claims Jobs

681 - 688 of 688 Jobs

Senior Business Analyst - Healthcare PayerJob Title - Senior Business Analyst - Healthcare Payer

TQUAL SOLUTIONSCompany Name - TQUAL SOLUTIONS

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Melville, New York, USA

Contract

TQUAL is seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with a Multi-employer/Benefits Administration of self-funded clients who excels in client interactions and can collaborate effectively with stakeholders to analyze, define and manage requirements for clients or products. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer/Benefit Administration (Hours & Eligibility mgmt, Contribution Acctg) or Health Plan Ad

Azure Tech ArchitectJob Title - Azure Tech Architect

ClifyXCompany Name - ClifyX

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South Plainfield, New Jersey, USA

Full-time

At Clifyx, aligning great talent with clients needs is at the core of who we are. We are passionate about our Consultants, our Clients and our MSP partners. Our rich experience combined with our unyielding care for our employees is the driving force behind all we do. And we deliver! Our 24x7 global service delivery drives time, cost and risk out of any process or project, providing you with best-possible business outcomes and best-fit talent on-demand when, where and how you need it. Job Descrip

Medicaid Lead, Technology SolutionsJob Title - Medicaid Lead, Technology Solutions

Humana IncCompany Name - Humana Inc

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Ohio, USA

Full-time

Become a part of our caring community and help us put health first The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s). The Lead facilitates guidance to business partners on information technology (IT) solutions, stays current on and leverages industry trends, and challenges business and IT to drive for best outcomes by leveraging the best technology solutions. This is achieved by having a clear understandin

Senior Data AnalystJob Title - Senior Data Analyst

TRN Systems, IncCompany Name - TRN Systems, Inc

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Lawrence Township, New Jersey, USA

Third Party, Contract

TRN Systems is seeking a qualified individual to serve as a Data Analyst for our client, a state government agency, as they progress through the modernization of a claims processing system. The system to be modernized was developed in the late 90s and is a client-server relational database using Oracle Forms and Reports (PL SQL, Pro C), an Oracle database and FileNet. Position Responsibilities: Developing data mapping documentation/diagramsCreating business, logical, and physical data modelsPart

Pharmacy Network Oversite or Pharmacy Process ManagerJob Title - Pharmacy Network Oversite or Pharmacy Process Manager

Vega Consulting SolutionsCompany Name - Vega Consulting Solutions

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Remote

Contract, Third Party

Vega Consulting Solutions, Inc. is hiring! We are staffing a Pharmacy (Healthcare) Process Manager for Network Oversite (or Process Manager) for a 18 month Contract to hire opportunity with our direct client. This position is 100% remote based. This role supports the oversight and optimization of pharmacy network operations.Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.Support credentialing, re-contracting, and termination proc

Duck Creek DeveloperJob Title - Duck Creek Developer

iBridge Techsoft LLCCompany Name - iBridge Techsoft LLC

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Remote

Contract, Third Party

Hi [Candidate's Name], I hope this message finds you well. My name is Anuradha, and I'm reaching out to you from Ibridge Techsoft, where we're currently on the lookout for a talented Duck Creek Developer to join our dynamic team. About the Role: Position: Duck Creek DeveloperLocation: USA- RemoteKey Responsibilities: Design, develop, and implement Duck Creek solutions.Customize and configure Duck Creek applications to meet client requirements.Integrate Duck Creek applications with other systems.

Oracle PL-SQL DeveloperJob Title - Oracle PL-SQL Developer

APN Software Services, IncCompany Name - APN Software Services, Inc

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Remote

Contract

Client: Sedgwick Claims Management Services, Inc. Title: IT Software Development Specialist Sr. Duration: 12 months contract to hire This position is Contract to Hire and Open to Remote. Must be willing to convert to colleague after 90 days worked. Managers will be asking for salary requirements during interview process Pay Rate: $51.07/hr on W2 MANAGER'S NOTES: Oracle ETL backend developer: 5+ years of PL/SQL & Oracle Database development experience Recent Oracle PL/SQL development experienc

Guidewire Digital Business Analyst- RemoteJob Title - Guidewire Digital Business Analyst- Remote

Andre Global IncCompany Name - Andre Global Inc

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New Jersey, USA

Full-time

Andr Global Inc. is a global provider of information technology services. Since 2002, we have helped our clients in the APAC region achieve their business goals by leveraging the power of technology. In 2016, we entered the AMERICAS to re-create similar success here as well. Headquartered in New York City, we are now serving our global clients. We strive to deliver customer satisfaction through our service quality to all our clients! Our global and diverse team helps our customers achieve t