Financial Claims Examiner II Jobs in San Jose, CA

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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 15 days ago | Updated 4 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 21 days ago | Updated 4 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 43 days ago | Updated 4 hours 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 60+ days ago | Updated 4 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 5 days ago | Updated 4 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 5 days 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 4 hours ago

Fraud Specialist

Psinapse Technology

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Livermore, California, USA

Full-time

Our client is seeking a dedicated and detail-oriented Fraud Specialist to join our team on a contract to hire basis. Ideal candidates will have experience in monitoring accounts, identifying fraudulent activities, and collaborating with various stakeholders to resolve fraud-related issues. This role requires analytical skills, strong communication abilities, and a commitment to maintaining the highest level of professionalism. The hourly pay rate is $25.55 - $34.74. RESPONSIBILITIES: Review ne
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Posted 60+ days ago | Updated 12 days ago

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

Saama Technologies, LLC

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Remote

Third Party, Contract

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 18 days ago | Updated 1 day 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 16 days ago | Updated 2 days 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 40 days ago | Updated 2 days ago

Program Manager - EST and CST Only

On-Demand Group

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Remote

Contract

Job Title: Program Manager Duration: 6 months contract-to-hire Location: (Remote) Bloomington, MN - must work and live in EST or CST timezone Position OverviewWe are seeking a dynamic Transformation Program Manager with deep expertise in Risk Capital and comprehensive business knowledge across the commercial risk insurance broking value chain from Prebind to Post bind.This role requires a strategic thinker who can articulate and solve key commercial risk process and technology challenges, develo
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Posted 18 days ago

Accounts Receivable Analyst

Stefanini

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Remote or East Hanover, New Jersey, USA

Contract

Stefanini Group is hiring! Stefanini is looking for an Accounts Receivable Analyst (REMOTE) For quick apply, please reach out to Madelaine Yu Call: / Email: Open for W2 candidates only! Work LocationRemote/work from home ShiftMonday to Friday, between 8:00 AM to 6:00 PM Eastern Responsibilities In Accounting & External Reporting, we are a team of experts dedicated to ensuring absolute integrity and accuracy of our financial data and reporting, delivering results with speed and data that enables
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Posted 2 days ago | Updated moments ago

Client Partner - Healthcare

Randstad Digital

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Remote or New York, New York, USA

Full-time

job summary: Are you a highly accomplished digital consulting professional with a proven track record of driving significant business transformation and revenue growth? Do you excel at forging and leveraging C-level relationships to secure multi-million dollar deals? We are seeking an exceptional Client Partner to join our rapidly expanding consulting practice, a critical driver of our strategic growth objectives. This is a pivotal leadership role where you will guide multi-disciplinary teams
Posted 9 days ago | Updated 1 hour ago

Ivanti Database Analyst

SPECTRAFORCE TECHNOLOGIES Inc.

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Remote

Contract

Avanti -Database Analyst IV 6 Months Salem, Oregon, 97302 (REMOTE) Description: The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS). OIS provides the technology systems and services that support more than 18,000 OHA and ODHS agency staff at local offices and facilities around the state. These systems and services help the two agencies determine client service program eligibility; provide medica
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Posted 8 days ago

Siebel Engineer Lead Consultant

Allstate Insurance Company

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Texas, USA

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 The Software Engineer Lead Consultant will be responsible for providing Level 2 and Level 3 production support for the Cla
Posted 22 days ago | Updated 4 hours ago

CD&A - Principal Machine Learning Engineer

Amgen Inc

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Remote or Deerfield, Illinois, USA

Full-time

Career Category Sales & Marketing Operations Job Description Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach million
Posted 4 hours ago