claims Jobs

521 - 540 of 1,106 Jobs

System Administrator- Vertafore MGA SystemJob Title - System Administrator- Vertafore MGA System

Peterson Technology PartnersCompany Name - Peterson Technology Partners

•

Remote

Contract

Job Summary: We are seeking an experienced System Administrator to manage and support the Vertafore MGA System. This role is responsible for maintaining system stability, configuring workflows, troubleshooting issues, and optimizing system performance to support underwriting, policy administration, and operational processes. The ideal candidate has hands-on experience administering the Vertafore MGA platform and a strong understanding of insurance workflows. Key Responsibilities: Administer, con

Senior Backend Test Engineer (Only W2)Job Title - Senior Backend Test Engineer (Only W2)

nTech SolutionsCompany Name - nTech Solutions

•

Remote or Reston, Virginia, USA

Contract

NO C2CNO C2CNO C2CNO C2C Terms of Employment: Contract, 9 Months This position is remote. Candidates must be based in Eastern or Central time zones. Candidates based in a commutable distance to Reston, VA will be prioritized. Candidates must be comfortable traveling to Reston, VA roughly once per quarter for PI planning activities. Overview & Responsibilities: We are seeking highly skilled Senior Backend Test Engineers to join a dynamic team at a leading health insurance provider. The role focus

Allscripts Billing SpecialistJob Title - Allscripts Billing Specialist

ProsumCompany Name - Prosum

•

Norman, Oklahoma, USA

Full-time

Job Title: Allscripts Billing SpecialistLocation: Norman, OK (Onsite) Overview:We are looking for a dedicated and detail-oriented Billing Specialist with experience in medical billing and collections to join our team in Norman, OK. This is an onsite role requiring a strong understanding of Medicare/Medicaid claims processing, third-party payer procedures, and the ability to handle insurance denials. Experience with Veradigm EMR (formerly Allscripts) is a plus but not required. Key Responsibiliti

Senior IT Project ManagerJob Title - Senior IT Project Manager

Binary Computer Int'l Corp.Company Name - Binary Computer Int'l Corp.

•

Remote

Third Party, Contract

Role: Senior IT Project Manager Prior Authorization ProjectProject Duration: August 2025 February 2027Location: Remote in the U.S.Implementation Date Target: January 1, 2027Ex- Elevance health Profiles .Position OverviewWe are seeking a highly experienced Senior IT Project Manager to lead the implementation of a complex initiative focused on developing and delivering a solution to meet the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). This is a high-impact role driving or

Project EngineerJob Title - Project Engineer

JobotCompany Name - Jobot

•

Phoenix, Arizona, USA

Full-time

This Jobot Job is hosted by: Bryna Rabin Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $75,000 - $100,000 per year A bit about us: We are a family-owned, Utah-based firm that takes care of our employees. For over 50 years, we've been doing the job right and planning for the future. Join our team so we can work towards your future as well. If you have expertise in water/wastewater, pump/lift stations - please apply! Why join us? We value

Project Engineer - Heavy CivilJob Title - Project Engineer - Heavy Civil

JobotCompany Name - Jobot

•

Coalville, Utah, USA

Full-time

This Jobot Job is hosted by: Bryna Rabin Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $70,000 - $100,000 per year A bit about us: We are all about owning what we do. From our founding in 1989, we are recognized around the Valley as a prominent contractor who provides quality infrastructure management and construction services to our public and private clients including underground utilities, pipeline rehabilitation, UV CIPP rehabilitation

Project Engineer - Heavy CivilJob Title - Project Engineer - Heavy Civil

JobotCompany Name - Jobot

•

Phoenix, Arizona, USA

Full-time

Sr. Analyst, Network Pricing ManagementJob Title - Sr. Analyst, Network Pricing Management

CVS HealthCompany Name - CVS Health

•

Arizona, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Client Service Delivery AnalystJob Title - Client Service Delivery Analyst

NasdaqCompany Name - Nasdaq

•

Greensboro, North Carolina, USA

Full-time

Provides new and existing customers with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations are maintained, and customer claims and complaints are resolved fairly and effectively, and in accordance with the consumer laws. Develops organization-wide initiatives to proactively inform and educate customers. Deve

Account SpecialistJob Title - Account Specialist

Kforce Technology StaffingCompany Name - Kforce Technology Staffing

•

Palm Beach Gardens, Florida, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking an Account Specialist in Palm Beach Gardens, FL. Duties: * Under general supervision, the Account Specialist will provide full account management support to business, commercial, industrial, national, and/or government customers * Handles customer requests and complaints and interfaces with vendor partners and management to resolve * As an Account Specialist, you may perform other customer support tasks such as claims processing and resoluti

Project ManagerJob Title - Project Manager

Yakshna Solutions, Inc.Company Name - Yakshna Solutions, Inc.

