NCPDP jobs in North Carolina

Remote

•

Yesterday

JOB TITLE NCPDP Healthcare EDI Consultant LOCATION Remote with expectations of occasional travel to client site RATE $58/hr DURATION 1+ Year Contract INTERVIEW MODE Video This would be supporting State of TN. If there is travel involved, it will be expensed. Please attach two managerial level references with each candidate submittal, we will have to check the reference before submittal per the client request. Reference 1 Reference 2 Name Name Title Title Company Company Phone Phone Email Email

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Contract

NCPDP Healthcare EDI Consultant

Remote

•

Today

Role Title: NCPDP Healthcare EDI Consultant Remote Required Skills Expertise on NCPDP EDI transactions, especially post-adjudication standards (PAS53 and PAS45) Experience with SDLC and implementation projects Preferred Skills Responsibilities This role involves leading technical design, development, and implementation of integration solutions while collaborating with cross-functional teams Lead the design, development, and implementation of product-based data integration and ETL solutions

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Contract, Third Party

Depends on Experience

Healthcare Applications Developer (NCPDP/EDI/MMIS) - Fully Remote!!

Remote

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Today

Role: Professional Developer (NCPDP F6 Implementation Project) Location: Remote USA Duration: 3+ months (possibility of extension) Key Responsibilities Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support. Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable t

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Contract

45 - 50

EDI Tester / EDI QA Analyst

Hybrid in Raleigh, North Carolina

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Yesterday

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. *Demonstrated

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Contract, Third Party

Business Analyst – Pharmacy Claims

Remote

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Yesterday

What youll do Gather, analyze and translate pharmacy claims workflow requirements into Business Requirements Documents (BRDs), Functional System Specifications (FSDs) and user stories with clear acceptance criteria. Map transaction data fields across NCPDP Version F6 standards, including Eligibility Verification (E1), Claim Billing (B1), Claim Reversal (B2), Claim Rebill (B3) and Predetermination of Benefits (D1). Analyze field-level changes between NCPDP D.0 and F6, including: expanded field le

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Contract

Depends on Experience

EDI Automation Tester

Hybrid in Raleigh, North Carolina

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3d ago

Job ID: NC-814300 Hybrid/Local EDI Healthcare Automation Tester (15+) with X12, 837i/839/NCPDP, functional/integration/regression testing, HP ALM/JIRA, SQL, Agile experience Location: Raleigh, NC (NCDHHS-AM)Duration: 5 Months Skills:Experience in developing and executing test scripts related to X12 EDI Transmission such as 837i, 839 , NCPDP D.0 Required 2 YearsDemonstrated proficiency in conducting QA and testing on EDI applications Required 2 YearsExperience assessing the testability of require

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Contract, Third Party

Depends on Experience

Clinical Data Architect

Remote

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Today

Who We Are Verily Health is a data platform and technology company purpose-built to power AI-enabled precision health solutions that accelerate research and improve care for individuals and communities. Uniquely positioned at the intersection of technology, data science, and healthcare, Verily transforms multimodal health data into insights, models, and actions that make healthcare more personalized, predictive, and precise. Description We are seeking a highly motivated and detail-oriented Cl

Full-time

USD 119,500.00 - 179,000.00 per year

Lead Software Engineer - Remote

Remote or Schaumburg, Illinois

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Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 112,700.00 - 193,200.00 per year

Senior Automation Test Lead

Raleigh, North Carolina

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Today

Position: Senior Automation Test Lead Location: Raleigh, NC Client: State of North Carolina Duration: 12+ Months Job Description: Senior Automation Test Lead to guide the automation testing for a large healthcare transition project. Responsibilities include assessing testability of requirements, creating and executing test cases, and developing automated test scripts for EDI transactions (HIPAA X12 837I, 837P) and NCPDP D.0. Will lead functional, integration, and regression testing, manage test

Contract, Third Party

EDI / Healthcare QA Test Lead

Hybrid in Raleigh, North Carolina

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2d ago

We are looking for a proactive, self-driven Senior Automation Test Lead to drive quality assurance and test automation for a critical healthcare project. Position Details Role: IT Senior Automation Test Lead Location: Raleigh, NC Work Arrangement: Hybrid Interview Process: Webcam Interview Only Key Responsibilities Automation & Scripting: Script, build, and execute automated test suites for web applications and critical systems. EDI & Claims Testing: Develop and execute test scripts for HIPAA X1

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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 - HYBRID

Hybrid in Raleigh, North Carolina

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3d ago

Job Description: Crop to Crop resumes are accepted 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 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 Docum

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Third Party, Contract

Depends on Experience

IT Senior Automation Test Lead

Hybrid in Raleigh, North Carolina

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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

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

North Carolina

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2d ago

Job Title DHHS IT Senior Automation Test Lead Work Location 1915 Health Services Way NC Interview Type Job Description 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 Transition Project. This position is responsible for the following activities related to a critical system being developed in-house at the State: Responsibilities Experience assessing the testability of requireme

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Third Party

Senior Automation Testing Lead

Raleigh, North Carolina

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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

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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

Healthcare EDI Test Engineer

Raleigh, North Carolina

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3d ago

HonorVet Technologies is a Service Disable Veteran-Owned IT staffing firm, ISO 9001 and ISO 27001 certified, working with federal agencies, state governments, and Fortune 500 enterprise clients across the US. What makes us different isn't a tagline; it's the way we work. We don't forward resumes and hope for the best. We take the time to understand where a professional like you is headed and only reach out when we genuinely believe there's a fit worth exploring. Job Title: Healthcare EDI Test E

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Contract, Third Party

$38 - $40

iSeries developer

Remote

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3d ago

Analyze existing NCPDP D.0 transaction processing workflows and identify modifications required for F6 compliance.Design, develop, test, and implement enhancements to IBM i (AS/400) applications using RPG, RPGLE, SQLRPGLE, CL, and DB2.Modify claim adjudication, billing, eligibility, and pharmacy transaction processing programs to support NCPDP F6 requirements.Update database structures, file specifications, and interfaces supporting pharmacy claims.Develop and maintain inbound and outbound EDI t

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Contract

$40 - $50

Sr Data Engineer

Remote or Philadelphia, Pennsylvania

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Today

Company Description IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 250 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operatio

Full-time

NCPDP jobs in North Carolina, USA