healthcare claims manual tester jobs

Advisor Batch Developer (UNIX/LINIX/C/Healthcare Claims)

Louisville, Kentucky

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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 100,000.00 - 115,000.00 per year

System Analyst

Elgin, South Carolina

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Today

Arthur Lawrence is looking for a System Analyst one of our clients in Elgin, SC. Please find the job description below and send us your updated resume if interested: Must-Have Skills: 3+ years of experience in Medicaid or healthcare systems, including claims or provider operations. Proficiency in COBOL programming. 3+ years of experience supporting healthcare mainframe systems. Nice to Have Skills: Subject matter expertise in MMIS operations. Experience with data analysis tools such as SAS, E

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Contract

System/Data Analysis & Conversion

Richmond, Virginia

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Today

ON SITE REQUIRED: 3 days onsite and 2 days remote. Parking is not provided for contractors ABOUT THE ROLE DMAS - Systems Analyst 4 We are seeking a highly skilled Systems Analyst with strong technical and analytical expertise in healthcare claims processing and comprehensive knowledge of data across all functional areas of the Medicaid Management Information System (MMIS) or similar large-scale claims processing systems. Key Responsibilities Data Analysis & Conversion Lead endtoend FAS data c

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Full-time, Part-time, Contract, Third Party

QA Tester W/ Healthcare

Bloomfield, Connecticut

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7d ago

QA Tester W/ Healthcare Bloomfield, CT (Preferred) or Franklin, TN 12 Months Hybrid 3 days /week onsite Required: Senior End-to-End Integration QA Engineer Key Highlights Lead end-to-end API and integration testing for CMS Burden Reduction / Interoperability initiatives. Perform deep validation of HL7 FHIR-based REST APIs including payloads, schemas, authentication, headers, and error handling. Ensure data accuracy, integrity, and regulatory compliance across complex healthcare integrations. Exe

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Contract

$48 - $50

Systems Analyst 4 ( healthcare claims )

Richmond, Virginia

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Today

Greetings, Systems Analyst 4 Hybrid Interview : Both Web Cam and In Person Interview ON SITE REQUIRED: 3 days onsite and 2 days remote. Location ; Richmond, VA We are seeking a highly skilledSystems Analystwith strong technical and analytical expertise in healthcare claims processing and comprehensive knowledge of data across all functional areas of theMedicaid Management Information System (MMIS)or similar large-scale claims processing systems. Key Responsibilities Data Analysis & Co

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Third Party, Contract

Depends on Experience

CA:GEN, MetaVance - Technical developer (Healthcare Claims) - Remote

Remote

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7d ago

Role : Technical developer (CA:GEN & Healthcare Claims) Location: Remote Duration: Contract Job SummaryProject descriptionClient is seeking a Technical Developer to support enhancements and ongoing development of the MetaVance healthcare platform. The role focuses on claims processing, benefits configuration, and pricing functionality within the MetaVance application environment. The resource will contribute to system design, development, and technical analysis while ensuring alignment with heal

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Contract, Third Party

Depends on Experience

Healthcare Product Manager

Hybrid in Reston, Virginia

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Today

Job Title: Product Manager - Healthcare Location: Reston, VA Compensation: $79/HR Type: Contract to hire Contractor Work Model: Hybrid (2-4 times a month) SummaryOwns the end-to-end product lifecycle for healthcare technology solutions, including strategy, roadmap, delivery, and performance. Works cross-functionally with engineering, product owners, and business stakeholders to deliver data-driven products that support claims analysis, audit workflows, and reporting. Responsibilities Define pro

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Contract, Third Party

$79.5455

QA Lead CAC & CDI (Healthcare)

Remote

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6d ago

Overview The QA Lead for Computer-Assisted Coding (CAC) and Clinical Documentation Integrity (CDI) Software Deployment is responsible for defining, governing, and executing the quality assurance strategy for enterprise CAC/CDI implementations across inpatient, outpatient, and professional billing environments. This role ensures that system functionality, integrations, workflows, and outputs meet documented business requirements, regulatory expectations, and operational performance standards both

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Contract

$30 - $40

Epic Payer, Director

Remote

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30+d ago

Job Title: Epic Payer Director / Managing Director Location: Remote (U.S.) Travel: 1025% based on client needs Job Type: Full-Time Compensation: Director: $175K$225K base + 15% bonus Managing Director: $215K$275K base + 18% bonus Equity potential for senior-level hire Epic Payer Director / Managing Director (Remote) A growing healthcare consulting firm is expanding its Epic Payer practice and hiring a senior leader to oversee complex payer-platform engagements. This role provides executive

