claims technical analyst associate iii Jobs

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Epic Professional Billing Claims Analyst III

Community Care Cooperative (C3)

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Boston, Massachusetts, USA

Full-time

Title: Epic Professional Billing Claims Analyst Reports to: Manager of Professional Billing and Claims Classification: Individual Contributor Location: Boston (Hybrid) Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization fou
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Posted 8 days ago

Epic Resolute Professional Billing & Claims and Remittance Analyst

Tranzeal, Inc.

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Remote or Oakland, California, USA

Contract

Role- Epic Resolute Professional Billing & Claims and Remittance Analyst Location- Oakland, CA (Remote) Required certifications: Epic Resolute Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules to 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 modifications.This position is res
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Posted 4 days ago

Sr. Claims Business Analyst - Local to MN and WI only

Smart Caliber Technology

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Backus, Minnesota, USA

Contract, Third Party

Position: Healthcare Business Analyst Duration 12 Months Location: Plymouth, MN or Madison WI (Hybrid- 3 days onsite) REQ: 8+ Years of exp We have client BA needs either claims platform, payer general ledger, or Enrollment & Eligibility Good Communication skill We need a claims BA that understands e2e Claims workflow and is comfortable mapping out operational future state process. They would be working with the claims operations and tech teams to map out how claims will work operationally so
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Posted 8 days ago | Updated 1 day ago

Claims Examiner - Workers Compensation

TAJ Technologies, Inc.

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Remote

Contract

Its a remote position. Mandatory: Work comp claims handling experience is needed; loss time. Minimum 6+years of relevant WC experience required. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation
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Posted 10 days ago | Updated 10 days ago

Sr. Project Manager with Guidewire Claims Center and Billing Center - Remote

XFORIA Inc

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Remote

Contract

Sr. Project or Program Manager with Guidewire Claims Center and Billing Center Location - Warren, NJ 100 % Remote. Experience with Guidewire Claims Center and Billing Center is required. We are looking for a Guidewire Project / Program Manager to work for a leader in the commercial insurance industry. This strategic leadership role is responsible for the seamless implementation and integration of the Guidewire platform into downstream systems within a Commercial Property & Casualty (P&C) Insuran
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Posted 5 days ago

Senior Lead Data Architect With FHIR & HL7 with claims exp

ProCorp Systems Inc.

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Remote

Third Party, Contract

Position: Data Architect With FHIR HL7 Location: Remote Duration: 12 months Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure. This includes having the strong ability to look aro
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Posted 4 days ago

Application Analyst - Epic Resolute Professional Billing & Claims and Remittance

AgreeYa Solutions

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San Francisco, California, USA

Contract, Third Party

Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Location: San Francisco/Sacramento CA or Alpharetta, GA Duration: 12 + Months 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 modificati
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Posted 24 days ago | Updated 5 days ago

HIT - PB Claims w/ SBO

Randstad Digital

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Dallas, Texas, USA

Contract

job summary: We are looking for a candidate local to Dallas for one of our top highly decorated healthcare clients. We need an experienced Senior Epic Business Analyst who will assist the Revenue Cycle department with projects. This individual must be poficient in change router, claims, resolute, PB/HB and any knowledge of the MOVEit file transer application is a plus. location: Dallas, Texas job type: Contract salary: $60 - 80 per hour work hours: 8am to 5pm education: Bachelors responsib
Posted 22 days ago | Updated moments ago

PBM / RX Claims Test Analyst - Remote - Contract

Ztek Consulting

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Remote

Contract

Title: PBM / RX Claims Test Analyst Location: Remote Duration: Contract Top 3 skills required for this role? 1.PBM 2.Rxclaims 3.Manual Testing Job Description/ Responsibilities/ Years of experience- 4-5 years experience in Healthcare or a PBM desired. .NET C# experience as SDET Prioritize, 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 prioritiz
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Posted 3 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 24 days ago | Updated 5 days ago

Enterprise Data Architect with Strong Healthcare (Claims Adjudication Process, FHIR, HL7) - Remote

ProCorp Systems Inc.

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Remote

Third Party, Contract

Data Architect with Strong Healthcare (Claims Adjudication Process, FHIR, HL7) Location: Remote Duration: 12 months Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure. This includ
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Posted 2 days ago

Senior Claims Specialist

Crox Consulting Inc

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Chicago, Illinois, USA

Full-time

Position Description: The Senior Claims Specialist is responsible for the coverage analysis, investigation, negotiation and resolution of complex and excess casualty claims. Qualifications 3-7 years of claims experience handling excess and complex casualty claims. Experience in general liability claims including bodily injury, property damage, New York Labor Law, public sector and/or construction matters preferred. Experience with evaluating complex risk transfer issues. Experience handling high
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Posted 60+ days ago | Updated 16 hours ago

Remote QA Manager with Healthcare Payer and Claims exp

Infinite Computer Solutions (ICS)

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Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Summary: We are looking for an experienced QA Healthcare Manager to lead the quality assurance team in ensuring the reliability, security, and compliance of healthcare applications. The ideal candidate should have a strong background in healthcare software testing, regulatory compliance (HIPAA, CMS, FDA), test automation, and team leadership. Key Responsibilities: we need someone who understand healthacre paye
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Posted 25 days ago | Updated 15 days ago

Claims Examiner - Workers Compensation(California)

MetaSense, Inc.

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Remote

Contract, Third Party

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates an
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Posted 60+ days ago | Updated 26 days ago

Senior Data Scientist (100% Remote): Pharma & Claims Data Expert (Contract-to-Hire)

Rower

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Remote

Contract

Rower is hiring a Full-Time Data Scientist with deep experience in the pharmaceutical space and a proven track record working with healthcare claims data. This is a contract-to-hire role, ideal for someone who can hit the ground running and wants to grow into a long-term strategic position on high-impact projects. What We re Looking For: 8+ years of hands-on experience in data science, analytics, or statistical modeling Deep pharma domain knowledge including commercial analytics, market access,
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Posted 11 days ago

Claims Operations Strategy Analyst

Gallagher Bassett

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Rolling Meadows, Illinois, USA

Full-time

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUA
Posted 18 days ago | Updated 21 hours ago

Enterprise Data Architect with Claims Adjudication Process

ProCorp Systems Inc.

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Remote

Contract, Third Party

Enterprise Data Architect with Strong Healthcare (Claims Adjudication Process) Location: Remote Duration: 12 months Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure. This includ
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Posted 11 days ago | Updated 3 days ago

Epic HB/HB Claims Analyst - Certified

InterSources Inc.

•

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 39 days ago | Updated moments ago

Software Engineering Manager - Claims Platform (Hybrid Work Model)

Sentry Insurance

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Stevens Point, Wisconsin, USA

Full-time

At Sentry, we're more than just insurance-and we can offer you more than just a job. We want you to enjoy a career with us, where you're in the driver's seat of your career path with access to resources to help you succeed personally and professionally. As a Software Engineering Manager, you will lead and inspire a multidisciplinary team of software engineers, product analysts and quality analysts to build and enhance our claims platform. You will combine strong technical expertise with a strat
Posted 1 day 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 4 hours ago