270 jobs in remote

Remote

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Today

Required Skills: 5+ years of experience in TriZetto Facets development. Strong understanding of health insurance / healthcare domain. Hands-on experience with Facets modules such as: Membership Claims Benefits Provider Billing Enrollment Strong knowledge of Facets configuration and customization. Experience with Facets batch processing and interfaces. Strong SQL skills and experience working with relational databases. Experience with Unix/Linux and shell scripting. Knowledge of health

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Full-time, Part-time, Contract, Third Party

Facets Developer

Remote

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Today

Facets Developer Remote Required Skills 5+ years of experience in TriZetto Facets development. Strong understanding of health insurance / healthcare domain. Hands-on experience with Facets modules such as: Membership Claims Benefits Provider Billing Enrollment Strong knowledge of Facets configuration and customization. Experience with Facets batch processing and interfaces. Strong SQL skills and experience working with relational databases. Experience with Unix/Linux and shell scripti

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Contract, Third Party

FACETS Developer

Remote or Hybrid

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Today

Remote position Required Skills 5+ years of experience in FACETS development or healthcare payer application development. Strong hands-on experience with Cognizant TriZetto FACETS. Strong knowledge of healthcare insurance/payer processes. Experience with Claims, Membership, Enrollment, Benefits, Billing, and Provider modules. Strong Oracle/SQL development skills. Experience with FACETS configuration, customization, and integrations. Experience with Java/J2EE or related application development t

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Third Party

Technical Business Analyst (Healthcare Claims Domain and Medicaid/MMIS, Overall 10+ years of experience)

Remote

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3d ago

Job Description: Job Title: Technical Business Analyst (Claims Domain, MMIS) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle.

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Full-time

$70,000 - $95,000

Senior Underwriting Specialist

Johnston, Rhode Island

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Today

Job Description: Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely dedicated to property risk management and the resilience of its policyholder-owners. These owners, who share the belief that the majority of property loss is preventable, represent many of the world?s largest organizations, including one of every four Fortune 500 companies. They work with FM to better understand the haz

Full-time

Compensation information provided in the description

Automation Test Lead with Healthcare domain

Remote

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Today

Job Description: Automation Leadership Design and implement scalable test automation frameworks using C#, Selenium, and open-source tools. Lead automation strategy across UI, API, and integration testing layers. Establish reusable automation components and best practices. Drive migration from legacy tools to open-source automation solutions. Mentor QA engineers and enforce coding/testing standards. Performance Testing & Engineering Plan and execute performance testing using LoadRunner. Design

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Full-time

Up to $90,000

ITX Developer (IBM Transformation Extender) Healthcare EDI

Remote

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25d ago

ITX Developer (IBM Transformation Extender) Healthcare EDILocation: Remote (USA) Job Type: Contract / Long-Term Job SummaryWe are seeking an experienced IBM ITX (IBM Transformation Extender) Developer with strong expertise in Healthcare EDI and NCPDP transactions to join our integration team. The ideal candidate will have hands-on experience developing and maintaining ITX maps, implementing HIPAA-compliant EDI solutions, and working with healthcare transaction standards. This role requires both

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Full-time

Depends on Experience

Senior EDI / EDIFECS Application Developer

Hybrid in Chicago, Illinois

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Today

Position OverviewWe are seeking an experienced Senior EDI / EDIFECS Application Developer to join our team in a hybrid capacity out of Chicago, IL or Lafayette, LA. In this role, you will be responsible for designing, developing, and optimizing mission-critical healthcare EDI integrations, data processing pipelines, and core database interactions. The ideal candidate possesses deep expertise in Edifecs (v9.1), X12N healthcare transactions, HL7/FHIR messaging, and robust relational/NoSQL database

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Contract

60 - 65

Senior Healthcare NASCO-Newark, NJ

Newark, New Jersey

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26d ago

Job Title: Senior Healthcare NASCO Claims Domain Specialist UAT Testing Location: Newark, NJ (Onsite) Duration:12+Months Short JD: Seeking a Senior Healthcare NASCO Claims Domain Specialist with 1520 years of experience in US Healthcare Insurance and deep expertise in NASCO Claims Processing. The ideal candidate will lead UAT, functional, integration, and regression testing for healthcare claims applications. Must have strong knowledge of claims adjudication, EDI transactions (837/835/270/27

