Edifecs jobs | Dice.com

Senior EDI / EDIFECS Application Developer

Hybrid in Chicago, Illinois

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3d ago

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

Solution Architect (PBM)

Remote

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5d ago

100% remote role but need to come onsite once in every 3 months. (expenses will be paid for the travel) What the role will involve: The resource will be working with other domain architects and the PBM provided. Will be working on the architecture on how the PBM provider integrated back in the CareFirst systems. Must haves: Looking for resources will solid solution architecture in the PBM space. Must have 10+ years Solution Architecture experience with around 10 years of PBM experience. Solid PB

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Contract

Depends on Experience

Supervisor, Encounter Data Management

Remote

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Today

Become a part of our caring community This is a remote position. The Supervisor, Encounter Data Management develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develop tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Makes decisions related

Full-time

USD 65,000.00 - 88,600.00 per year

Encounter Data AI & Automation Lead

Remote

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Today

Become a part of our caring community The Encounter Data Management Lead is responsible for leading AI-driven reconciliation and automation efforts to improve encounter data quality and reduce manual work. In this role, you will own the performance and continuous improvement of AI models used in reconciliation processes. You'll work across business and technical teams to identify opportunities, optimize outcomes, and scale automation solutions. This role requires strong experience applying AI i

Full-time

USD 94,900.00 - 130,500.00 per year

Engineer III - EDI

Rancho Cucamonga, California

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Today

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Encounters & EDI Leadership Team, the Engineer is responsible for analysis of new DHCS/CMS requirements and providing recommendations for new rules implementation, submissions tracking, remediating submission errors, responding to regulatory changes, and monitoring

Full-time

USD 118,601.60 - 157,144.00 per year

Business Systems Analyst

Jacksonville, Florida

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for a Business Systems Analyst for a contract assignment with one of our premier Healthcare Services clients in Jacksonville, FL. Responsibilities : Serves as a liaison for assigned business areas and provides consultative guidance to achieve business objectives by serving as a resource in the analysis of business and user needs and the application of technology solutions, to help define and achieve objectives, identify risk and impl

Contract

USD 45.00 - 50.00 per hour

IT Solutions Architect

Remote or Englewood, Colorado

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Today

Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has

Full-time

Lead Engineer - Technology Solutions

Louisville, Kentucky

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Today

Become a part of our caring community Job Description Summary The Lead Software Engineer is responsible for advancing and optimizing the Batch, EDI, and Clearinghouse technology ecosystem supporting the eHub and HIT teams. This role leads complex engineering work, enhances system performance and reliability, and enables strategic capabilities that improve provider experience, operational efficiency, and compliance. The position blends hands-on engineering with technical leadership, driving innov

Full-time

USD 129,300.00 - 177,800.00 per year

Sr. Lead Developer

Johns Creek, Georgia

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Today

JOB TITLE: Sr. Lead JOB LOCATION: candidates in Raleigh NC preferred not required Remote is fine WAGE RANGE*: 50 - 56/ hour Must be W2 JOB NUMBER: REMT000200 REQUIRED EXPERIENCE: Qualifications Critical Qualifications Bachelor's degree in Computer Science or a related field, plus 10+ years of software development experience Experience with Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC) Experience in the healthcare industry Experience with agile development meth

Full-time

USD 50.00 - 56.00 per hour

Facets EDI Specialist

Remote

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4d ago

Job Title: Facets EDI Specialist Location: 100% Remote Duration: Long Term Contract Job Summary We are seeking an experienced Edifecs Encounter Specialist with strong hands-on experience in healthcare encounters, Edifecs, and encounter data processing. The ideal candidate will have a solid understanding of encounter lifecycle, encounter validation, error analysis, data quality, and healthcare claims/encounter processes. The candidate should also have working knowledge of Facets navigation and be

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Contract

Depends on Experience

.Net Backend Developer with COTS products & Production support

Remote

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18d ago

HelloAll, Hope you are doing well, Title: .Net Backend Developer with COTS products & Production support Location: Remote Duration:12+ Months Responsibilities: Work with Product teams to develop highly scalable, flexible and resilient software solutions to accelerate the delivery timeline of our solutions.Partner with our system architects and product owners to re-architect our products to enable deployment on server less containerized cloud frameworks.Key participant in the development and tr

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Contract

50 - 60

Healthcare Quality Assurance Automation Lead

Remote

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9d 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

Senior .NET Developer in Raleigh, NC (Possible FTE conversion)

Remote

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11d ago

Job Description: Job Title: Senior .NET Developer Duration: 3+ Months Contract with Possibility of FT Conversion Job Location: Remote/Onsite (Raleigh, NC preferred location preferred) Role Overview: The Developer, Specialist performs thorough end-to-end analysis of complex business functionality, provides technical solutions for complex business requirements, and implements enterprise-grade software solutions. This role functions as an individual contributor, capable of working inde

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Third Party, Contract

Depends on Experience