Business Analyst - Medicaid Claims Jobs

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Business Analyst - Medicaid ClaimsJob Title - Business Analyst - Medicaid Claims

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Milwaukee, Wisconsin, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Business Analyst - Medicaid ClaimsJob Title - Business Analyst - Medicaid Claims

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technology to he

Business Analyst - Medicaid ClaimsJob Title - Business Analyst - Medicaid Claims

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Milwaukee, Wisconsin, USA

Full-time

Project Manager / System/Business Analyst (Medicaid)Job Title - Project Manager / System/Business Analyst (Medicaid)

Trigyn Technologies, Inc.Company Name - Trigyn Technologies, Inc.

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Albany, New York, USA

Contract, Third Party

Trigyn's direct government client has an immediate need for a Project Manager / System/Business Analyst in Albany, NY. Description: Daily tasks will include but will not be limited to, the following: creating and maintaining a project plan as directed by client, reporting of project status, managing the review of all deliverable and work products for quality and adherence to the project plan, maintaining continuity of operations, overseeing the planning and execution of all knowledge transfer a

Facets Coding Analyst consultantJob Title - Facets Coding Analyst consultant

Voto Consulting LLCCompany Name - Voto Consulting LLC

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Remote

Contract, Third Party

Position- Facets Coding Analyst consultant Type- 100% Remote Visa- No H1 Rate- $50/hr on C2C Please answer the following screening questions: How many years of direct medical coding and medical billing experience do you have? Is it in a Managed Care environment?Do you have a current certification- Certified Medical Coder (CPC, RHIT or RHIA) ?Describe your knowledge of CPT, HCPCS and ICD-CM Codes. This consultant should have a minimum of five (5) years of medical coding and medical billing exp

Claims Processor - HybridJob Title - Claims Processor - Hybrid

VIVA USA INCCompany Name - VIVA USA INC

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Mason, Ohio, USA

Contract

Title: Claims Processor - Hybrid Mandatory skills: Claims processing, Medicare, Medicaid, Microsoft Excel, Outlook, Word, Cloud-based applications, OneDrive, Data Entry, Salesforce queue, Salesforce Implementation, Tracker Project Management tool, shared Outlook mailbox, email templates, tracking status, reporting Description: The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with an

Remote (EST Candidates only)-Healthcare Product Owner with SAFe Agile Certification||Medicare, Medicaid domain, TriZetto FACETS,GBD Enrollment & Healthcare (Mandatory)-CHJob Title - Remote (EST Candidates only)-Healthcare Product Owner with SAFe Agile Certification||Medicare, Medicaid domain, TriZetto FACETS,GBD Enrollment & Healthcare (Mandatory)-CH

Empower ProfessionalsCompany Name - Empower Professionals

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Remote

Third Party, Contract

Role: GBD Technical Product Owner (18816-1) Location: Remote (Candidate needs to be from EST time zone only) Duration: 12+ Months Must have: GBD Technical Product OwnerMedicare, Medicaid domain, TriZetto FACETSFACETS data model, GBD Enrollment, Claims, Billing modulesSQL queries, Scrum, SAFe agile, Jira, confluenceHealthcare (Mandatory)Must have Certifications SAFe Agile Certification Responsibilities: Responsible for the design and implementation of new features in healthcare products. Primary

Database Administrator (DBA) & Azure Admin - Medicaid/MMISJob Title - Database Administrator (DBA) & Azure Admin - Medicaid/MMIS

S2TechCompany Name - S2Tech

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Boise, Idaho, USA

Full-time

Database Administrator (DBA) & Azure Admin Medicaid/MMIS Location: Boise, ID About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Why S2Tech?: Stable privately-owned company with a strong reputati

Data Architect (Medicare & Pharmaceutical Focus)Job Title - Data Architect (Medicare & Pharmaceutical Focus)

