21 results (5 new)
Remote
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3d ago
Bachelors degree in healthcare or related field (or equivalent experience) 35+ years in healthcare finance, revenue cycle, or CDM maintenance (7 years may substitute for degree) Coding certification required (CPC, CCS, or equivalent) Experience with EPIC and Craneware required Strong knowledge of CPT/HCPCS, revenue codes, and billing systems Familiarity with reimbursement systems (e.g., IPPS, OPPS) and charge auditing
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Contract
60
Remote
•
Today
Title:Business Analyst - Remote (Local to SC only)Location:RemoteLength:Long termRestriction:w2 onlyDescription: no c2c * W2 only; Web cam interviewRemote Job Description:Company / Department CultureThe client is the State Medicaid Agency for South Carolina. The IT Healthcare Consultant Business Analyst Advanced will support the medical code change requests by researching and making recommendations to policy and process owners and stakeholders for review and approval. The position will also p
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Contract
Depends on Experience
Remote
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7d ago
Medical Biller (Inpatient/Medicare) for Physician Network (Remote) Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy. This organization is a reg
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Full-time
$50,000 - $60,000
Remote
•
Today
Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Management Coordinator Location:Canton, MD (100% Remote) Type:3 Months
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Contract
Depends on Experience
Remote
•
Today
Job ID: SC-7) Remote Clinical Analyst/Coding Specialist (SC RN/CPC/CCS) with ICD-10/CPT/HCPCS, Optum Encoder, payer/insurance, and claims processing systems, anatomy/physiology/pharmacology experience Location: Columbia, SC (SCDHHS) Duration: 12 Months Required Skills Certification: Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Education: Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) C
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Third Party, Contract
Depends on Experience
Remote
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3d ago
Position: Business Analyst Location Remote Employment Type Full-Time MMIS Financial Business Analyst (AR/AP & Fiscal Management) Role Summary The MMIS Financial Business Analyst is responsible for analyzing, configuring, and supporting financial modules within Medicaid Management Information Systems (MMIS), including Accounts Receivable (AR), Accounts Payable (AP), and Fiscal Management functions. The role involves working closely with clients, stakeholders, and technical teams to define require
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Full-time
$60,000 - $80,000
Remote
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3d ago
Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited to
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Full-time, Part-time, Third Party, Contract
Remote
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3d ago
Responsibilities Configure accounts receivable processing tasks including setting up accounts receivable, developing reports specifications to on accounts receivables. Assess client AR business operations and configure or develop new processes for configuring the financial system. Knowledge in the following business processes Experience in Provider Recoupment in a Payer setup Manage Recoveries Manage AR funds Configure accounts payable processing tasks including set up accounts payable, develop
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Full-time, Part-time, Contract, Third Party
Remote or New York
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Today
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan
Full-time
USD 130,295.00 - 260,590.00 per year
Remote or New York
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Today
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Position Summary CVS Health's Analytic
Full-time
USD 101,970.00 - 203,940.00 per year
Remote or New York
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Today
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan
Full-time
USD 130,295.00 - 260,590.00 per year
Remote
•
Today
Role: IT Healthcare - Business Analyst (Clinical Analyst & Coding Specialist) Location: Columbia, SC (Remote) Duration: 12+ months Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Job Description: SCOPE OF THE PROJECT: This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS). The current position s focus and priority is the continued support
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Contract
Depends on Experience
Remote or Olympia, Washington
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Today
Salary: $93,804.00 - $126,168.00 Annually Location : Thurston County - Olympia, WA Job Type: Full Time - Permanent Remote Employment: Remote Optional Job Number: 2026-04114 Department: Health Care Authority Division: SPI Opening Date: 05/13/2026 Closing Date: 5/20/2026 11:59 PM Pacific Salary Information: The high end of the salary range, Step M is typically a longevity step Description Data Science and Informatics Specialist 2 (DSIS2/SPI) 71113658 This Data Science and Informatics Specialist
Full-time
USD 93,804.00 - 126,168.00 per year
Remote or Eden Prairie, Minnesota
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Today
Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. Come build th
Full-time
USD 120,100.00 - 214,500.00 per year
Remote
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10d ago
100% remote work. Part-time position (20 hrs/week), but the candidate MUST be available to work during normal business hours. This is a hybrid Analytics Engineering and BI Development role focused on Azure Databricks, Tableau dashboards, healthcare data pipelines, and analytics delivery. Our client is looking for a Senior Analytics Engineer / BI Developer with strong Azure Databricks and Tableau expertise to support a major healthcare analytics initiative. This role combines hands-on data engine
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Part-time
50 - 65
Remote
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7d ago
Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain.Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid systemMust have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, IC
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Contract, Third Party
$46
Remote
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11d ago
Role Summary We are looking for a Senior Data Analyst with 10+ years of experience at the intersection of SQL, medical coding (CPT-4, ICD-10), and healthcare revenue cycle operations. This is a senior individual contributor role requiring deep technical expertise, strong domain knowledge, and a proven record of translating healthcare data into measurable financial and clinical impact. Key Responsibilities Develop and maintain MySQL/MSSQL stored procedures, batch-scripted reporting systems, and
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Full-time
85000 - 95000
Remote
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Today
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our companys growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years,NTT DATA Serviceshave focused on impacting the core of your business operations with industry-leading outsourcing ser
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Contract
Depends on Experience
Remote or Dallas, Texas
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Today
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 Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere
Full-time
USD 50,000.00 - 55,000.00 per year
Remote or Austin, Texas
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Today
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 Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere
Full-time
USD 50,000.00 - 55,000.00 per year
