healthcare claims manual tester jobs

Healthcare Claims Operations Team Lead - Washington, DC (On-site)

Seattle, Washington

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Today

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 Healthcare Claims Operations Team Lead at Gainwell, you will lead a team responsible for medical claims processing, resolu

Full-time

USD 50,000.00 - 55,000.00 per year

Sr. Technical Lead - C/Unix Batch Development (Healthcare Claims)

Jackson, Mississippi

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 80,000.00 - 95,000.00 per year

Project Manager (Healthcare Claims Domain)

East Hartford, Connecticut

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2d ago

Job Description Project Manager (Healthcare Claims Domain)Position: Project Manager (PM) Domain: Healthcare Claims Experience: 10+ Years Location: Hartford, CT Job SummaryWe are looking for an experienced Project Manager with strong Healthcare Claims domain expertise to lead and manage large-scale enterprise projects. The ideal candidate should have proven experience managing projects with budgets exceeding $3M and successfully delivering complex healthcare initiatives involving claims process

Easy Apply

Third Party, Contract

Depends on Experience

AWS Data Engineer - Healthcare/Rx Claims - REMOTE - FTE

Hybrid in Almont, Colorado

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Today

Job Title: AWS Data Engineer - Healthcare/Rx Claims - REMOTE - FTE Work Location: Remote in the US Position Type: Full Time Employment - Direct Hire Position Level: Mid-Senior level (8-10 + years) Compensation Range: $125,00 - $140,000 / year + Bonus, Benefit ABOUT OUR CLIENT / ABOUT THE ROLE Medix is currently seeking an AWS Data Engineer with Healthcare or Pharmacy expertise for a full-time employment opportunity. Our client is an innovative Pharmacy Tech startup organization. Their data

Easy Apply

Full-time

$125000 - $140000 per annum

ETL Tester with Healthcare Domain Experience (W2 ONLY)

Hybrid in Philadelphia, Pennsylvania

•

Yesterday

Experience level 10+ years Hands-on experience in QA roles within health payer organizations Data QA profiles who have a strong health payer background. We are looking for candidates who possess the skills and experience necessary to effectively QA data engineering pipelines for health plan domain data. The ideal profiles should have expertise in validating large-scale data pipelines, conducting root cause analysis, and identifying data quality issues specific to health payer environments. Key s

Easy Apply

Contract, Third Party

Depends on Experience

Special Investigation Unit Investigator II

Hybrid in Los Angeles, California

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9d ago

Title: Special Investigation Unit Investigator II Location:Remote Position Type: Contract Compensation Pay Range:$43.29-$48.29 Per Hr Description This remote contract position involves conducting complex investigations into fraudulent activities related to healthcare billing. The role requires proficiency in generic office software and involves collaboration with various departments to ensure compliance and accuracy in investigations. Key Responsibilities Conduct independent investigations i

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Third Party, Contract

$43.29 - $48.29

EDI Expert (Healthcare Claims Processing)

Hybrid in Indianapolis, Indiana

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2d ago

Position Title EDI Expert Healthcare Claims Processing - (CTH No Sponsorhip) Location Indianapolis, IN Work Schedule Hybrid 3 Days Onsite / 2 Days Remote Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the candidate understands and accepts this requirement. Interview Process Initial Technical Interview: Microsoft Teams Final Interview: Teams or In-Person (Manager''s Discretion) Duration Long-Term Contract Position Overview The Indiana De

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Contract, Third Party

Depends on Experience

Functional Tester with FACETS & Healthcare Experience

Hybrid in Seattle, Washington

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5d ago

Job Details: Job Title: Functional Tester with FACETS & Healthcare Experience Location: Seattle, Washington Hybrid Duration: Long Term Contract Job Description: Perform functional integration and regression testing across healthcare applications Design and execute test scenarios test cases and test data based on business requirements Validate Facets modules including Claims Membership Provider Billing and Benefits Conduct EDI testing for HIPAA transactions such as 834 Enrollment 837 Claims 835

Easy Apply

Third Party, Contract

Depends on Experience

Healthcare Data Quality Engineering Lead-Remote

Remote

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3d ago

Title - Healthcare Data Quality Engineering Lead Location-Remote Duration Contract Job Title: Healthcare Data Quality Engineering Lead Location: USA (Remote/Hybrid) Experience: 10+ Years Must Have Data Engineering, Data Quality Engineering, QA LeadershipHealthcare industry experience is mandatory.Deep understanding of healthcare data domains, including pharmacy, clinical, claims, provider, and member data.Data Engineering, Data Quality Engineering, QA Leadership, or a related role.SQL, ETL,

