jobs in philadelphia, pa, us

Philadelphia, Pennsylvania

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Today

As aInformatica MDM Consultantyou will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Mandatory skills: Informatica, MDM,Azure, Healthcare Responsibilities: At least ten (10) or more years of Data Management, Master Data Management (MDM), and Reference Data Management (RDM)Previous experience in the healthcare domain; experience working for a Healthcare Payer preferredStrong expertise in Member and

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Contract

Depends on Experience

Facets/ Pre-Auth Consultant

Remote

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Today

As a Facets with Pre-Auth you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Mandatory skills: facets,UM,Pre-Auth Healthcare Responsibilities: 7 - 10 years in UM/Pre-Auth configuration within FACETS. Familiarity with UM workflows, clinical guidelines, and state mandates. Experience working with clinical/utilization management stakeholders. Deep understanding of US Healthcare payer operations.

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Contract

Depends on Experience

NCompass

Remote

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6d ago

Mandatory skills: NCompass,Healthcare Responsibilities: Lead design, configuration, enhancement, and implementation activities within the NCompass platform.Perform hands-on configuration and customization of NCompass components.Analyze business requirements and translate them into technical and functional specifications.Troubleshoot complex production issues and provide root cause analysis.Lead platform upgrades, releases, and deployment activities.Optimize customer service workflows and improve

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Contract, Third Party

Depends on Experience

Health Rules Payer (HRP) Manager

Remote

•

Yesterday

Health Rules Payer, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Responsibilities: - Responsible for delivering configuration services in support of HealthRules. Coordinate with the CT config leads across implementations & customer configuration leads regarding HealthRules Payor configuration work assignments to support the HRP Implementation / Migration. Requirements gathering, definiti

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Contract

Depends on Experience

EDiscovery Specialist

Remote

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5d ago

Job Title:E-Discovery Specialist Location:Remote Duration:12 months Job Description We are seeking an eDiscovery specialist. The ideal candidate will have expertise in eDiscovery collection methodologies, with a strong emphasis on forensic imaging, SQL proficiency, and a comprehensive understanding of the Electronic Discovery Reference Model (EDRM) framework. This position requires meticulous attention to detail, excellent communication skills, and the ability to manage and document processes w

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Contract

Depends on Experience

Facets NetworX Pricing Analyst

Remote

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7d ago

Technical Skills 10+ years of experience in Healthcare Payer Operations and Facets Configuration. NetworX PricerProvider Pricing ConfigurationContract Pricing SetupClaims Pricing ValidationExperience performing claims analysis and pricing validation.Working knowledge of:SQLReporting ToolsData AnalysisExperience supporting production incidents and defect resolution.Knowledge of software development lifecycle (SDLC) and Agile methodologies.Strong documentation and requirement analysis skills. Tech

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Third Party, Contract

Depends on Experience

Facets Analyst

Remote

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7d ago

Over All Experience 8+years Facets with claims knowledge is must Facets, US healthcare payer domain, claims processing, analytical skills, oracle pl sql Good to have: .net

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Contract, Third Party

Depends on Experience

Snowflake Architect Wit Admin Exp.

Remote

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6d ago

Required: 15+ years of experience in Data Engineering, Data Architecture, or Data Platform roles.4+ years of hands-on Snowflake architecture and administration experience.Strong expertise in Snowflake architecture, performance tuning, and cost optimization.Experience with data warehousing concepts and dimensional data modeling.Advanced SQL skills.Experience with Python.Knowledge of ETL/ELT design and data integration processes.Experience managing Snowflake security, governance, and access contro

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Third Party, Contract

Depends on Experience

Azure Databricks Architect

Remote

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6d ago

We are seeking a highly experiencedTechno-Functional Azure Databricks Architectwith deep expertise in theHealthcare Payer domainand a proven track record of leading large-scaleEnterprise Data Warehouse (EDW) to Azure Databricks migration programs. The ideal candidate will possess strong architecture, data engineering, stakeholder management, and delivery leadership skills, capable of driving digital transformation initiatives from strategy through execution. This role requires a blend of technic

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Contract, Third Party

Depends on Experience

jobs in Philadelphia, PA, USA