guidewire claim center configuration Jobs

Refine Results
81 - 100 of 129 Jobs

SAP FICA

Delta System & Software Inc.

•

Texas, USA

Contract, Third Party

Hello Hope you are doing well. We have an opening. Below are the requirement details, just go through it & if you feel interested, revert back to me with your updated resume Your earliest reply is highly appreciated. Job Title : SAP FICA Functional Consultant Location : Austin, TX Duration : Long term contract Job Description / Responsibilities: Our client is seeking a highly skilled SAP FICA Functional consultant with 12 to 15 years of relevant experience in SAP ISUtilities FICA BRF+ and SAP
Easy Apply
Posted 48 days ago | Updated 17 hours ago

Solutions Analyst

LaSalle Network

•

Chicago, Illinois, USA

Contract

Solutions Analyst Job Summary: The Solutions Analyst serves as a platform specialist focused on configuring workflows and supporting data integrations within the RMIS platform. This role translates defined business requirements into practical platform configurations, assists in ingesting and processing data, and helps build foundational analytics dashboards. The Solutions Analyst collaborates closely with senior team members to gain hands-on experience, follow best practices, and contribute to
Easy Apply
Posted 14 days ago | Updated 1 hour ago

QA with Salesforce and Mulesoft

Zentek Infosoft Inc

•

Remote

Full-time, Third Party

JOB DESCRIPTION Familiar with using Salesforce (log in to Salesforce, navigating, checking data, run some basic data queries for validation, etc.) and API Testing.Familiar with MuleSoft (check logs, etc.)Expert using PostmanExperienced testing end to end scenarios (Postman MuleSoft APIs Salesforce Policy & Claims Systems)Good communication and organizational skills to manage artifacts, work with clients IT team, support go-live activities, postproduction validation, etc.Insurance domain wit
Easy Apply
Posted 27 days ago

Epic PB Resolute Professional Billing Consultant

AgreeYa Solutions

•

Remote

Contract

Title- Epic PB Resolute Professional Billing Location- Remote Duration- 3+ Months Requirements PB Resolute Billing Certification (with up to date CEE) PB Resolute Billing Claims Certification is a + Plus but not requiredPrior experience within the FQHC (Federally Qualified Health Center) space is a + PlusTwo years of information technology support experience in a healthcare operation setting, including at least six months of Epic user support experienceQualifications This position requires curr
Easy Apply
Posted 10 days ago | Updated 2 days ago

Configuration Analyst

Apex Systems

•

Lafayette, Louisiana, USA

Full-time

Job#: 2080286 Job Description: Apex Systems is hiring a Business Analyst for a major Healthcare client! FULLY REMOTE anywhere in the US. 12 months contract to hire 4-6 years experience in the following (preferably in the healthcare space): Benefits and Payment Configuration // Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experi
Easy Apply
Posted 13 days ago | Updated 1 hour ago

Senior IT Consultant - Risk Adjustment, CMS, MAOs, ACA, ESBRs

Kaiser Permanente

•

Pleasanton, California, USA

Full-time

Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of thir
Posted 60+ days ago | Updated moments ago

Epic Resolute Professional Billing Consultant

Devfi

•

Remote

Contract

Job Title: Epic Resolute Professional Billing Consultant Duration: 3 Months Remote!! Job Overview: We are seeking a skilled Epic Resolute Professional Billing Analyst to lead or support all stages of the Epic EHR Professional Billing (PB) implementation lifecycle. This role involves close collaboration with clinical, revenue cycle, and technical teams to ensure EHR system configurations support business and patient care goals. The ideal candidate will utilize Epic tools such as Sherlock, Orion,
Easy Apply
Posted 10 days ago | Updated 1 day ago

Application Analyst III

EA Team, Inc.

•

Remote

Contract

Application Analyst Location: RemoteDuration: 6 Months Job Description:Candidate must have experience HSP Health Solutions Plus, HSP OR MediTrac, Application Analysis, claims/claims processing system, configuration, fee schedules, IEHP.
Easy Apply
Posted 18 hours ago

Data Management Lead

Humana Inc

•

Kentucky, USA

Full-time

Become a part of our caring community and help us put health first The Data Management Lead supports all aspects of configuration control, data management, and deficiency reporting. The Data Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Data Management Lead supports all aspects of configuration control, data management, and deficiency reporting. The Data Management Lead works on problems of diverse scope and complexity ranging from m
Posted moments ago

Implementation Manager

Genesis10

•

Plano, Texas, USA

Full-time

Genesis10 is seeking an Implementation Manager for our client in the Pharmacy Benefits Management (PBM) Industry. This is a Contract position which can be worked REMOTELY. Rate: $55.00 - $65.00ph W2 (NO 3 rd Parties) Position Details: Use your project management skills and apply your pharmacy benefit management knowledge to support clients through PBM implementations. Manage the overall project timeline and ensure that client deliverables are produced on time, with high quality. Perform in a
Easy Apply
Posted 2 days ago | Updated moments ago

