837 jobs in Remote

New York, New York

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15d 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

Software Developer (Java) - Project Lead

Remote

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Today

*Candidate location: Candidate must be a CURRENT SC resident. No relocation allowed Client Info : Clemson University Note: *Interview Process: 1 round, virtual *Work Location: Role is 100% remote. Description: This project team develops and supports the framework functionality of the States EDI Services & the Medicaid Web Portal application. Clemson Universitys Medicaid Information Technology Services (MITS) team develops and operates systems on behalf of the States Department of Health and Hum

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Contract, Third Party

Depends on Experience

Data Systems Analyst (Medical Claims or Pharmacy claims)

Remote

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Yesterday

Medical Claims or Pharmacy claims or membership information. SQL Server and SQL writing Some recent experience with Data modeling & Data Warehousing (Any platform is ok, does not have to be snowflake) EDI transaction experience API integration into Data Warehouse with EDI 834 and 837. This is not a BA role

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Contract

$50+

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

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

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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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Third Party, Contract

$100,000 - $120,000

EDI Developer – Healthcare- W2 Only

Dayton, Ohio

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2d ago

The following requirement is open with our client. Title : EDI Developer Healthcare Location : Dayton, OH (Onsite) Duration : 6 Months Rate : $76/Hr on W2 Interview : Face-to-face required Relevant Experience : 8+ Job Description: We are seeking an experienced Technology Architect Healthcare EDI with strong hands-on expertise in EDIFECS, Java, and Azure Functions. The candidate will design, develop, and support healthcare Electronic Data Interchange (EDI) integrations using Azure cloud ser

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Contract

76+

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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Contract, Third Party

Lead Java / Full-Stack Engineer

Remote

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Today

Open Position: Software Developer - Project Lead Work Arrangement: 100% Remote Location: Candidate must be a current South Carolina resident Interview Process: 1 Virtual Round Key Technical Skills Primary Skills (Required): Java (7+ years) HTML (7+ years) JavaScript & jQuery (7+ years) EDI Transaction Sets (270/271, 276/277, 837) MongoDB Secondary Skills (Preferred): Medicaid / MMIS domain experience SQL & JDBC UC4 workload automation Spring, Tapestry, & Apache Tomcat frameworks/servers Core Re

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Contract, Third Party

Depends on Experience

Azure Integration Developer – Healthcare EDI

Dayton, Ohio

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Yesterday

The following requirement is open with our client. Title : Azure Integration Developer Healthcare EDI Location : Dayton, OH 45402 Pay Rate : $60/hr - $76/hr Duration : 6 Months Relevant Experience (in Yrs.): 10+yrs. Detailed Job Description: 1. Design, develop, and support EDI integrations using Azure services Develop and maintain Logic Apps, Azure Functions, and Integration Accounts. 2. Java, Spring Boot, REST API Development experience HealthCare Payor experience with working knowledge of HI

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Contract

60 - 76

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

Sr. Healthcare QA

Remote

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Today

7-9 years of Experience in Functional testing extensively worked on Agile MethodologyExpertise in SQLStrong understanding of healthcare domainGood Knowledge in Claims, Membership creationGood knowledge in Providers creationStrong experience on EDI 837 Files is requiredExperience in creating Test cases and Maintaining it QtestHands-on Experience on JIRA to maintain the Test cases, Defects and ExecutionStrong understanding of Healthcare Claims module and Provider moduleHands-on experience with TOS

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Full-time

Up to 70,000

Healthcare EDI Integration Developer – Edifecs / Java / Azure

Hybrid in Dayton, Ohio

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Today

Job Title: Healthcare EDI Integration Developer Edifecs / Java / Azure Location: Dayton, OH 45402 (Hybrid) Duration: 6+ Months Visa: USC/ Only Domain (Industry)* Health care Job Details: 3 Must Have Skills should be HANDS-ON EXPERIENCE EDIFECS Java Azure Functions Nice to have skills Healthcare Detailed Job Description Design, develop, and support EDI integrations using Azure services Develop and maintain Logic Apps, Azure Functions, and Integration Accounts. Java, Spring Boot, REST API Dev

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Contract

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, Contract, Third Party

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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Contract, Third Party

EDI Support Specialist

Seattle, Washington

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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

Software Java Developer

Remote

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Today

Job Description: Senior Java Web Developer Medicaid Web Portal Project: Medicaid Information Technology Services (MITS) Location: South Carolina(remote)Position OverviewWe are seeking an experienced Senior Java Web Developer to design, develop, implement, and maintain complex web applications and backend services for South Carolina s Medicaid Web Portal and Electronic Data Interchange (EDI) Services.The developer will work on a major state technology modernization initiative, supporting the migr

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Contract

Depends on Experience