Business Analyst - Medicaid Claims Jobs

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Facets Developer

New York Technology Partners

•

Remote

Third Party, Contract

Job Title: Facets Developer Remote - CST preference Experience: 10+ Years Job Description/ Responsibilities Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality.Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency.Substantial intelligence of Facets system applications and understanding in multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid).Understanding of P
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Posted 5 days ago

Correspondence Analyst - Indianapolis, IN - Hybrid

Gainwell Technologies LLC

•

Indianapolis, Indiana, 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 The Correspondence Analyst will be responsible for reviewing and responding to correspondence inquiries from providers based on
Posted 16 days ago | Updated 5 hours ago

Healthcare Product Consulting - NetworX Consultant

New York Technology Partners

•

Remote

Contract, Third Party

Job Title: Healthcare Product Consulting - NetworX Consultant Remote CST Experience: 12+ Years Job Summary: The NetworX Product Consultant is responsible for providing customers with application domain expertise related to TriZetto NetworX functionality. This role involves conducting requirements discovery sessions, leading design sessions, and configuring applications within NetworX to meet defined requirements. The position requires excellent general consulting and NetworX application skills
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Posted 5 days ago

Service Desk Supervisor - Indianapolis, IN - Hybrid

Gainwell Technologies LLC

•

Indianapolis, Indiana, 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 The position is responsible for the goals defined above and will report directly to the Account Delivery Manager (ADM). The Ser
Posted 16 days ago | Updated 5 hours ago

Claims Processing Specialist - Oklahoma City, OK (Hybrid)

Gainwell Technologies LLC

•

Oklahoma City, Oklahoma, 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 Claims Processing Specialist - Oklahoma City, OK (Hybrid) at Gainwell, you can contribute your skills as we harness the po
Posted 33 days ago | Updated 5 hours ago

Hiring for "Project Manager" (c#, Hipaa , NY State experience

3A Soft Inc

•

Albany, New York, USA

Third Party, Contract

JD: "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 efforts Analysis of system requirements Meeting with business users Documenting existing and proposed systems within the context of a business analyst development suite Experience with HIPAA req
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Posted 10 days ago | Updated 5 hours ago

Business Analyst II

The Tri-Com Consulting Group

•

Glastonbury, Connecticut, USA

Contract, Third Party

The Tri-Com Consulting Group is a Full-Service IT Employment Consulting Firm who is seeking qualified candidates for the following opening: Job Title: Business Analyst Location: Glastonbury, CT for first two days, remote after. Duration: 6 month Contract extensions possible Work Week: 40 Hours Business Analyst II Project Description Our client is seeking a mid-level Business Analyst II with solid experience in Medicaid Claims and gathering IT Business Requirements. This is a multi agency initi
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Posted 24 days ago

ON-SITE - IT Project Manager W/ Medicaid Exp - HBITS-06-13997

GreyCell Labs, Inc

•

Albany, New York, USA

Third Party, Contract

Job Title: ON-SITE - IT Project Manager W/ Medicaid Exp Job Id: HBITS-06-13977 Location: Albany, NY 12204 Duration: Long-term Job Description: 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 efforts Analysis of system requirements Meeting with busi
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Posted 10 days ago

NetworX Product Consultant

TechDigital Corporation

•

Remote

Contract, Third Party

Healthcare Product Consulting - NetworX Consultant Job Summary: The NetworX Product Consultant is responsible for providing customers with application domain expertise related to TriZetto NetworX functionality. This role involves conducting requirements discovery sessions, leading design sessions, and configuring applications within NetworX to meet defined requirements. The position requires excellent general consulting and NetworX application skills and is remote participation. Key Responsibil
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Posted 27 days ago

Manager Service Delivery

Gainwell Technologies LLC

•

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 Manager Service Delivery (Remote in US) at Gainwell, you can contribute your skills as we harness the power of technology
Posted 2 days ago | Updated 5 hours ago

Provider Internet HelpDesk-HYBRID (OK)

Gainwell Technologies LLC

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Oklahoma City, Oklahoma, 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 The qualified candidate will be responsible for assisting providers with the many different applications within the Provider Po
Posted 20 days ago | Updated 5 hours ago

PBA Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

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Kansas City, Missouri, 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 PBA Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the power of
Posted 28 days ago | Updated 5 hours ago

PBA Advisor Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

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Kansas City, Missouri, 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 an PBA Advisor Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the
Posted 28 days ago | Updated 5 hours ago

Professional Business Analyst

Gainwell Technologies LLC

•

Milwaukee, Wisconsin, 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 Professional Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help ou
Posted 32 days ago | Updated 5 hours ago

PBA Senior Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

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Kansas City, Missouri, 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 PBA Senior Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the po
Posted 28 days ago | Updated 5 hours ago

Facets Developer

Digitive LLC

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Remote

Contract, Third Party

Facets Developer Remote - CST Time zone Job Description/ Responsibilities: Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality.Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency. Substantial intelligence of Facets system applications and understanding in multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid).Understanding of Provider tables, i.e.; Practition
Easy Apply
Posted 5 days ago | Updated 5 days ago

Appeals and Grievances

HAYS

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Washington, District of Columbia, USA

Contract

Appeals and Grievances - Contract - Remote - $18.44 - $18.44/hr. The final salary or hourly wage, as applicable, paid to each candidate/applicant for this position is ultimately dependent on a variety of factors, including, but not limited to, the candidate's/applicant's qualifications, skills, and level of experience as well as the geographical location of the position. Applicants must be legally authorized to work in the United States. Sponsorship not available. Cognizant is seeking an Appe
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Posted 4 days ago | Updated 6 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

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Remote or Houston, Texas, 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 talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 2 days ago | Updated 5 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

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Remote or Austin, Texas, 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 talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 2 days ago | Updated 5 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Dallas, Texas, 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 talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 2 days ago | Updated 5 hours ago