RCM Jobs in Philadephia, PA

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Actimize Developer

Digitive LLC

•

Wilmington, Delaware, USA

Contract, Third Party

Role: Actimize Developer Location: Wilmington, DE (HYBRID) Experience: 10+ Years Must Have's: Experience of deploying/implementing latest versions of Actimize solutions SAM (Suspicious Activity Monitoring ) and CDD (Customer Due Diligence ) out of the box /Custom models.Hands On Experience in Custom Models/Custom development on Actimize using AIS modeler and RCM Designer.Experience with Actimize DART, Dash boards, Custom Alerts, Forms design and implementation. Technical Skills required for thi
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Posted 6 days ago | Updated 15 hours ago

Actimize Developer || Remote

VDart, Inc.

•

Remote

Third Party, Contract

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
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Posted 1 day ago

Lead Actimize developer - Remote

Silverlink Technologies LLC

•

Remote

Contract, Third Party

We are looking for a Lead Actimize developer to join our team. Please review the job description below, and let us know if you are interested and available. If this opportunity matches your experience and career goals, we would love to discuss it more. Additionally, feel free to share your updated resume for consideration. Position: Lead Actimize developer Location: Remote Contract Position JD: Must Have: 5+ years of development experience in Actimize IFM Solutions Experience in developing cust
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Posted 9 days ago

Project Manager with Healthcare Domain

Akshaya Inc

•

Remote

Contract

Role: Project Manager with Healthcare Domain Location: Remote Description: Mainly looking: Application upgrades driven by EOL applications and/or infrastructure.Looking for pure Healthcare domain experience. Project ManagementExperience in Revenue Cycle, HIM.PMP Certification. 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.
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Posted 1 day ago

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
Posted 6 days ago | Updated 2 hours ago

Market Performance Partnership (MPP) Product Leader - Remote

Optum

•

Remote or Plymouth, Minnesota, USA

Full-time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv
Posted 1 hour ago

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
Posted 30 days ago | Updated 10 hours ago

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
Posted 30 days ago | Updated 10 hours ago

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.
Easy Apply
Posted 1 day ago

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
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Posted 60+ days ago | Updated 8 days ago

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
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Posted 43 days ago | Updated 2 hours ago

Actimize Developer

Bluefish Technologies

•

Wilmington, Delaware, USA

Contract

Hi Folks, Urgent hiring for the below role: Role: Actimize Developer Location: Wilmington, DE (HYBRID) Experience: 10+ Years Must Have's: Experience of deploying/implementing latest versions of Actimize solutions SAM (Suspicious Activity Monitoring ) and CDD (Customer Due Diligence ) out of the box /Custom models. Hands On Experience in Custom Models/Custom development on Actimize using AIS modeler and RCM Designer. Experience with Actimize DART, Dash boards, Custom Alerts, Forms design and imp
Easy Apply
Posted 3 days ago

Actimize Lead Developer

Centraprise Corp

•

Remote

Full-time

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 migrations. Good understanding of the release Management process with hands
Easy Apply
Posted 6 days ago | Updated 17 hours ago

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
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Posted 3 days ago

Senior FCRM Testing Analyst

TechSpace Solutions Inc.

•

Remote

Contract, Third Party

The Financial Crime Risk Management (FCRM) Enterprise Testing Team (formerly Global Anti-Money Laundering) sits within the second line of defense and conducts design and operating effectiveness (DEA and OEA) testing of AML/ATF, Sanctions, and ABAC controls (collectively referred to as "FCRM Controls") within TD's business lines, relevant operational and control units (including the Financial Intelligence Unit (FIU)), and key FCRM technologies, Enterprise-wide (Canada, Europe, and Asia-Pacific).