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Full-time

$275000

Sr. Analyst - PBM - claims adjudicator - Healthcare - Medicaid

Remote

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Yesterday

PBM experience Agile Healthcare Government programs, compliance, or Medicare. NCPDP 4 year degree is required (must be achieved) claims adjudicator integration understanding with strong business and technical acumen

Easy Apply

Contract

$50+

Senior Business Analyst with Medicaid/MMIS SME

Remote

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13d ago

Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, userstories) Translate complex business needs into clear functional and technical requirements Collaborate with stakeholders, product owners, and development teams Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations Support defect management, and production support Identify process improvements and

Easy Apply

Third Party, Contract

Depends on Experience

Data Scientist (Healthcare)

Remote

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16d ago

Hello Everyone, Greetings from Dizer! We are currently looking for a Data Scientist with at least 5+ years of recent experience in the Healthcare domain. This is a 100% remote role, so no relocation or travel is required. The clients key requirements are: Claims Processing experience Healthcare / Medicaid / Medicare domain experience Please share suitable profiles at Thanks, Kenny.

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Contract

Data Engineer (Healthcare)

Remote

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16d ago

Hello Everyone, Greetings from Dizer! We are currently looking for a Data Engineer with at least 5+ years of recent experience in the Healthcare domain. This is a 100% remote role, so no relocation or travel is required. The clients key requirements are: Claims Processing experience Healthcare / Medicaid / Medicare domain experience Please share suitable profiles at . Thanks, Kenny.

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Contract

QA Manager

Tampa, Florida

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Today

Role:- QA Manager Location:- NYC, NY and Tampa FL Job Description: We are seeking a Strong Automation Test Manager 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 various

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Full-time, Part-time, Contract, Third Party

Head of Engineering, Insurance and Business Operations

Richmond, Virginia

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Today

At Genworth, we empower families to navigate the aging journey with confidence. We are compassionate, experienced allies for those navigating care with?guidance, products, and services that meet families where they are. Further, we are the spouses, children, siblings, friends, and neighbors of those that need care?and we bring those experiences with us to work in serving our millions of policyholders each day.? We apply that same compassion and empathy as we work with each other and our local co

Full-time

Lead Healthcare Business Analyst

Hybrid in Reston, Virginia

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Today

Job Title: Lead Healthcare Business Analyst Location: Reston, VA Type: Contract To Hire Compensation: $70/HR Contractor Work Model: Hybrid No C2C Were searching for a Lead Business Analyst with deep experience in the health?insurance industry, ideally within a Blue Cross Blue Shield (BCBS) environment. This role is perfect for someone who thrives at the intersection of business operations, requirements strategy, and technologyespecially in highly regulated, member?focused healthcare settings. As

Easy Apply

Contract, Third Party

Depends on Experience

Product/UI Designer

Winfield, Indiana

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Today

Seeking a skilled UI Designer with strong Figma expertise and hands-on product design experience. This role focuses on designing intuitive, compliant, and scalable user interfaces for complex healthcare and benefits administration workflows, including eligibility, claims, prior authorization, pricing, and reporting tools. Compensation: $70,000-$90,000 Location: remote Interview Process: 2 rounds Key Responsibilities: Design user-centered interfaces for TPA, PBM, and SaaS applications using Fig

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Full-time

$90000

Healthcare Systems Analyst 4 (System/Data Analysis & Conversion) || Must be VA Residents only

Hybrid in Richmond, Virginia

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2d ago

We are seeking a highly skilled Systems Analyst with strong technical and analytical expertise in healthcare claims processing and comprehensive knowledge of data across all functional areas of the Medicaid Management Information System (MMIS) or similar large-scale claims processing systems. Key Responsibilities: Data Analysis & Conversion: Lead end-to-end FAS data conversion strategy, including mapping, transformation logic, and reconciliation. Direct data validation cycles and resolve complex

Easy Apply

Contract

Depends on Experience

Oracle PL/SQL Software Engineer

Remote or Hybrid in Blue Bell, Pennsylvania

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Today

An experienced engineer who designs, builds, and operates Oracle PL/SQL data structures, business logic and data pipelines. Delivers features end-to-end, from design to production support. Skilled in creating testable, observable components; maintaining performance and scalability; and delivering high-quality code quickly using VS Code Copilot and Claude Code. Must be fully productive on day one with PL/SQL and Jenkins. * Healthcare and Medical Claims Experience is a PLUS! Resume direct to kumar

Contract

$45 - $50

Construction Project Manager (Roadway/Highway)

Daytona Beach, Florida

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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 all project related procedures and of most importance, company policy. COMPANY OVERVIEW: Founded in 1987, MasTec Civil, LLC (f

Full-time

Compensation information provided in the description

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healthcare claims manual tester jobs