•

Richmond, Virginia, USA

Full-time

Job Title: Project Manager Location: Richmond, VA Status: Hybrid (requires three days on site) Yakshna Solutions, Inc., (YSI) is a CMMI Level 3 assessed, ISO 9001, 20000:1, 27001 certified, woman-owned small business enterprises, headquartered in Herndon, Virginia, USA. YSI provides professional IT solutions and services to business corporations and government organizations. YSI is committed to serve its business communities as a leading IT vendor providing innovative, quality, and cost-effectiv

RWE Data Scientist IIIJob Title - RWE Data Scientist III

Katalyst Healthcares and LifesciencesCompany Name - Katalyst Healthcares and Lifesciences

•

Illinois, USA

Full-time

Overview: Role is responsible for designing, planning, and executing large scale data analysis, and algorithm development to identify gaps in the care continuum and to measure impact using RWD. This work highlights the value of utilizing real world data to inform or address strategic questions in the disease areas of interest to the client. The role involves the application of statistical theories, analytical methods, and technical programming skills to analyze clinical, survey, claims, and e

Senior Healthcare Research Analyst - Hybrid (PA/NJ/DE)Job Title - Senior Healthcare Research Analyst - Hybrid (PA/NJ/DE)

Independence Blue Cross, LLCCompany Name - Independence Blue Cross, LLC

•

Philadelphia, Pennsylvania, USA

Full-time

Our organization is looking for individuals who love working with data and using analytics while using their skills to help our members. If this describes you, we want to speak with you! Independence (IBX) is looking for an experienced and analytically minded individual to support analytical requests for clinical initiatives and evaluations. This Senior Research Analyst position will report to the Director, Reporting and Analytics within the Informatics Department, supporting advanced analytics

Senior Software EngineerJob Title - Senior Software Engineer

Root Insurance CompanyCompany Name - Root Insurance Company

•

New York, New York, USA

Full-time

CURRENT ROOT EMPLOYEES - Please apply using the career page in Workday. This career site is for external applicants only. The Opportunity We are looking for a Software Engineer to join engineering at Root. In this role, you will work closely with peers on a team within a product domain (e.g. Pricing, Underwriting, Claims, etc). You'll play a key role in solving customer and business problems in collaboration with your teammates. Root is a "work where it works best" company. This means we will su

Project EngineerJob Title - Project Engineer

JobotCompany Name - Jobot

•

Spanish Fork, Utah, USA

Full-time

EHS Plant Specialist, WI CampusJob Title - EHS Plant Specialist, WI Campus

KOHLERCompany Name - KOHLER

•

Kohler, Wisconsin, USA

Full-time

EHS Plant Specialist, WI Campus Work Mode: Onsite Location: Onsite -Kohler, WI Opportunity Identify, develop and participate in the implementation of environmental, health and safety (EHS) programs and related projects through risk identification, working with management, associate teams and EHS staff to promote significant EHS improvements at the site. Responsible for facilitation of site injury prevention plan, KEMS/KSMS adherence, and EHS compliance. Additional responsibilities include the ev

Project Manager (Hybrid)Job Title - Project Manager (Hybrid)

GSK Solutions Inc.Company Name - GSK Solutions Inc.

•

Richmond, Virginia, USA

Third Party, Contract

Job Title: Project Manager (Hybrid) Location: Richmond, VA Duration: 12 Months Pay Rate: $90/hr on C2C / 1099 all inclusive (OR) $80/hr on W2 Note: Note: hybrid on-site/telework (3 days in the office). Parking is NOT provided for contractors Job Description The Project Manager will report directly to the Project Management Office (PMO) Director and lead multiple, complex IT initiatives within the modular Medicaid Enterprise System (MES). The Project Manager will initiate, plan, execute, monitor/

Project EngineerJob Title - Project Engineer

JobotCompany Name - Jobot

•

Phoenix, Arizona, USA

Full-time

100% Remote contract Role of MongoDB Engineer With Mark LogicJob Title - 100% Remote contract Role of MongoDB Engineer With Mark Logic

Intone Networks Inc.Company Name - Intone Networks Inc.

•

Remote or Dallas, Texas, USA

Third Party, Contract

Position: MongoDB Engineer With Mark Logic Location: 100% Remote Duration: 12+months Contract C2C Job Description: Should possess unique blend of blend of technical skills and soft skills required to support end to end activities for Marklogic modernization to MongoDB. Technical Skills: Data Modeling and Schema Design: Understanding MongoDB's flexible schema model and how to design appropriate document structures (embedded and normalized models) for optimal performance and scalability. Knowle

Senior Business Analyst - AuditJob Title - Senior Business Analyst - Audit

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

•

Denver, Colorado, 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 Senior Business Analyst - Audit at Gainwell, you can contribute your skills as we harness the power of technology to help