healthcare claims manual tester Jobs

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Remote QA Manager with Healthcare Payer and Claims exp

Infinite Computer Solutions (ICS)

•

Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Summary: We are looking for an experienced QA Healthcare Manager to lead the quality assurance team in ensuring the reliability, security, and compliance of healthcare applications. The ideal candidate should have a strong background in healthcare software testing, regulatory compliance (HIPAA, CMS, FDA), test automation, and team leadership. Key Responsibilities: we need someone who understand healthacre paye
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Posted 15 days ago | Updated 5 days ago

Healthcare Business Analyst with Claims or Payor Experience - Local to MN and WI only

Smart Caliber Technology

•

Backus, Minnesota, USA

Contract, Third Party

Position: Healthcare Business Analyst Duration 12 Months Location: to Minnetonka ,MN or Madison WI (Hybrid- 3 days onsite) REQ: 8+ Years of exp We have client BA needs either claims platform, payer general ledger, or Enrollment & Eligibility Good Communication skill Best Regards, Chetna -D -Fax Truth Lies in Heart
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Posted 20 days ago | Updated 1 day ago

Senior Patient Financial Representative | Onsite | San Antonio, TX | Contract

Walker Healthforce

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Irving, Texas, USA

Contract

Senior Patient Financial Representative|Onsite| San Antonio, TX| Contract Walker Healthforce is seeking a Senior Patient Financial Representativeto support a healthcare clientbased out of San Antonio, TX. This is a 12-weekcontractopportunity. START DATE: ASAP HOURS/SCHEDULE:40 hours per week, 8a- 5p M-F WORKER TYPE: Full-Time CORE REQUIREMENTS:Education & SkillsHigh school diploma or equivalent required.Post-secondary education preferred.Strong knowledge of CPT, HCPCS, and ICD-10 coding prefer
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Posted moments ago

QA Analyst w/ Healthcare

IT Trailblazers, LLC

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Puerto Rico, Canary Islands, Spain

Contract

Note : This is a W2 role , we cannot accept resumes on Contract or C2c basis due to restrictions . Role: QA Analyst w/Healthcare Location: Puerto Rico/ could be remote Duration: 6-month contract-to-hire Prefer candidates that live in the EST/CST time zone Project Overview: Client is undergoing a transformation of its Core Claims Platform, migrating from QNXT to HealthRules. The QA/Testing focus will be centered around the new HealthRules Core Claims Platform and other integrated systems, incl
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Posted 5 days ago

Senior Patient Account Specialist | Onsite | Houston, TX | Contract

Walker Healthforce

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Houston, Texas, USA

Contract

Senior Patient Account Specialist | 3+ Years of Experience| Onsite| Houston, TX| Contract Walker Healthforce is seeking a Senior Patient Account Specialistwith 3+ Years of Experience to support a healthcare clientbased out of Houston, TX. This is a 12-weekcontractopportunity. START DATE: June 2, 2025 HOURS/SCHEDULE:40 hours per week, 8a- 5p M-F WORKER TYPE: Full-Time CORE REQUIREMENTS:Must have a minimum of 3 years experience with Medicare/Medicaid insurance billing, collections, payment, reim
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Posted moments ago

Claims Examiner

DevCare Solutions

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Irving, Texas, USA

Contract

Essential Job Functions Enters insurance claims received electronically or in written form. Answers incoming customer calls regarding claim processing. Documents claim and associated history. Evaluates available information to validate straightforward basic claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility. Sends claim form to claimant for updating, correction or completion. Identifies need for additional information; cont
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Posted 5 days ago | Updated 22 hours ago

Health Data Scientist

Accenture LLP

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Washington, District of Columbia, USA

Full-time

At Accenture Federal Services, nothing matters more than helping the US federal government make the nation stronger and safer and life better for people. Our 13,000+ people are united in a shared purpose to pursue the limitless potential of technology and ingenuity for clients across defense, national security, public safety, civilian, and military health organizations. Join Accenture Federal Services, a technology company and part of global Accenture, to do work that matters in a collaborative
Posted 36 days ago | Updated 5 hours ago

Health Data Scientist Lead

Accenture LLP

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Washington, District of Columbia, USA

Full-time

At Accenture Federal Services, nothing matters more than helping the US federal government make the nation stronger and safer and life better for people. Our 13,000+ people are united in a shared purpose to pursue the limitless potential of technology and ingenuity for clients across defense, national security, public safety, civilian, and military health organizations. Join Accenture Federal Services, a technology company and part of global Accenture, to do work that matters in a collaborative
Posted 36 days ago | Updated 5 hours ago

QA Tester (Selenium / Quality Center / Healthcare)

Trigyn Technologies, Inc.

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Albany, New York, USA

Contract, Third Party

Trigyn's direct government client has an immediate need for a QA Tester in Albany, NY. Description: This position will be responsible for quality assurance activities such as building and automating test cases based on system requirements, triaging and recording defects and ensuring compliance with agency, state, and federal regulation. In addition, this position may be required to assist in development of help documents for the end user. Daily Tasks will include but are not limited to the fol
Posted 14 days ago | Updated moments ago

Project Manager/ Project Coordinator

Pyramid Consulting, Inc.

