835 jobs | Dice.com

New York, New York

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14d ago

Required Skills: API Gateway; Developer; EDI X12;ESB;Electronic Data Interchange EDI Software; Supporting:;EDI Mapping. Preferred Skills : Java developer Responsibilities: Need to have prior experience with EDI (X12) development and experience with interfaces and ExtractsDevelop ITX data mappings for X12 to non-X12 conversion.Develop SNIP compliance rules for EDI X12 transactions like 270/271, 837, 835, 834 and others ESB/API Gateway developer responsible for Design, Development and Implementat

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Full-time

Depends on Experience

Business / Regulatory Analysts with Payer exp

Remote

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Today

Job Title: Business / Regulatory Analysts Remote Contract and fulltime Business / Regulatory Analyststo support a portfolio ofstate-mandated regulatory and compliance initiatives across Medicaid and healthcare payer operations. The role will be responsible for translating complex state and federal regulatory requirements into actionable business and system requirements, ensuring full traceability from regulatory intent through design, development, testing, implementation, and post-producti

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Full-time, Third Party

Depends on Experience

QA Analyst / Tester

Hybrid in East Hartford, Connecticut

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Today

Job Title: Senior Healthcare Claims QA Analyst / Tester Location - Hartford, CT Duration: Longterm Job Description: We are seeking an experienced Healthcare Claims QA Analyst/Tester with 79 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable working within an Agile delivery environment. Required Skills 79 years of overall Healthcare domain ex

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Contract

Depends on Experience

Senior Healthcare Claims QA Analyst / Tester

Remote or East Hartford, Connecticut

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Today

Job Title: Senior Healthcare Claims QA Analyst / Tester Location - Hartford, CT preferred; Remote is also acceptable Duration: Longterm Job Description: We are seeking an experienced Healthcare Claims QA Analyst/Tester with 79 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable working within an Agile delivery environment. Required Skills 79

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Contract, Third Party

Depends on Experience

Senior Healthcare Claims QA Analyst/Tester

Remote

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Today

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Contract, Third Party

Depends on Experience

Remote - Dot Net Full Stack ( Lead / Manager )

Hybrid in Los Angeles, California

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Today

Expert-level proficiency in .NET/C# ( Core, Web API, Entity Framework) and strong proficiency in at least one modern front-end framework (React, Angular, or Blazor).Strong, demonstrated use of AI-assisted development workflows (Claude Code, GitHub Copilot, Cursor, or equivalent) across the full development lifecycle design, coding, testing, review, and documentation.Hands-on experience with FHIR R4 APIs (specifically Provider Directory / Da Vinci PDex Plan-Net), HL7 v2 messaging, and X12 EDI tra

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Contract, Third Party

$100,000 - $120,000

Test Program Manager / QE Transformation Lead with Healthcare Payer (Facets) exp

Seattle, Washington

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Today

Role: Test Program Manager / QE Transformation Lead Location: Seattle, WA (4 days a week on-site is required) Job Type: Contract Required Experience: 12+ years of experience in Quality Engineering and Testing. 5+ years of experience leading large testing programs. Proven experience in discovery, due diligence, transition, and managed services engagements. Experience building or managing a Testing Center of Excellence (TCoE). Strong experience in workforce planning, hiring, and vendor management

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Third Party, Contract

Senior Healthcare Claims QA Analyst / Tester

Remote

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Today

Dear Job Seeker, We have a Senior Healthcare Claims QA Analyst / Tester job in Hartford, CT, if I the right candidate is available willing to work from home or Remote can be acceptable. If you feel your skills and experience match this position, please don't hesitate to apply or reach out to me. We'd be happy to discuss the opportunity with you. Job Title: Senior Healthcare Claims QA Analyst / Tester Location - Hartford, CT preferred; Remote is also acceptable Duration: Longterm Job Description

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Contract, Third Party

Depends on Experience

Test Program Manager / QE Transformation Lead

Seattle, Washington

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2d ago

Position SummaryWe are seeking an experienced Test Program Manager / Quality Engineering (QE) Transformation Lead to lead discovery, due diligence, transition, and workforce planning activities for a large-scale healthcare transformation program. The ideal candidate will have extensive experience in Quality Engineering, enterprise testing program management, Testing Center of Excellence (TCoE) setup and governance, and managed services transitions. This role will be responsible for assessing the

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Full-time

Depends on Experience

Pega Informatica Developer (W2 role)

Remote

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8d ago

Pega Informatica Developer Remote Required Skills: 1. PEGA PRPC 2. Informatica 3. Healthcare EDI transactions Job Description: Design and develop healthcare applications using Pega Infinity/PRPC. Configure and develop Case Types, Flows, Flow Actions, Data Pages, Data Transforms, Activities, Decision Rules, and SLAs. Develop and support Informatica PowerCenter/IICS mappings, workflows, and ETL processes. Integrate Pega applications with healthcare systems using REST/SOAP APIs, MQ, and Infor

