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Rx-Claims Test Analyst

RiseIT Solutions

•

Remote

Contract, Third Party

Company: iTech US, Inc. Job Title: Rx-Claims Test Analyst Location: Remote Job Responsibilities: Experience in Healthcare or a PBM desired..NET C# experience as SDETPrioritize, manage multiple assignments, and direct the work of others to meet deadlines.Excellent communication (Verbal and Written) and collaboration skills.Superior organization, project management, and prioritization skills.Courteous and professional demeaner with the desire and ability to work as a team.Ability to interact and
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Posted 9 days ago | Updated 1 day ago

Senior Business Analyst - Medicaid Claims

Gainwell Technologies LLC

•

Milwaukee, Wisconsin, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 1 day ago | Updated 4 hours ago

Legal Administrative Temp - Claims Support

Software Guidance & Assistance

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Raleigh, North Carolina, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Legal Administrative Temp - Claims Support for a contract assignment with one of our premier Human Resources services clients in NC. This role will be remote. *MUST BE LOCAL TO NC/SC Responsibilities : We are seeking a detail-oriented and organized Legal Administrative Temp to provide essential support to the firm's Employment Practices Liability ( "EPL") Claims team. This role will assist with administrative tasks including pul
Posted 14 days ago | Updated 6 hours ago

Senior Project/Program Manager - Claims Platform Migration

ConsultNet, LLC

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Minneapolis, Minnesota, USA

Full-time

Senior Project/Program Manager - Claims Platform Migration (Fully Insured) Overview We're seeking an experienced Senior Project/Program Manager to lead a high-impact initiative focused on migrating a commercial claims platform. The ideal candidate will bring deep expertise in managing complex technology and business transformation efforts specific to fully insured commercial health plans (small and large group). This individual will play a critical role in building and executing repeatable proce
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Posted 7 days ago | Updated 7 hours ago

Excellent Job Opportunity || Claims Assist - Solution Architect || Charlotte, NC

Sysmind, LLC

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Illinois, USA

Contract, Third Party

Dear Job Seeker My name is Leo and I work as a Sr. US IT Recruiter with SYSMIND. We have been serving fortune 500 clients in the industry to bridge their staffing gap since the past 25 years. I have an Excellent opportunity with one of our clients. Description: Role Name: Claims Assist - Solution Architect Location: Charlotte, NC Duration: 6+ months with possible extension Required Qualifications: Bachelor's Degree in Computer Science, or related technical discipline with proven experience
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Posted 48 days ago | Updated moments ago

Software Development Engineer, Customer Support and Claims

Tesla Motors

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Fremont, California, USA

Full-time

The Tesla Insurance Claims Application team is seeking a Backend Software Engineer to contribute to the development of our Web App. These products are part of Tesla's advanced platforms for managing Service workflow for Vehicle, Insurance Claims and Energy products. The person will be responsible for building and maintaining full stack applications that support various use cases of service business. User interfaces are built with Angular, React and Typescript and are powered by highly performant
Posted 20 hours ago | Updated 8 hours ago

Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Saama Technologies, LLC

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Remote

Contract, Third Party

We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain for a hospital (Provider) ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting. Key Responsibilities: Collaborate with stakeholders to gather, define, and document both current and future business and data need
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Posted 16 days ago

Sr Business Analyst Techno-Functional (P and C -PAS/Claims)

My IT LLC

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Atlanta, Georgia, USA

Full-time

Job Title: Sr Business Analyst Techno-Functional (P&C - Client / Claims ) Location: Atlanta, GA Type: FTE Exp. Level: Senior / Lead Reports To: Product Owner / Delivery Manager Job Description Our client's customer success team in Atlanta, GA is seeking a Sr Business Analyst with a techno-functional profile, who has deep expertise in P&C insurance, especially in Policy Administration Systems (Client) and/or Claims management platforms. This individual will work closely with our clients to under
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Posted 9 days ago | Updated 3 hours ago

Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

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Remote

Full-time

Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP Validation of information entered by indexer Verify coverage; evaluate eligibility
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Posted 2 days ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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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
Posted 55 days ago | Updated 4 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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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
Posted 55 days ago | Updated 4 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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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
Posted 55 days ago | Updated 4 hours ago

Epic Resolute Professional Billing & Claims and Remittance

Tranzeal, Inc.

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Remote

Contract

Title- Senior Systems Analyst Location- Oakland, CA Job Information Job Description: Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and m
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Posted 22 days ago

Senior Epic Analyst - Hospital Billing Claims & Remittance/Professional Billing

Golden Resources. Inc.

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Ohio, USA

Full-time

Our client is looking for a Senior Epic Analyst to join their Team! The Senior Epic Analyst will be responsible for Service Now requests and hospital billing claims & remittance. This position designs configures, tests, and implements changes of assigned Epic system applications. In addition, this role will lead operational work groups and teams to gather and analyze requirements for new requests. The Senior Epic Analyst consults with Epic representatives, leadership, and subject matter experts
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Posted 34 days ago | Updated moments ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

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Kansas City, Missouri, 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 As a Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 15 days ago | Updated 4 hours ago

Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV)

CalOptima

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Orange, California, USA

Full-time

Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Claims, Membership, Benefits, Provider and Contact Center) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for Claims, Membership, Benefits, Provider and Contact Center applications. This position will work closely with busine
Posted 6 days ago

Epic HB/HB Claims Analyst - Certified

InterSources Inc.

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San Mateo, California, USA

Full-time, Contract

Title: Epic HB/HB Claims Analyst - Certified Location: San Mateo, California What We're Looking For: Epic Certification: Required: Active Epic Hospital Billing (HB) Certification Required: Active Epic Hospital Billing Claims (HB Claims) Certification Epic Experience (2+ years): Proven experience in Epic design, build, and implementation within a healthcare setting. Strong preference for Epic Patient Billing experience. Proficiency with Epic "assisted application " modules. Education: Bachelor's
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Posted 37 days ago | Updated 3 hours ago

SQL Claims Analyst

Apex Systems

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Montgomery, Alabama, USA

Full-time

Job#: 2069329 Job Description: Position: SQL Claims Analyst - Medicaid Location: ONSITE - 501 Dexter Ave, Montgomery, AL 36104 Duration: 12-month Contract-to-Hire Pay Rate: $50 - $60/hr. Overview: AL EDS is the new Alabama Medicaid Data warehouse, This position will support the Agency in the rollout and usage Responsibilities: Support the Agency with their Analytic StaffProvide on-site help desk supportCreate Power BI reports at the request of the AgencyProvide data analysis at the request
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Posted 60+ days ago | Updated 8 hours ago

Claims Processing Specialist - Oklahoma City, OK (Hybrid)

Gainwell Technologies LLC

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Oklahoma City, Oklahoma, 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 As a Claims Processing Specialist - Oklahoma City, OK (Hybrid) at Gainwell, you can contribute your skills as we harness the po
Posted 60+ days ago | Updated 4 hours ago

Engineering Manager (Claims Platform)

Headway

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Remote or New York, New York, USA

Full-time

Headway's mission is a big one - to build a new mental health care system everyone can access. We've built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. 1 in 4 people in the US have a treatable mental health condition, but the majority of providers don't accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy
Posted 60+ days ago | Updated 8 hours ago