health Jobs in Massachusetts

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Health Claim Examiner

Sureminds Solutions

Remote

Contract, Third Party

Job Title: Health Claim Examiner Location: Remote Duration : 3 Months Interview Mode : Video Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed Job Description : In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing accordi

Health Claim Examiner

Sureminds Solutions

Remote

Contract, Third Party

Please share Profiles at Hi, Urgent need, Health Claim Examiner Remote Role C2C or W2 Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP

Public Health Rhapsody Integration Engineer

Navigant Consulting

Remote or McLean, Virginia, USA

Full-time

Job Family: Systems Engineering Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently looking for a Rhapsody integration engineer to join our cross-cutting functional team supporting public health clients in our Health Interoperability practice. We are looking for this person to an expert in public health informatics as well as data integration using Rhapsody and other integration platforms, including but not limited to Mirth

Data Architect EPIC VBPM and Population Health

Gardner Resources Consulting, LLC

Boston, Massachusetts, USA

Contract

One of our healthcare clients is seeking a Data Architect EPIC VBPM and Population Health for an 18-month contract (Remote with possible travel for monthly and/or quarterly meetings) Seeking a hands-on and Certified expert Data Architect specialized in population health data, with advanced proficiency in complex data modeling. Understanding of Patient Care, Engagement, Care Coordination, Value based care, risk sharing models. 1. Expert in EPIC VBPM module, claims data, public health databases,

Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

Remote

Full-time

Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP Validation of information entered by indexer Verify coverage; evaluate eligibility

Epic Health Information Management Application Analyst I, II, III-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Health Information Management roles will be based on experience and qualifications. PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to a

Ambulatory Clinical Informatics Analyst - Oracle Health/Cerner (32649)

Myticas LLC

Remote or CA

Contract

Our client is seeking an experienced Ambulatory Clinical Informatics Analyst to support the OPOR (One Person One Record) Program's Ambulatory Portfolio. This role requires a strong background in Oracle Health (Cerner) and will involve collaboration with clinicians, project leadership, and Oracle Health consultants to design, configure, and translate clinical workflows. Key Responsibilities: Support ambulatory care design and configuration initiatives. Facilitate strategy execution and knowledge

Salesforce Health Cloud Consultant

Navigant Consulting

Remote

Full-time

Job Family: SAAS/PAAS/Cloud Consulting (Digital) Travel Required: Up to 10% Clearance Required: None Guidehouse has an exciting opportunity for Salesforce Consultants in a high-growth practice. You will be a key contributor on the consulting team that helps discover and define the problem statement, evaluates the solution options and makes recommendations. You will create detailed design, architecture and process artifacts and implement the deployment plan. You will also support knowledge tra

Safety and Health Lead

Booz Allen Hamilton

Remote

Full-time

Job Number: R0222199 Safety and Health Lead The Opportunity: Are you looking for an opportunity to combine your technical skills with big picture thinking to make an impact in Human Space Domain? You understand your customer's environment and how to develop the right systems for their mission. Your ability to translate real-world needs into technical specifications makes you an integral part of delivering a customer focused engineering solution. As a leader in systems engineering, we're looking

Health and Data Analytics Developer

Ztek Consulting

Remote or Austin, Texas, USA

Full-time

Primary Focus: Using Oracle/Cerner data for clinical insights and reporting Key Duties: Extract data from Cerner HealtheIntent, Millennium, or PowerInsight Build dashboards and analytics pipelines (Oracle, Tableau, Power BI) Work with HEDIS, STAR, and quality metrics Contribute to AI/ML initiatives using structured health data

AI/ML Health Data Scientist

Navigant Consulting

Remote

Full-time

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Business Development Identify policy and/or business problems and successfully capture from sourcing through award/close.Perform research on key accounts and clients to effectively qualify and scope new business opportunitiesDiscuss and develop solutions with client service teams and existing/new clientsActively engage within target accounts and relevant market(

Health tech Technical Sales Enablement

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Health tech Technical Sales Enablement.This is a 06+ months contract opportunity with long-term potential and is located in Dallas, TX/San Bruno, CA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-77322 Pay Range: $80 - $87/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Ra

Data Architect with EPIC VBPM & Pop Health

Software Technology Inc

Massachusetts, USA

Part-time, Contract, Third Party

Title: Data Architect Duration Long Term Remote and occupational travel to client site in Boston, MA. Client will pay travel expenses. Population Health: Experience in Epic Caboodle Received Claims data model Understanding of Patient Care, HEDIS, Engagement, Care Coordination, Value based care, risk sharing models. Expert in EMR data, claims data, public health databases, healthcare coding (ex. ICT), social determinants of health data, Experience or Familiarity with Arcadia analytics platform f

Salesforce Health/Service Cloud Lead- Patient Services Unit

Radyant Inc.

Remote

Contract

Salesforce Health/Service Cloud Lead- Patient Services Unit Non negotiable skills will be - Health Cloud, Service Cloud, hands on experience with Declarative and Programmatic implementation, stakeholder management, offshore team management (leading, coaching and mentoring) Key Responsibilities: Lead the design, development, and implementation of Patient Services Hub programs within Salesforce Health Cloud.Configure custom objects, workflows, processes, and automation to streamline patient inter

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

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

IT Service Lead Analyst - Evernorth Health Services

Cigna

Remote

Full-time

Role Summary This position represents the Global Experience and Identity organization within Technology Experience Services (TXS). TXS comprises Specialized Technology Services (STS), Technology Solutions & Support, Executive Support Services, Colleague Technology Experience, Technology Enablement, and the Customer Support Center. The Technology Solution Zone (TSZ) Store Lead Analyst serves as the owner of the colleague experience in brick-and-mortar store locations. This role partners with Zon

Director, R&D Data Science & Digital Health - Content & Innovation Lead

Johnson & Johnson

Remote or Cambridge, Massachusetts, USA

Full-time

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn m

Senior Manager, Network Management, National Behavioral Health

CVS Health

Connecticut, 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

Senior Network Product Management & Development Manager (Meritain Health)

CVS Health

Remote or New York, New York, 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

Principal Software Development Engineer - Signify Health

CVS Health

Remote

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