Financial Claims Examiner II Jobs in San Francisco, CA

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Claims Systems Delivery Manager (Remote in US)

Gainwell Technologies LLC

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Remote or 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 Claims Systems Delivery Manager (Remote in US) at Gainwell, you can contribute your skills as we harness the power of tec
Posted 10 days ago | Updated 10 hours ago

Data Analyst

Allstate Insurance Company

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Remote

Full-time

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description We are seeking a Data Analyst to support Analytics and Data Science teams by developing clean, reliable data pipelines and
Posted 5 days ago | Updated 2 hours ago

AI Innovation Lead - Data Science Lab

Guardian Life Insurance Company

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Remote or New York, New York, USA

Full-time

Lead AI Innovation Lead - Data Science Lab Overview Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their families. As part of the Data & AI team, this role presents a distinctive opportunity to collaborate with the CDAO and the Head of Data Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian,
Posted 47 days ago | Updated 2 hours ago

Remote Project Manager

Apex Systems

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Remote or Milwaukee, Wisconsin, USA

Full-time

Job#: 2083184 Job Description: Our great client has an immediate opening for a Remote Project Manager. If you are interested please apply with resume to . Looking for 4+ years experience as a project manager interacting with SW Engineering teams. -Insurance industry or call center/claims experience would be nice to have Plans, coordinates and actively manages the technical delivery plans of technical solutions across a portfolio of teams supporting technical and data platforms. Manages the end-
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Posted 1 day ago | Updated 2 hours ago

Guidewire UAT Test Lead

Eliassen Group

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Anywhere, US

Contract

Description: Job Summary: We are seeking an experienced UAT Test Lead with expertise in Guidewire insurance platform to join our team. The successful candidate will be responsible for leading User Acceptance Testing (UAT) activities for our Guidewire-based insurance systems, ensuring that all system changes meet business requirements and are thoroughly tested. This is a key role that requires strong technical, analytical, and leadership skills to ensure the successful delivery of business-crit
Posted 27 days ago | Updated 1 hour ago

Manager, Software Application Development - myPBM

CVS Health

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Remote or Richardson, Texas, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 50 days ago | Updated 2 hours ago

Staff Software Development Engineer

CVS Health

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Remote or Buffalo Grove, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 10 days ago | Updated 2 hours ago

Systems Analyst III - EPIC Billing

Cleveland Clinic

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Remote or Cleveland, Ohio, USA

Full-time

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Systems Analyst - EPIC Billing Location Cleveland Facility Remote Location Department Job
Posted 60+ days ago | Updated 2 hours ago

Staff Full Stack Java Developer - myPBM

CVS Health

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Remote or Buffalo Grove, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 16 days ago | Updated 2 hours ago

PBM Data Engineer

CVS Health

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Remote or Scottsdale, Arizona, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 60+ days ago | Updated 2 hours ago

Jr. Data Scientist, Machine Learning - Remote

ConsultNet, LLC

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Remote

Full-time

Title: Jr. Data Scientist, AI and Machine Learning Location : 100% Remote Target Start Date : ASAP Type: contract or contract to hire Pay Rate: DOE We're looking for an industry-leading Data Scientist focused on building production-level machine learning solutions. Rather than a research role, this position emphasizes applying ML/AI to real-world healthcare challenges-such as reducing costs and improving care quality. You'll work with structured and unstructured data (claims, membership, provi
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Posted 39 days ago | Updated 1 hour ago

Senior Automation Engineer

CVS Health

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Remote or Northbrook, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 57 days ago | Updated 2 hours ago

AI/ML Health Data Scientist

Navigant Consulting

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Remote

Full-time

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Business Development Identify policy and/or business problems and successfully capture from sourcing through award/close.Perform research on key accounts and clients to effectively qualify and scope new business opportunitiesDiscuss and develop solutions with client service teams and existing/new clientsActively engage within target accounts and relevant market(
Posted 13 hours ago | Updated 2 hours ago

Ivanti ITSM/ITAM Admin

Innosoul inc

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Remote

Contract, Third Party

Job ID: OR-11127-25 Remote Ivanti ITSM/ITAM Admin (ITIL must) with Neurons, ITAM/CA SDM/APM migration, CMDB, asset tracking, configuration item/CI, SQL Server/MySQL/PostgreSQL/MS Access, ETL experience Location: Salem, OR (DHS/OHA) Duration: 6 Months Position: 1 This position is approved for remote or hybrid work. Remote onboarding will be required for the first day. Reference must Skills: Skills Database Data Analysis Advanced (7-9 Years) Yes Skills Database Data Modeling Advanced (7-9 Years)
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Posted 1 day ago

Lead Data Scientist - AI

CVS Health

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Remote or Wellesley, Massachusetts, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 60+ days ago | Updated 2 hours ago

Data Management Operations Specialist

Guardian Life Insurance Company

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Remote or Bethlehem, Pennsylvania, USA

Full-time

Job Overview: We are seeking a highly skilled and proactive Data Management Operations Specialist to join our Data Management team in the insurance industry. This individual will play a critical role in supporting the Data Management Strategy and Operations Leader by overseeing the daily operations of our data management processes, ensuring the accuracy, accessibility, and compliance of data, and implementing strategic initiatives aimed at optimizing data governance and quality. This is a uniqu
Posted 60+ days ago | Updated 2 hours ago

Infosys - Healthcare Data Analyst

ASCII Group LLC

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Remote

Contract, Third Party

Infosys - Healthcare Data Analyst - Eden Prairire, MN/ Remote- 12 Months Please find below job description and let me know if you are interested Job Title: Healthcare Data Analyst Location: Eden Prairire, MN/ Remote Duration: 12 Months Must Have Skills: Should be able to write complex SQL queries for ETL (extraction, transformation, and loading) Good experience in domains like Financial wellness benefits (FSA, HRA, HSA), member, provider, RX, claims & CMS feeds Should have experience of Data An
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Posted 3 hours ago | Updated 2 hours ago

Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Saama Technologies, LLC

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Remote

Contract, Third Party

We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain for a hospital (Provider) ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting. Key Responsibilities: Collaborate with stakeholders to gather, define, and document both current and future business and data need
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Posted 14 days ago

Senior Data Analyst - Remote (EST / CST time zone)

Connect Tech+Talent

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Remote

Full-time

Senior Data Analyst Remote - (EST / CST time zone) Full Time We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modelling capabilities, and advanced skills in Snowflake. Experience working with Agency Management Systems such as EPIC and AMS360 is a significant advantage. Responsibilities: Develop and maintain robust data mo
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Posted 11 days ago | Updated 16 hours ago

IT Procurement & Contract Manager

SilverSearch, Inc.

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Remote

Contract

Remote - Preferred local to NY/NJ/CT NO THIRD PARTY INQUIRIES DIRECT APPLICANTS ONLY Job Overview:We are seeking an experienced IT Procurement and Contract Manager to lead capital sourcing activities and oversee complex contract negotiations across hardware, software, and services. This role is critical to managing strategic sourcing initiatives, contract compliance, and vendor relationships in a fast-paced IT environment. Ideal candidates will have extensive experience with large-scale technolo
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Posted 35 days ago | Updated 1 day ago