Easy Apply

Contract

Depends on Experience

Senior Healthcare Integration Engineer

Remote

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2d ago

Title: Senior Healthcare EDI & Integration Engineer Location: Remote (US-Based) Job Type: Contract-To-Hire Compensation: $65 $70 per hour Industry: Healthcare Services Required Skills & Experience: Senior-level experience supporting healthcare EDI (834, 835, 837, 270/271, 276/277), building and managing FHIR and REST APIs, administering claims platforms, scripting & automating workflows, and supporting secure AWS-based integrations in a HIPAA-regulated environment. About the Role Our firm is re

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Contract

Depends on Experience

Construction Project Manager (Heavy Civil/Highway)

Lakeland, Florida

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Today

Overview: MasTec Civil is hiring an experiencedConstruction Project Manager for heavy civil highway work in the Central FL area. The Construction Project Manager bears the full responsibility to oversee that the construction is performed according to specification, in the most efficient manner according to schedule and under budget.For this to happen the Project Manager is expected, among other things, to follow all project relatedprocedures and of most importance, company policy.Toaccomplishth

Full-time

Lead Healthcare Product Owner

Remote

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15d ago

Lead Product Owner / Business Integration Lead (Prior Authorization) Location/Work model:100% Remote (must workEastern Time core hours) Type:Contract (~7 months, Possible extension) Compensation: $72/HRAbout the role Were looking for aLead Product Owner / Business Integration Leadto stabilize and improveend-to-end Prior Authorization (PA)operations and the supporting technology/process integrations. This is atrue hybrid role(Product Owner + Business Integration Lead) focused on fixing real break

Easy Apply

Contract, Third Party

$72.18

Lead ServiceNow Developer

Remote

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18d ago

KMM an ISO 9001:2015, CMMI Level 2 certified companyprovides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clien

Easy Apply

Third Party, Contract

$75 - $80

Health - Network Performance / Utilization Manager

Chicago, Illinois

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Today

Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 750,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in hel

Full-time

USD 94,400.00 per year

Network Data Specialist I

Indianapolis, Indiana

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Today

Anticipated End Date: 2026-06-05 Position Title: Network Data Specialist I Job Description: Network Data Specialist I Location: This role requires associates to be in-office 1 day, per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that p

Full-time

Payment Integrity Project Specialist

Remote or Hybrid in Grand Rapids, Michigan

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9d ago

100% Hybrid (Onsite Cadence: Tuesday, Wednesday, Thursday.) Out of state not required to come on site. Expenses allowed:to be decided Equipment to be Provided Must Have Claims/HealthcareInfluencing roleProject management of large scale complex implementations.SLA agreements.Nice To Have Job Summary Ensuring adherence to the Health Project Management methodology and quality standards, oversees various high-priority projects of mid to large size requiring considerable resources and high levels of

Easy Apply

Full-time, Third Party

Depends on Experience

IT Project Manager (W2 only)

Hybrid in Columbia, South Carolina

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3d ago

Job Description: Position:ITProject Manager Location:Columbia, SC (4 days in office, 1 day remote) Duration:12 months contract with possible extension Client: Direct General Duties: Assists with developing business requirements;Building a project plan and executing to that plan;Managing project risks and issues;Ensuring that all deliverables and activities are completed with high quality and in a timely fashion;Reporting on project status and strategies orally and in writing;Other related duti

Easy Apply

Contract

70 - 83

AS/400 SYNON/Rxclaim Tech Lead with Healthcare Remote

Remote

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8d ago

Seeking Technical Lead with 8+ years of experience to join our team. The ideal candidate will have expertise in SYNON, AS400 along with domain experience in Medicare & Medicaid Claims, Claims, and Payer. This role requires a proactive individual who can contribute to our Rxclaim development projects and help us achieve our goals. The position requires strong knowledge on SYNON and AS400 development. The selected candidate needs to work in offshore-onshore model. SYNON (8+years ) and Rxclaim adju

Easy Apply

Contract

Depends on Experience

Interoperability & Patient Access Consultant

South Dakota

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Today

Job Title: Interoperability & Patient Access Consultant Location: Remote with occasional onsite travel (approximately 25%) Duration: 12 Months (Possible extension) Job Insight We are seeking an experienced Healthcare Interoperability & Patient Access Consultant to support the implementation and ongoing maintenance of healthcare interoperability solutions aligned with CMS interoperability and patient access regulations. The ideal candidate will have strong experience with FHIR APIs, SMART on

Easy Apply

Full-time, Third Party, Contract

EPIC Tapestry Analyst (100% REMOTE/NO C2C)

Remote

•

Yesterday

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplishedEPIC Tapestry Analyst NOTE-THIS IS 100% REMOTE ROLE& ONLY W2 CANDIDATES/NO C2C/1099 Candidate must be authorized to work in USA without requiring sponsorship Position Title EPIC Tapestry Analyst (Job ID 3320533) Location: Los Angeles CA 90024 (100% REMOTE) Duration: 6 Months Manager is looking for a candidate that can

Easy Apply

Contract

100 - 105

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healthcare claims manual tester jobs