Healthcare Claims Processing Testing jobs in North Carolina

IT Senior Automation Test Lead (Required Exp Healthcare Claims Processing Testing)

Hybrid in Raleigh, North Carolina

•

Yesterday

Our Client is seeking a Senior Automation Testing Lead to lead the effort in building Automation Testing to support the Managed Care Transition Project. This position is responsible for the following activities related to a critical system being developed in-house at the State: *Experience assessing the testability of requirements and developing test cases based on Business Requirements and Software Design Documents. * Experience in the execution of functional, integration and regression tests.

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Contract, Third Party

Depends on Experience

IT Senior Automation Test Lead

Hybrid in Raleigh, North Carolina

•

3d ago

We are seeking an experienced Senior Automation Testing Lead to support a critical Managed Care Transition Project for a State client. The ideal candidate will have strong expertise in healthcare claims testing, HIPAA X12 EDI transactions, test automation, and end-to-end QA processes. Position Overview Job Title: Senior Automation Testing Lead Project: Managed Care Transition Domain: Healthcare / Medicaid / Claims Processing Experience: 5+ years in QA and software testing Work Location: Raleigh,

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Third Party, Contract

Depends on Experience

Automation Test Lead - Testing EDI (HIPAA X12) Applications

Raleigh, North Carolina

•

Yesterday

Experience in the execution of functional, integration and regression tests.Demonstrated Experience in Testing EDI Applications.Hands on experience to develop and execute test scripts for HIPAA X12 EDI Transactions such as 837I, 837P and NCPDP D.0Experience developing SQL queries.Experience in scripting automated Test Suites.Experience in the review, analysis and reporting of test results.Experience with Test and Defect Management Tools. HP ALM, JIRA preferred.Experience on testing web applicati

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Contract

Depends on Experience

Senior Automation Testing Lead

Raleigh, North Carolina

•

Yesterday

Job Title: NCDHHS- IT Senior Automation Test Lead (814300) in Raleigh, NC - OnsiteDuration: 6 MonthsInterview: Webcam Interview OnlyLast date: 10.23.2026Job Description:NC Dept of Health and Human Services (DHHS) is seeking a Senior Automation Testing Lead for the work related to support the Managed Care Transition Project.NC Dept of Health and Human Services (DHHS) is seeking a Senior Automation Testing Lead to lead the effort in building Automation Testing to support the Managed Care Transitio

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Contract

Depends on Experience

Automation Test Lead - Hybrid

Hybrid in Raleigh, North Carolina

•

2d ago

: Automation Test Lead - Hybrid :QA, Testing EDI Applications,Business Requirements, Software Design Documents,Healthcare Claims Processing Testing, testing web applications,Test and Defect Management Tools, HP ALM, JIRA,scripting automated Test Suites, Agile Methodology, SQL queries,test scripts, X12 EDI Transmission, Automation Testing, Managed Care Transition,MS Office, Excel, Word, PowerPoint,:The client is seeking a Senior Automation Testing Lead for the work related to support the Managed

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Contract

43 - 48

Medicaid Claims QA Analyst(Healthcare)

Remote

•

24d ago

Job Description: Job Title: Senior QA Tester Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Role summary: Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire lif

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Full-time

$85,000 - $95,000

Healthcare Claims Processor (Fully Insured)

Remote

•

2d ago

Healthcare Claims Processor (Fully Insured)Introduction:Elite Technical Services is partnering with a major healthcare insurance provider to identify motivated, detail-oriented Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who pos

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Contract

FACETS Architect (with Healthcare Claims)

Remote

•

Today

Remote Job Contract to Hire Important Notes from HM: Proficiency in innovating ideas and solutions resulting in tangible and measurable business outcomes. Mastery in creating architecture solutions within the enterprise architecture future state for technological acceleration of value outcomes, and effectively present and persuade key decision makers to invest in this acceleration. Must have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing,

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Contract

$80 - $90

Senior QA Tester with Healthcare Medicaid Medicare Claims domain

Remote

•

Today

Hi Greetings from Infinite Computer Solutions ! Hope you are well today! I'd like to discuss a job opportunity with you. Hope you would be interested. Position: Senior QA Tester with Healthcare Medicaid Medicare Claims domain Location:Dallas, TX, St Louis, Mo, Las Vegas, NV, Hybrid/Remote Term : Fulltime About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,sca

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Full-time

70,000+

Lead : Python Backend Developer (Healthcare / Claims)