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Contract, Third Party

Depends on Experience

SAP Signavio Consultant-Remote US

Remote

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11d ago

Hello ,Hope you are doing well. Let me know if you are open to new job opportunities.SAP Signavio ConsultantDuration: 6 monthsLocation: RemoteBackground:The client is seeking a hands-on SAP Signavio Consultant to lead process discovery workshops, document current and future state processes, and identify improvement opportunities using Signavio tools. The ideal candidate will have a strong background in process modelling and understand how processes translate into the Signavio Process Intelligenc

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Contract

Depends on Experience

Data Scientist / Full time

New York, New York

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3d ago

Job title Data Scientist Job Type Full time, Onsite Work location -New York, NY (Williamsburg, Brooklyn Visa - Open to visa transfers (including OPT / H-1B transfers) and USC Core Stack - Python, SQL, dbt, Dagster, Airflow, Databricks, Snowflake, Redshift, PostgreSQL, AWS, S3 About the client- Is an AI-native marketing and data company building agentic systems on top of a proprietary consumer graph covering more than 270 million U.S. consumers. Job Description The role sits close to the core

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Full-time

150,000 - 200,000

L1 Support Engineer-NYC

New York, New York

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Today

Mac L1 Support Technician 12 Month W2 Contract (No C2C/No Student Sponsorship) Onsite daily in New York, NY [10011] OR San Francisco, CA 270 [94107] Pay rate: up to $37.50/hr. in New York and up to $40.50/hr. in San Francisco, CA. No PTO or paid holidays. The ideal candidate will have experience providing remote and onsite support to over 300 end users, primarily within Mac-focused environments (90% Mac environment). We are seeking a proactive and customer-focusedL1 Support Engineerto provide

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Contract

Depends on Experience

Senior Cement Plant Manager

Mitchell, Indiana

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Today

Line of Business: Cement & White About Us Heidelberg Materials is one of the world\'s largest suppliers of building materials. Heidelberg Materials North America operates over 450 locations across the U.S. and Canada with approximately 9,000 employees. What You\'ll Be Doing Lead all aspects of a large-scale cement manufacturing operation, providing strategic and operational leadership across kiln operations, raw materials, clinker production, finish grinding, maintenance, quality, environmental

Full-time

Compensation information provided in the description

Technical Project Manager - Healthcare (Claims, Benefits & Membership)

Remote

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13d ago

Job Title: Technical Project Manager Healthcare (Claims, Benefits & Membership) 100% Remote Role Summary We are seeking an experienced Technical Project Manager to lead enterprise healthcare modernization initiatives. The ideal candidate will have deep healthcare payer experience and a proven track record of managing large-scale system implementations involving claims, benefits, membership, and data modernization. Experience with QNXT is highly preferred. Key Responsibilities Lead end-to-end del

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Contract

Depends on Experience

Healthcare Quality Assurance Automation Lead

Remote

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10d ago

Job Title: Healthcare Quality Assurance Automation Lead Location:Remote Duration: Fulltime Job Description : Key Points: 1. We need a hands-on QA Lead with a consulting background. 2. Healthcare experience should be strong. 3. TOSCA experience is a must Healthcare payer domain skills Lines of business. Medicaid, Medicare Advantage, Duals/MMP, TRICARE, and Marketplace each with its own eligibility, submission, and reconciliation rules. Medicaid depth matters most for this client.Facets. The cor

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Full-time

Depends on Experience

Software Architect

Remote

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Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 230,000.00 - 280,000.00 per year

Database Team Lead

District of Columbia

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Today

Overview Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform provides a practical, sustainable path for clients to achieve transformation that is true to who they are, what they do, how they wo

Full-time

USD 105,660.00 per year

Staff Data Scientist | NLP

Remote

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Today

Full-time

USD 180,000.00 - 230,000.00 per year