ConglomerateITCompany Name - ConglomerateIT

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Newark, New Jersey, USA

Contract

Job Title: Data Architect (Medicare & Pharmaceutical Focus) Tax Term: 1099 , W2 Only Location: Onsite (NJ/PA preferred; open to strong remote candidates working US Eastern hours) Employment Type: Contract About us Conglomerate IT is a certified and a pioneer in providing premium end-to-end Global Workforce Solutions and IT Services to diverse clients across various domains. Visit us at Our mission is to establish global cross culture human connections that further the careers of our employee

Analytics & Reporting Data Analyst - Medicaid/MMISJob Title - Analytics & Reporting Data Analyst - Medicaid/MMIS

S2TechCompany Name - S2Tech

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Boise, Idaho, USA

Full-time

Analytics & Reporting Data Analyst Medicaid/MMIS Location: Boise, ID About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Why S2Tech?: Stable privately-owned company with a strong reputation for b

Pharmacy Benefit Management (PBM) Strategy & Implementation ConsultantJob Title - Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant

nTech SolutionsCompany Name - nTech Solutions

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Remote

Contract

Title: Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant Terms of Employment W2 Contract-to-Hire, 6 months This position is primarily remote. The resource may be required to report to the office 2-3 times per month especially when the role converts. The office is located in Baltimore, MD. Overview Our client is seeking a PBM Strategy and Implementation Consultant. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy o

Claims Resolution Specialist (Customer Service)Job Title - Claims Resolution Specialist (Customer Service)

CalOptimaCompany Name - CalOptima

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Orange, California, USA

Full-time

Claims Resolution Specialist (Customer Service) CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for CalOptima Health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Position Information: Department: Claims Administration Salary Grade: 304 - $53,813 - $80,

Medical Claims Examiner - MJob Title - Medical Claims Examiner - M

Next Step SystemsCompany Name - Next Step Systems

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Tucson, Arizona, USA

Full-time

Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of

Medical Claims Coder - MJob Title - Medical Claims Coder - M

Next Step SystemsCompany Name - Next Step Systems

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Tucson, Arizona, USA

Full-time

Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medica

Claims Examiner - MJob Title - Claims Examiner - M

Next Step SystemsCompany Name - Next Step Systems

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Tucson, Arizona, USA

Full-time

Claims Examiner, Tucson, AZ The Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner

Pharmacy Benefits ManagementJob Title - Pharmacy Benefits Management

KMM Technologies, IncCompany Name - KMM Technologies, Inc

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Baltimore, Maryland, USA

Full-time, Contract

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie

Finance Manager (Remote in US)Job Title - Finance Manager (Remote in US)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia

Medicaid Enterprise Project Management Office [EPMO] Lead (Remote)Job Title - Medicaid Enterprise Project Management Office [EPMO] Lead (Remote)

S2TechCompany Name - S2Tech

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Remote

Full-time

Medicaid Enterprise Project Management Office (EPMO) Lead Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Why S2Tech?: Stable privately-owned company with a strong reputati

PBM Strategy and Implementation ConsultantJob Title - PBM Strategy and Implementation Consultant

Next Gen IT IncCompany Name - Next Gen IT Inc

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Remote

Full-time

JOB TITLE: PBM Strategy and Implementation Consultant REMOTE Exp: 18+yrs Once perm on site 2-3 time a MONTH if not local cost will be covered. MUST HAVE: At least 1 PBM implementation from a hands-on perspective Must be an executive level person that works on Business side matrixed to IT and Vendors Must Understand the Financial Components, Operations, Network, Claims etc for a PBM Strong Leadership and executive presence Commercial PBM Experience (medicare and Medicaid are nice to have) This r

Project Manager (Medicaid)Job Title - Project Manager (Medicaid)

Avenues International, Inc.Company Name - Avenues International, Inc.

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Albany, New York, USA

Third Party, Contract

Position Name: Project Manager Job ID: HBITS-06-13997 Duration: 30 Months Location: Albany, NY, (Day 1 Onsite) Primary Skills: 84 MONTHS Experience in system/business analysis with gathering business, functional and system requirements, system design, test plans and execution for Medicaid Audits/Investigation case management systems.Experience supporting IT initiatives for audit and investigative fraud, waste, and abuse effortsAnalysis of system requirementsMeeting with business usersDocumenting