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Contract

43 - 53

Senior Patient Business Services Manager

San Antonio, Texas

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Today

POSITION SUMMARY/RESPONSIBILITIES Provides supervision, training, direction, and performance monitoring to assigned staff of the Business Office. Implements projects and activities to attain goals established by the Health System. Develops policies and procedures to assure compliance with CMS (Medicare/Medicaid) or any other agency that UHis contractually required to follow. Promotes the Health System?s mission, purpose, goals, objectives and commitment to service excellence. Responsibility inc

Full-time

Domain RCM Functional SME – Payer Systems

Durham, North Carolina

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8d ago

1. Job Title RCM Functional SME Payer Systems 2. Role Summary The RCM Functional SME Payer Systems will lead payer-focused Revenue Cycle Management assessments across the complete Claim-to-Cash lifecycle. The role will analyse payer interactions, claims processing, remittance, denials, and reimbursement workflows to reduce revenue leakage, improve collections, and strengthen payer-related operational efficiency. 3. Key Responsibilities Lead functional analysis of payer-facing workflows across

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Contract, Third Party

Depends on Experience

Senior EDI Support Specialist

Seattle, Washington

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Today

Hello; Title: Sr. EDI Support Specialist Location is Seattle, WA Long Term Must-Have Skills Healthcare Payer Domain 5+ Years EDI Support (L2/L3) 5+ Years HIPAA X12 Transactions 5+ Years Facets 3+ Years Edifecs Suite 3+ Years TriZetto HIPAA Gateway 3+ Years Trading Partner Management 3+ Years 834 Enrollment Transactions Must Have 837 Claims Transactions (P/I/D) Must Have 835 Claims Payment Must Have 270/271 Eligibility Must Have 276/277 Claim Status Must Have 278 Prior Authorizati

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

EDI Developer with Java SQL &Azure

Remote

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Today

Job Role: EDI Developer with Java SQL &Azure Location: USA-Remote Interview: MS Teams Duration: Long Term Contract Job Description: EDI Developer with strong Java and SQL experience to develop and enhance healthcare EDI features from the product backlog. The developer will work with Product, Business, and QE teams to understand requirements and deliver features through development, testing, and deployment. Key Responsibilities Develop and enhance healthcare EDI features based on backlog require

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Contract

55 - 60

Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)

Seattle, Washington

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Today

Role: Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem) Location: Seattle, WA (Onsite from Day 1) Job Type: Contract Experience: 8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway ROLE OVERVIEW: We are looking for a Senior EDI Support Specialist with strong healthcare payer experience to provide L2/L3 support for enterprise EDI platforms serving Claims, Membership, Enrollment, Provider, and Payment functi

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Third Party, Contract

EDI Support Specialist

Seattle, Washington

•

Today

Note: NO C2C or 1099 We are seeking an experienced Senior EDI Support Specialist with strong Healthcare Payer domain knowledge and hands-on experience supporting Facets-integrated claims processing environments. The ideal candidate will have expertise in L2/L3 EDI production support, HIPAA X12 transactions, Edifecs Suite, TriZetto HIPAA Gateway, and trading partner management. The candidate will be responsible for monitoring, troubleshooting, and resolving EDI transaction issues across claims, e

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Contract

Senior EDI Developer (Healthcare Payer - Facets Ecosystem)

Seattle, Washington

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Today

Role: Senior EDI Developer: Healthcare Payer (Facets Ecosystem) Location: Seattle, WA (Onsite from Day 1) Job Type: Contract Experience: 8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway Need candidates with Facets - Claims experience Role Overview: We are looking for a Senior EDI Developer with strong healthcare payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands

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Contract, Third Party

Business Systems Analyst (ITS / Data Mapping / Healthcare Payer)

Remote

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Today

Job Title: Business Systems Analyst (ITS / Data Mapping / Healthcare Payer) Location: 100% Remote Ideal Candidate: A Healthcare Payer Business Systems Analyst with strong ITS/BlueCard expertise, hands-on data mapping experience, and the ability to bridge business and technical teams. Job Summary Xcelerate Health is seeking a Business Systems Analyst (BSA) with strong experience in ITS (Inter-Plan Teleprocessing System), BlueCard, and Data Mapping within the healthcare payer domain. The ideal can

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Contract

Depends on Experience

Test Program Manager / QE Transformation Lead

Seattle, Washington

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29d ago

Test Program Manager / QE Transformation Lead Onsite is a must Seattle, WA We are seeking an experienced Test Program Manager / QE Transformation Lead to lead the discovery, transition, and workforce planning activities for a large healthcare transformation program. This role will establish and operationalize the testing organization across Application Development, Application Support, and Enterprise End-to-End Testing (Test Center of Excellence) while driving staffing, sourcing, gover

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Third Party, Contract

Depends on Experience

Enterprise Architect

Remote

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Today

Enterprise Architect Position Overview We are seeking an experienced Enterprise Architect to help drive enterprise architecture initiatives, define future-state technology solutions, and support the delivery of strategic business capabilities across a complex enterprise environment. The ideal candidate will bridge business and technology teams, develop architecture roadmaps, and ensure solutions align with enterprise standards for security, scalability, interoperability, and operational excellen

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Contract