RCM Jobs in Pennsylvania

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Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Nice Actimize Developer

NJTECH INC.

Remote

Contract

Hi, We are looking for a Nice Actimize Developer, Please check the JD below and let me know your interest and best time to connect NOTE: We are looking for Independent contractors. We cannot sponser visa at this time Nice Actimize Developer Remote Strong understanding of Actimize data models, UDT structures, RCM/ActOne configurations, and experience integrating with internal systems and downstream channels such as Kafka. AIS Workflow Design: Design, configure, and maintain AIS Execution Workflo

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Actimize Developer || Remote

VDart, Inc.

Remote

Contract, Third Party

Position: Actimize Developer Location: Remote Contract Job description: Must Have: 5+ years of development experience in Actimize IFM Solutions Experience in developing customized AIS and RCM Components. Good Knowledge and understanding of the RCM Objects. Proficiency in development of custom profiles, AIS/RCM Plugins. Implementation experience of ActOne and IFM-X install, configure and code with in Actimize modules comprising of the Microsoft SQL. Experience in Solution upgrades and profile mig

Actimize SME - REMOTE WORK

System One

Remote or Dallas, Texas, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that

Actimize SME - REMOTE WORK

System One

Remote or Phoenix, Arizona, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that

Actimize SME - REMOTE WORK

System One

Remote or Pittsburgh, Pennsylvania, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Jersey City, New Jersey, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Newark, New Jersey, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Project Manager(Healthcare Domain)

Akshaya Inc

Remote

Contract

Job Description: Role: Project Manager (Healthcare Domain) Location: Remote. Mainly looking: Application upgrades driven by EOL applications and/or infrastructure. Skills: Proficiency in EHR/EMR systems and healthcare RCM platforms. Ability to interpret clinical documentation and payer authorization rules. Strong analytical, technical, and problem-solving skills.

Electrical Reliability Engineer

Merck & Company Inc

West Point, Pennsylvania, USA

Full-time

Job Description Electrical Reliability Engineer, Utilities Reliability Engineering Group Our company is a global health care leader with a diversified portfolio of prescription medicines, vaccines, and animal health products. The difference between potential and achievement lies in the spark that fuels innovation and inventiveness; this is the space where our company has codified its legacy for over a century. Our success is backed by ethical integrity, forward momentum, and an inspiring missi

Medical Billing Specialist /Medical Coder

CMCI

Remote or Glendora, California, USA

Full-time

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practic

Senior AI Engineer (ML/GenAI)

ConsultNet, LLC

Remote

Full-time

Title: Senior AI Engineer (ML/GenAI) Location : Remote Target Start Date : 3-4 weeks Type: (C, CTH, D) - CTH Pay Rate / Salary (Ranges OK) : Hourly Rate - $100-$110/hr - Salary around $160-$170k **THESE ARE FOCUSED ON CTH - PLEASE DO NOT SEND CANDIDATES THAT WOULDN'T BE INTERSTED AND ELIGIBLE TO CONVERT IN 3-6 MONTHS Selling Point on Client - Our client is investing heavily into building our their product space by leveraging ML/AI. They are expanding these teams signifiacntly and expect to p

Actimize Lead Developer

Stanley David and Associates

Remote

Full-time

Role :: Actimize Lead Developer Location :: Charlotte, NC Type :: Fulltime Job Description Must Have: 5+ years of development experience in Actimize IFM Solutions Experience in developing customized AIS and RCM Components. Good Knowledge and understanding of the RCM Objects. Proficiency in development of custom profiles, AIS/RCM Plugins. Implementation experience of ActOne and IFM-X install, configure and code with in Actimize modules comprising of the Microsoft SQL. Experience in Solution

ACTIMIZE DEVELOPER- Hybrid in several locations

Pyramid Consulting Group, Inc

Pittsburgh, Pennsylvania, USA

Contract

Develop and maintain code for project Pyramid Consulting Group Inc has a banking client with an immediate need for an experienced ACTIMIZE DEVELOPER with the following background and skills: Key skills: Min 4 to 5 years experience required. Actimize IFM-x 10.1 Actimize AIS 4.32, 4.34 Actimize RCM 4.15 Actimize ActOne 6.5, 6.6 Java Flex Skills/Nice to Have: Agile Software Development Containerized Infrastructure Roles and Responsibilities: Analyzing user and business requirements, writing, testi

Actimize Developer

Mastech Digital

Pittsburgh, Pennsylvania, USA

Contract

Mastech Digital provides digital and mainstream technology staff as well as Digital Transformation Services for all American Corporations. We are currently seeking an Actimize Developer for our client in the Banking/Finance domain. We value our professionals, providing comprehensive benefits and the opportunity for growth. This is a Contract-to-Hire position, and the client is looking for someone to start immediately. Duration: Contract-to-Hire Location: Pittsburgh, PA or Strongsville, OH or Dal