healthcare claims manual tester jobs

Hybrid in Halifax, Nova Scotia

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2d ago

Role: Healthcare QA Automation Tester Location: Halifax, CA Canada Job Description:We are seeking a Strong Automation Tester with experience in Healthcare Claims or Healthcare Provider environments. Candidates with expertise in Automation Testing, specifically using Selenium and Java, will be prioritized. Experience with HRP is preferred.Responsibilities:Design, develop, and execute automated test scripts using Selenium and Java.Perform API Testing to ensure functionality and integration of vari

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Contract

$50 - $55

Medical Biller (FQHC)

Los Angeles, California

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Today

Excellent benefits, 401K Match, and PTO! Family environment and a fun place to work as well! Look no further for your next Medical Biller position! Pay Rate: $23.85/hr Shift: M-F - 8AM-5PM Location: Los Angeles, CA Job Duties for Medical Biller: 2+ years' of experienceKnowledge of Revenue Cycle duties (ex: medical billing, posting payments, electronic claims submissions, EOB's, etc.)FQHC experience is requiredHigh School Diploma is requiredReferral Bonus:Referrals really pay off! Do you know o

Full-time

USD 23.85 per hour

Pega QA Lead Healthcare Claims

Remote

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2d ago

Job Title: Pega QA Lead Healthcare Claims Location: Remote (based on company/project) Exp: 6-8yrs candidates Mandatory: Pega testing with healthcare domine exp Role Summary: As a Pega QA Lead specializing in healthcare claims, you will lead quality assurance efforts for Pega-based applications, particularly in the healthcare domain. You will be responsible for designing and executing robust test strategies, managing defect lifecycles, and ensuring compliance with healthcare regulations and bus

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Contract

$30 - $40

Functional Tester (Healthcare exp required): Seattle, WA _Onsite_Locals only

Seattle, Washington

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Yesterday

Title: Functional Tester (Healthcare) Location: Seattle, WA (Onsite Hybrid) Must: Local to Seattle, WA, and Healthcare Domain mandatory Experience: 7+ years Candidate must share travel history Candidate must show the DL copy on video at the time of submission Job Description: Local candidate based out of Seattle is a must7+ years of Functional testing experienceStrong domain knowledge in healthcareFamiliarity with healthcare standards: HIPAA, HL7, FHIR, etc.Experience with Agile/Scrum and Waterf

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Third Party, Contract

Depends on Experience

MRF Engineer (Claims/Healthcare)

Remote or Jacksonville, Florida

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Today

Job Title: MRF Engineer (Claims/Healthcare) Location: 100% Remote Type: Contract Duration: 6 month+ contract Overview We are seeking a highly skilled MRF (Machine Readable Files) Engineer with strong healthcare claims experience to support critical CMS (Centers for Medicare & Medicaid Services) cost transparency mandates. This role will play a key part in rewriting and enhancing our existing MRF processes as we transition from Version 1.0 (implemented July 2023) to Version 2.0 (go-live October

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Full-time

Data Engineer (ETL Developer)

Hybrid in Tampa, Florida

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4d ago

Position Summary We are seeking a highly skilled Data Engineer (ETL Developer) to join our data engineering team to modernize and optimize our data pipelines. The Data Engineer (ETL Developer) will be responsible for designing, building, and maintaining scalable ETL pipelines to support our analytics and reporting needs. This individual will leverage Azure Data Factory (ADF), SQL Server Integration Services (SSIS), SQL Server, and modern BI platforms (Domo and Power BI) to ensure accurate, timel

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Contract

$65

Business Analyst with WGS

Remote

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8d ago

Over 10 Years experience as BA. Good experience in WGS claims. Good experience in Mainframe. Good Communication skills. good experience in Healthcare Industry. Thanks and Regards, Aju Shakti Group IncPhone: Email: Fax:

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Contract

Depends on Experience

Project Manager

Jacksonville, Florida

•

Today

Overview: MasTec Civil is hiring a seasoned Construction Project Manager near Jacksonville, FL! The 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 allproject relatedprocedures and of most importance, company policy.Toaccomplishthese expectations the following procedures and g

Full-time

Compensation information provided in the description

Patient Account Representative- Remote

Remote

•

Yesterday

Title: Patient Account Representative Duration: 6 Months Remote Skills: Customer Service Basic to moderate computer knowledge Microsoft Office skills Typing speed moderate Healthcare background/verbiage knowledge Basic insurance knowledge Basic communication skills to effectively collaborate with others Basic claims maintenance or basic prior authorization is a bonus Education: Associate Degree in finance, business or healthcare related majors and one year experience in medical, pharmacy or dur

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Contract

Depends on Experience

Quality Assurance Analyst

Hybrid in Minneapolis, Minnesota

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29d ago

Job Title: QA Analyst Duration: Through end of 2025 Location: Hybrid in Minnetonka, MN Role Summary: Ability to apply depth of expertise within Eligibility Beta product team and function as a subject matter expert for other staff including offshore team as well as partnering continuously with QA Practice community, regression and automation team and stakeholders on a daily basis to stay focused on common goals. As a senior member in Information Technology, you may lead QA team members collabora