Director - Leader of Technical Application Support Operations team

Magellan Health Services

•

Frisco, Texas, USA

Full-time

- SME on building and creating maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic. - Understand current maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions. - Understand and decompose the design and implementation of current Edifecs solution. - Experience with AWS and strong understanding of AWS components like FSx, file processing and Queues - Excellent understanding of
Posted 12 days ago | Updated moments ago

Excellent Job Opportunity || Tactical Staffing Socotra Developer || Plano, TX

Sysmind, LLC

•

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. JOB DESCRIPTION: Job Title: Socotra Developer Location: Plano, TX Duration: 9+ months with possible extension Role Overview: Roles and RESPONSIBILITIES: Participate in the software design, development, and implementation using Adobe Experience M
Easy Apply
Posted 30 days ago | Updated 11 hours ago

Sr. Consultant - QNXT

Photon

•

Remote

Full-time

Job title - Sr. Consultant - QNXTLocation - RemoteFull-time, Remote We are seeking a skilled QNXT Benefits Configuration Specialist to join our dynamic team. The ideal candidate will possess in-depth knowledge of QNXT benefits configuration, along with a strong background in both commercial and government benefit claims. This role is critical for ensuring our benefits systems are accurately designed and configured to meet our organizational needs. Key Responsibilities: Configure and manage QNX
Easy Apply
Posted 7 days ago

SAP FICO Consultant w. Brownfield exp

Techpeople.US, Inc

•

Gaithersburg, Maryland, USA

Contract, Third Party

SAP FICO Consultant Location: Gaithersburg, MD (Onsite)Duration: 12+ MonthsClient/Domain: BFSIJob Type: Contract or C2CExperience: 12+ yearsPrimary Skills: SAP FICO, SAP (LO/SD/PP), PMP, CO-CCA, CO-PCA, SAP BW, WRICEF The Ask? Client is seeking a Sr. SAP FICO Consultant (AP, AA, GL, AR, COPA) with hands-on experience in Solution Design. Must have multiple Brownfield Implementation exp. This is an Onsite Role. Skills and Experiences SAP ERP project implementation, especially with SAP LO/SD/PP mo
Easy Apply
Posted 60+ days ago | Updated 24 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

•

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
Easy Apply
Posted 15 days ago | Updated 7 days ago

Lead Business Analyst with P&C Insurance domain Commercial Lines

QATOS LLC

•

Erie, Pennsylvania, USA

Third Party, Contract

Title: Lead Business Analyst with P&C Insurance domain Commercial LinesLocation: Erie, PA Day 1 onsite Duration: Long TermExperience: 10+ Years Key Responsibilities: Engage with Insurance IT, Business teams and all the internal and external stakeholders involved in implementations and rollout to determine business requirements, and to ensure the development is in line with the requirements and scope. Configure/ provide configuration of rating logic and business rules along with patterns of bus
Easy Apply
Posted 21 days ago

QNXT SME Role

Photon

•

Remote

Full-time, Third Party

We are Photon, one of the world s largest Digital Platform Engineering companies, blending Strategy Consulting, Creative Design, and Technology Services for a global clientele. We proudly partner with 40% of Fortune 100 companies, delivering niche products that power digital transformation. Watch more about us here: Photon Overview. Short Description: We are seeking a QNXT Subject Matter Expert (SME) with deep expertise in benefits configuration and claims processes for both commercial and gover
Easy Apply
Posted 8 days ago

Healthcare Business analyst

Serenity Info Tech, Inc.

•

Columbia, South Carolina, USA

Contract

Title: Business analyst Healthcare Location: Hybrid (1 day remote per week) Duration: 12 months Job Description: COMPANY / DEPARTMENT CULTURE (why do you enjoy working for the company selling points for potential candidates): The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. This program is focused on the replacement of the State s Medicaid Management Information System (MMIS). The program is a major undertaking for SCDHHS and re
Easy Apply
Posted 18 hours ago

Product Owner - Pharmacy Benefit Management (PBM) - Healthcare/Pharmacy/Medical

FutureTech Consultants LLC

•

Remote

Contract

Job Title: Technical Product Owner (TPO) - Pharmacy Benefit Management (PBM) Location: Remote (Preferred: EST or CST Time Zones USA) Contract: Long Term W2 Experience: 10+ Years Job Description:10+ years of experience as a Business Analyst, with 3+ years as a Technical Product Owner or similar role.Hands-on experience in Pharmacy Benefit Management (PBM) understanding of claims adjudication, benefit configuration, pharmacy network, rebates, and eligibility.Strong technical understanding of REST
Easy Apply
Posted 60+ days ago | Updated 19 hours ago

Project Manager / Business Analyst

Info Origin Inc.

•

Seattle, Washington, USA

Contract

Job Description The Client is looking for a highly skilled Functional Business Analyst with deep expertise in the insurance domain, specifically focused on Disability and Absence Benefits. The ideal candidate should have hands-on experience with FINEOS, ClaimVantage, claims data (eligibility & status), and ideally some exposure to APIs and system integrations. The candidate will serve as the bridge between business stakeholders and technical teams to drive effective solutions in a complex insura
Easy Apply
Posted 3 days ago