Remote

•

Yesterday

Lead Python Backend Developer AWS & AI (Healthcare / Claims) Position: Lead Python Backend Developer AWS & AI Experience: 12+ Years Employment Type: Full-Time Domain: Healthcare / Health Insurance / Claims Mandatory About the Opportunity We are looking for a strong hands-on Python Backend Development Lead with extensive experience in AWS Cloud, Microservices, Distributed Systems, and AI-Assisted Development. The ideal candidate must have deep expertise in Python backend engineering, experie

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Full-time

Depends on Experience

Lead : Python Backend Developer (Healthcare / Claims)

Remote

•

3d ago

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Full-time

Depends on Experience

Healthcare Claims Processor (Fully Insured)-Fully Remote

Remote

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2d ago

Elite Technical Services is seeking a Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who possess sharp medical coding knowledge and exceptional systems navigation skills. Key Responsibilities: Review, investigate, and adjudicate

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Contract

Senior Healthcare Claims QA Analyst / Tester

Remote or East Hartford, Connecticut

•

Today

Job Title: Senior Healthcare Claims QA Analyst / Tester Location - Hartford, CT preferred; Remote is also acceptable Duration: Longterm Job Description: We are seeking an experienced Healthcare Claims QA Analyst/Tester with 79 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable working within an Agile delivery environment. Required Skills 79

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Contract, Third Party

Depends on Experience

Senior Healthcare Claims QA Analyst/Tester

Remote

•

Today

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Contract, Third Party

Depends on Experience

Senior Healthcare Claims QA Analyst / Tester

Remote

•

Today

Dear Job Seeker, We have a Senior Healthcare Claims QA Analyst / Tester job in Hartford, CT, if I the right candidate is available willing to work from home or Remote can be acceptable. If you feel your skills and experience match this position, please don't hesitate to apply or reach out to me. We'd be happy to discuss the opportunity with you. Job Title: Senior Healthcare Claims QA Analyst / Tester Location - Hartford, CT preferred; Remote is also acceptable Duration: Longterm Job Description

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Third Party, Contract

Depends on Experience

Full Time role: EPIC Tapestry Application Coordinator at USA (Remote)

Remote

•

Today

EPIC Tapestry Application Coordinator USA (Remote) Full Time role Lead the architecture and solution design of EPIC Tapestry capabilities, including member enrollment and eligibility, benefits and plan administration, claims processing and adjudication, provider network management, utilization management, billing, and customer relationship management. Analyze business requirements and translate them into scalable, secure, and compliant technical designs, user stories, acceptance criteria, data

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Full-time

Snowflake Data Architect - Healthcare Claims Migration

Remote

•

Today

Project description Join Our Team: Innovating Health Care with Cutting-Edge Technology We are looking for an experienced Senior Snowflake Data Architect to lead the migration of protected healthcare claims data (PHI) from AWS SQL Server to Azure and Snowflake. The role focuses on modernizing enterprise data architecture, implementing secure and scalable data replication and ingestion solutions, and enabling advanced analytics and reporting while ensuring compliance with healthcare security and

Full-time

Product Owner, Claims Editing (RTM)

Remote

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7d ago

100% remote in US$120,000-135,000 + 10% yearly bonus REQUIRED: 4 or more years of experience in healthcare claims editing, payment integrity, medical coding, reimbursement, medical policy, or claims analytics. About the RoleThe Product Owner, Claims Editing identifies, designs, and supports the implementation of automated claim edits that drive incremental value, improve payment accuracy, and generate revenue across claims-editing programs. The role initially focuses on Routine Test Management (

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Full-time

Depends on Experience

QA Lead/Manager- PBM Claims Processing -Remote

Remote

•

6d ago

Required Qualifications 15+ years of software quality assurance experience, including hands-on test design and execution. 5+ years of QA leadership or management experience. Strong experience supporting PBM claims processing systems. Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management. Ability to define and manage quality metrics, dashboards, and team performance indicators. Strong analytical, communication, stakeholder management, and proble

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Contract, Third Party

Depends on Experience

Senior Business Systems Analyst

Remote

•

20d ago

Role SummaryThis position requires a highly experienced Subject Matter Expert (SME) with deep knowledge of complex healthcare claims administration, payment operations, and regulated health program environments. The SME provides authoritative expertise to help project teams and technical leads understand operational processes, regulatory requirements, contractor interactions, and supporting technologies. The role provides strategic guidance and operational insights to support program performance

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Contract, Third Party

Depends on Experience

Healthcare Claims Processing Testing jobs in North Carolina, USA