Strong SQL proficiency: Complex queries, joins, stored procedures, Ability to analyze data across multiple systems/sources Solid understanding of database design, schemas, and data relationships Proven ability to analyze, reconcile, and troubleshoot payer data (claims, membership, be

Job Description: Crop to Crop resumes are accepted This role will lead technical assistance work for NC HIEA as we work with participants and their electronic health record (EHR) vendors on implementing, improving, and maintaining data integrations. Supports and monitors technical infrastructure for NC HIEA and SAS environments. Manages change orders, bug fixes and updates for the NC HealthConnex Clinical Portal. Develops and supports data queries to assist with data analysis, verifying data ex

Title Pega Technical Functional Analyst Location-Remote but Travel Required @ Atlanta - Travel Expenses Reimbursed Duration Contract to Hire Role We are now looking for a Technical Functional Analyst (TFAL) with strong expertise in both Pega and Medicaid/Healthcare. This role requires a candidate who can effectively bridge the gap between business and technology teams, with hands-on experience in eligibility and enrollment processes, as well as a strong understanding of Pega case management, wor

Role:Technical Functional Analyst Location: Remote, occasional travel to Atlanta, GA We are now looking for a Technical Functional Analyst (TFAL)with strong expertise in both Pegaand Medicaid/Healthcare. This role requires a candidate who can effectively bridge the gap between business and technology teams, with hands-on experience in eligibility and enrollment processes, as well as a strong understanding of Pega case management, workflows, integrations, and production support. Please find the