•

Jacksonville, Florida, USA

Contract

Immediate need for a talented Project Manager/ Project Coordinator. This is a 06+ months contract opportunity with long-term potential and is located in Jacksonville, FL/ San Antonio, TX(Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-77852 Pay Range: $36 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan. Key Responsibilities: Hours: 8 hrs. per day || 40 hrs. in a weekDura
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Posted 5 days ago

VP, PBM

Vaco by Highspring

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Remote

Full-time

Hiring a VP of PBM for a startup healthcare client 100% remote in US only Duties/Responsibilities: Lead the development and launch of Companys in-house Pharmacy Benefit Manager (PBM), defining the vision, strategy, and roadmap to transition from external vendors to internal operations. Manage the strategic shift from outsourced PBM services, ensuring a seamless, cost-effective transition with minimal service disruption. Oversee core PBM functions: claims adjudication, pharmacy contracting,
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Posted 22 days ago

Project Implementation Manager - Healthcare/Payor Industry

w3r Consulting

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Chicago, Illinois, USA

Contract

Job Title : Implementation Consultant BASIC FUNCTION This position is responsible for leading client focused implementations of accounts and legislative and regulatory initiatives within sales operations and product. Implements account and legislative initiatives (of high complexity), monitors compliance and conformity of implementations. Forms key partnerships with other client's business areas, and work to coordinate the implementations response required to support the solution. Work with all
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Posted 1 day ago | Updated 1 day ago

Business Analyst - Medicaid

S2Tech

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Jefferson City, Missouri, USA

Full-time

Business Analyst Medicaid Location: Jefferson City, MO (Hybrid Onsite 2 days/week) About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Why S2Tech?: Stable privately-owned company with a strong
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Posted 19 days ago

Pega Lead SSA

Info Dinamica Inc

•

Austin, Texas, USA

Third Party, Contract

Role: Pega Lead SSA Location: Austin, TX (Day 1 Onsite) Contract Must have valid Pega Certification (atleast CSSA) and should provide link Required: 10+ years of experience ,Pega Senior System Architect(SSA) is responsible for architecting and designing business applications using Pega PRPC and other Pega frameworks. Provides architecture and design guidance to project teams developing BPM/BRE solutions using Pega. Provide thought-leadership to client across business and technical project dimen
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Posted 18 hours ago | Updated 13 hours ago

QNXT Configuration Analyst

TEKsystems c/o Allegis Group

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Chesapeake, Virginia, USA

Full-time

Description This resource will help stand up our clients Commercial QNXT environment with a focus on benefits. Day to day involves: Meetings QNXT benefit configuration Capitation Actively using standard benefits/pricing methodologies Solutioning detail level business requirements Unit testing/proof of concept testing Defect resolution Ability to work independently Ability to meet deliverables Preferred Time Zone: EST/CST Preferred States: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kan
Posted 4 days ago | Updated 2 hours ago

Pega SSA -10+yrs- Austin, TX (On-site Role)

iMedhas Consulting Services

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Texas, USA

Contract, Third Party

Job Description 10+ years of experience ,Pega Senior System Architect(SSA) is responsible for architecting and designing business applications using Pega PRPC and other Pega frameworks. Provides architecture and design guidance to project teams developing BPM/BRE solutions using Pega., Provide thought-leadership to client across business and technical project dimensions solving complex business requirements, Develops and demonstrates an advanced knowledge of the PRPC Architecture and all PRPC de
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Posted 1 hour ago

Senior Data Scientist (100% Remote): Pharma & Claims Data Expert (Contract-to-Hire)

Rower

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Remote

Contract

Rower is hiring a Full-Time Data Scientist with deep experience in the pharmaceutical space and a proven track record working with healthcare claims data. This is a contract-to-hire role, ideal for someone who can hit the ground running and wants to grow into a long-term strategic position on high-impact projects. What We re Looking For: 8+ years of hands-on experience in data science, analytics, or statistical modeling Deep pharma domain knowledge including commercial analytics, market access,
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Posted 18 hours ago

Senior Business Consultant | Chicago, IL | Contract to Hire

Walker Healthforce

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US

Contract

Senior Business Consultant| 3+ Years of Experience| Hybrid| Chicago, IL| Contract to Hire Walker Healthforce is seeking a Senior Business Consultant with 3+ years to support a healthcare clientbased out of Chicago, IL. This is a 6-monthcontract to hire opportunity. PAY RATE: $41 - $43.50 START DATE: ASAP HOURS/SCHEDULE: M-F; 8:00 AM - 5:00 PM CST (3 day onsite, 2 days remote) WORKER TYPE: Full-Time W2 CORE REQUIREMENTS: Bachelors Degree OR limited experience gathering and assessing business
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Posted 56 days ago | Updated 4 days ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 12 days ago

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

Elite Technical

•

Remote

Full-time

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,
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Posted 4 days ago