Healthcare Claims jobs in Remote

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,

Easy Apply

Contract

$80 - $90

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

Easy Apply

Contract

Lead : Python Backend Developer (Healthcare / Claims)

Remote

•

2d ago

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

Easy Apply

Full-time

Depends on Experience

Lead : Python Backend Developer (Healthcare / Claims)

Remote

•

Today

Easy Apply

Full-time

Depends on Experience

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.

Easy Apply

Contract, Third Party

Depends on Experience

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

Easy Apply

Contract, Third Party

Depends on Experience

Healthcare Claims Processor (Fully Insured)-Fully Remote

Remote

•

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

Easy Apply

Contract

Senior Healthcare Claims QA Analyst/Tester

Remote

•

Today

Easy Apply

Contract, Third Party

Depends on Experience

Healthcare Claims Functional Analyst-Excel -Contract-to-Hire !

Baltimore, Maryland

•

21d ago

Absolutely no third parties please ! COMPENSATION$ 33.00 per hour on a W2, then convert to full-time after 1 year at $ 65,900 plus benefits. LOCATION 100% onsite - 1501 South Clinton St. Baltimore MD 21224 Training: 3 weeks. Then chairside training an addtl 3 weeks alongside another Functional Analyst. The schedule during Training is 8 to 4:30. After training the resource can start as early as 7am 9am. PLEASE NOTE - Must have a laptop during the contracting phase - once converted to FTE status

Easy Apply

Contract

Senior Java Developer Healthcare Claims Maryland

Hybrid in Columbia, Maryland

•

Today

Please, no agencies or recruiters, only W2 applicants. Vega Consulting is staffing a Healthcare Claims Java developer for our direct Maryland based client. The selected candidate will be required to travel onsite for 2 days a month. The Senior Developer will support a custom system built from the ground up and organized into use cases for FEP Bridge. The role includes identifying technical risks, developing mitigation strategies, and recommending industry best practices and standards for the pr

Easy Apply

Contract

Depends on Experience

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

Easy Apply

Full-time

70,000+

Sr Java Software Engineer (Healthcare Claims - NIGHT SHIFT)

Hybrid in Reston, Virginia

•

Today

Job Title: Sr Java Software Engineer (Healthcare Claims - Night Shift) Location: Reston, VA Type: Contract Compensation:$75 /hr Work Model: Hybrid onsite and remote (mostly remote) Hours: Overnight schedule; onsite for 2 weeks of training during day shift, then rotating weekend shifts approximately once a month. Responsibilities Lead a team of software engineers in the design, development, and implementation of multiple applications. Perform and lead the detailed technical design, coding, cod

Easy Apply

Contract

$75.76

Healthcare Claims Functional Analyst - Temp to Perm - Onsite in Baltimore, MD

Baltimore, Maryland

•

21d ago

Healthcare Claims Functional AnalystElite Technical is seeking a Healthcare Claims Functional Analyst to support our client, a major Healthcare organization. This position is 100% onsite in Baltimore Maryland (M-F) and is a Contract to Permanent opportunity with our client. The selected candidate will analyze Healthcare Claims information in different formats (mostly MS Excel), then enter/map this information into our clients benefits system. Provides Operations Support by obtaining facts; anal

Easy Apply

Contract

30 - 30

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

Easy Apply

Contract

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

Easy Apply

Contract, Third Party

Depends on Experience

ETL Test Engineer-Healthcare (Medicaid Claims Processing)

Hybrid in East Hartford, Connecticut

•

Today

Position : ETL Test Engineer-Healthcare (Medicaid Claims Processing) Location:Hartford, CT (Hybrid) Duration: 12+ Months Contract Job Description:We are seeking an experienced ETL Test Engineer with a strong background in Healthcare Payer systems, specifically supporting the Medicaid line of business and Claims Processing. The ideal candidate will possess deep expertise in ETL and Data Warehouse testing, data validation, and healthcare data flows, with the ability to ensure high-quality data int

Easy Apply

Third Party, 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

Easy Apply

Contract

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,

Easy Apply

Third Party, Contract

Depends on Experience

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

Easy Apply

Full-time

$85,000 - $95,000

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