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Contract

$50 - $60

VP, Pharmacy Operations

Remote

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4d ago

100% remote in US, EST Hours Overview: Hiring a VP, Pharmacy Operations that will have a strategic focus on formulary strategy, Medicare Part D compliance, reporting and performance management.Opportunity to create processes and procedures from the ground up Responsibilities: Ensure full compliance with federal and state healthcare regulations, including CMS requirements for Medicare Part D, while managing internal controls, reporting, and audit processes to maintain regulatory readiness. Attr

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Full-time

$240000

Medical Biller / Medical Billing

Southside Place, Texas

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Today

Job Title: Medical Billing Specialist Location: Houston, Texas 77025 Client: Immediate Interview and Hiring for Hybrid Role We are looking for a detail-oriented and experienced Contract Medical Billing Specialist with a strong working knowledge of AdvancedMD billing software. The ideal candidate will initially focus on the implementation of AdvancedMD and will later transition into managing the full revenue cycle, including charge entry, claims submission, payment posting, collections, and rep

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Contract

Remote Epic Certified Patient Billing Analyst

Remote or Hybrid

•

Yesterday

We are looking to fill a Remote long-term Contract role as Epic Certified Patient Billing Analyst Mode of Interview: Webcam Work Arrangement: Remote Work Location: Remote Shift: EST Required Qualifications: 2 years of experience and certification in Epic Professional Billing and Claims 2 years of experience and analysing existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function 2 years of experience in designing, build, test

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Contract, Third Party

Product Owner

Minneapolis, Minnesota

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8d ago

We are seeking a motivated and detail-oriented Product Owner to join our dynamic team. This role offers a unique opportunity to drive product development and collaborate with cross-functional teams in a fast-paced environment. Responsibilities Document and translate business requirements into features and user stories. Manage and prioritize the product backlog, ensuring alignment with business goals. Collaborate with designers, analysts, developers, and testers to execute product roadmaps. Serve

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Contract

Depends on Experience

Mainframe Developer with Mulesoft

Remote

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30+d ago

Over 10 Years of IT Experience. Position 1 : Mainframe,Cobol Db2 with MulesoftPosition 2 :Mainframe,Cobol Db2,Mulesoftand cloud scalabilityPosition 3 :Mainframe,Cobol Db2,with performance scalability and testingPosition 4 : Mainframe cobol db2 dba / developer with sone level of architecture expGood experience in Mainframe,Cobol,DB2,CICS. Good experience in Integration with Mulesoft. cloud scalability and performance engineers with healthcare domain expertise in clinical edits, pricing and claims

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Contract, Third Party

Depends on Experience

Principal Data Analyst – Healthcare Informatics

Remote

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3d ago

Principal Data Analyst Healthcare Informatics We are seeking a highly motivated and seasoned Principal Data Analyst with strong experience in healthcare informatics. The ideal candidate will have deep expertise working with EMR data, healthcare claims, and member enrollment data, and a passion for solving problems, analyzing data, and supporting population health and value-based care solutions. Key Responsibilities Methods & Specifications: Develop and maintain business logic specifications

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Contract, Third Party

90,000 - 120,000

UM Support Analyst - Onsite

Mason, Ohio

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4d ago

Title: UM Support Analyst - Onsite Description: GENERAL FUNCTION The UM Support Analyst/Admin administrative and data entry work supporting UM prior authorization requests, work in Facets, Filebound, Jira, outbound notification calls to providers and members. Prior HealthFirst & Anthem prior authorization experience a plus. Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements: data entry experience, familiarity with excel and officeTop 3-5 desirable attributes/qualifications: C

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Contract

Depends on Experience

Data Platform Engineer (DBA)

Hybrid in Tampa, Florida

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4d ago

Job Title: Data Platform Engineer (DBA)About Us We are a value-based healthcare organization committed to improving health outcomes while optimizing costs. Our business relies on a robust SQL-based data warehouse and modern analytics infrastructure to deliver actionable insights across operations, clinical quality, and financial performance.Position Summary We are seeking a highly skilled Data Platform Engineer (DBA) to join our data engineering team to modernize and optimize our data pipelines.

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Contract

$75

Business Analyst -Enrollment Eligibility-Healthplan Administration-Fully Remote !!

Remote

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25d ago

Our direct client is seeking a Business Analyst Bachelors degree is required. BA Certifications and or PMP is a plus. 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration. 4+ years of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder. Must have experience with have experience with the -hours intake- process AND eligibility calculations. Experience with SFTP, E

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Full-time

$100,000 - $116,000

Claims Director

Remote

•

Yesterday

Claims Director Permanent job opportunity Remote is workable but candidates need to be located in Santa Cruz, Monterey, Merced, Mariposa, or San Benito county in California Salary: $190k + Company benefits POSITION SUMMARY Under policy direction, this position: 1. Provides strategic management oversight in implementing, directing and monitoring the Claims Department functions, including the development and implementation of new programs and services related to claims operations 2. Directs and

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Full-time

Up to $190,000

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healthcare claims manual tester jobs