financial claims examiner ii Jobs in salt lake city, ut

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Advance Planning Manager / Project Coordinator

Stellar IT Solution

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Remote or North Carolina, USA

Contract, Third Party

APD Manager/Contracts Liaison Location NC Medicaid/DHB Remote Duration: 12 Months Job Description: This is not a new role, rather a new req for an increase in pay due to new responsibilities. Advanced Planning Manager and Advanced Planning Contract Liaison, this is a dual role. Complete Description: This position is a managerial position responsible for the strategic planning, daily operations, and management oversight of the Advanced Planning Writing Team within the Advanced Planning Office (
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Posted 1 day ago | Updated 2 hours ago

Epic Resolute Professional Billing & Claims and Remittance Analyst

Tranzeal, Inc.

•

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 8 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 28 days ago | Updated 1 day ago

Guidewire UAT- Orange County CA but 100% remote

Tech Rakers

•

Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac
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Posted 12 days ago

Data Analyst - Cloud (Remote)

S2Tech

•

Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio
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Posted 12 days ago | Updated 12 days ago

APD Manager/Contracts Liaison - Remote

VIVA USA INC

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Remote

Contract

Title: APD Manager/Contracts Liaison - Remote Mandatory skills: CMS regulations, contracts, amendments, Advanced Planning Documents, writing, editing, proofreading contracts, grants, RFP, healthcare information technology proposals, healthcare technology, Health Information Exchange, budgetary, accounting, Medicaid, MMIS, claims processing, eligibility, HHS, CMS Medicaid Enterprise Systems, federal regulations, Medicaid Detailed Budget Tables, MDBT, CMS APD submission process, CMS regulations,
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Posted 1 day ago

Finance Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Columbus, Ohio, 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 dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia
Posted 60+ days ago | Updated 3 hours ago

APD Manager - REMOTE

Chandra Technologies, Inc.

•

Remote

Contract

Job Description: Crop to Crop resumes are accepted This is not a new role, rather a new req for an increase in pay due to new responsibilities. Advanced Planning Manager and Advanced Planning Contract Liaison, this is a dual role. This position is a managerial position responsible for the strategic planning, daily operations, and management oversight of the Advanced Planning Writing Team within the Advanced Planning Office (APO). This office oversees the federal funding expenditure to remain a
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Posted 1 day ago

Jr. Data Scientist, Machine Learning - Remote

ConsultNet, LLC

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Remote or South Jordan, Utah, USA

Full-time

Title: Jr. Data Scientist, AI and Machine Learning Location : 100% Remote Target Start Date : ASAP Type: contract or contract to hire Pay Rate: DOE We're looking for an industry-leading Data Scientist focused on building production-level machine learning solutions. Rather than a research role, this position emphasizes applying ML/AI to real-world healthcare challenges-such as reducing costs and improving care quality. You'll work with structured and unstructured data (claims, membership, provi
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Posted 47 days ago | Updated 6 hours ago

Senior Network Pricing Analyst - Hybrid in Las Vegas, NV

UnitedHealth Group

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Remote or Las Vegas, Nevada, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Why work for the leading organization in health care to help improve the lives of millions? You'll fin
Posted 19 days ago | Updated 6 hours ago

PBM Strategy and Implementation Consultant

TalTeam

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Remote

Contract

This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness. Project Leadership & Accountability Manage business execution team, ensuring alignment of team efforts with goals, o
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Posted 43 days ago | Updated 7 days ago

Data Analyst II Medical Economics

Centene Corporation

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Florida, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of v
Posted 46 days ago | Updated 6 hours ago

Senior Analyst Network Relations

CVS Health

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Idaho, 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
Posted 3 days ago | Updated 6 hours ago

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

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Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp
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Posted 60+ days ago | Updated 1 hour ago

Provider Service Analyst, Medicaid, Remote, USA

Gainwell Technologies LLC

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Remote or 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 We are seeking a talented individual for a Provider Services Analyst - Medicaid who provides on-site and remote account analysis
Posted 15 days ago | Updated 3 hours ago

Sr. Accountant (SAP / Payroll and Benefits) - Remote

C4 Technical Services

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Remote or Eagan, Minnesota, USA

Contract

Sr. Accountant Remote Summary: The main function of an accountant is to analyze financial information and prepare financial reports to determine or maintain record of assets, liabilities, profit and loss, tax liability, or other financial activities within an organization. A typical accountant is responsible for analyzing and communicating financial information for clients. Job Responsibilities: Review accounting records, financial statements or other financial reports created by staff to a
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Posted 60+ days ago | Updated 14 hours ago

Senior Analyst, Network Relations

CVS Health

•

Virginia, 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
Posted 20 days ago | Updated 6 hours ago

Claims Systems Delivery Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Milwaukee, Wisconsin, 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 Systems Delivery Manager (Remote in US) at Gainwell, you can contribute your skills as we harness the power of tec
Posted 19 days ago | Updated 3 hours ago

Sr. Analyst, Network Pricing Management

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
Posted 3 days ago | Updated 6 hours ago

Senior Data Warehouse Business Analyst (34075)

Myticas LLC

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Remote or Chicago, Illinois, USA

Contract

Clover Consulting (a Myticas Co.) has a direct client in Springfield, IL in need of a Data Warehouse BA for a REMOTE, long-term contract. Travel to Springfield may be required 2-4 times/year. Qualified candidates please provide resume. Functional Description: We are seeking a highly motivated Senior Business Analyst to support a large-scale Enterprise Data Warehouse (EDW) project. This role will serve as a critical liaison between business stakeholders and technical teams, ensuring that data war
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Posted 3 hours ago