healthcare claims manual tester Jobs

Refine Results
261 - 280 of 360 Jobs

Application Development Advisors- Hybrid

Cigna

•

Remote or St. Louis, Missouri, USA

Full-time

The job profile for this position is Application Development Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Develop software applications within AAPS (Affordability & Accuracy Pre/Post Pay Solutions) to support payment integrity programs, produce accurate claim payments, and reduce medical cost expenditures.Contribute to software development, strategy, and product roadmap.Use system development life cycle methodologies, including Sc
Posted 30 days ago | Updated 7 hours ago

Sr. Batch Developer (UNIX/C/SQL/Healthcare Payer)

Gainwell Technologies LLC

•

Denver, Colorado, USA

Full-time

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
Posted 10 days ago | Updated 2 days ago

Payment Integrity - Senior Capability Manager Remote

Optum

•

Remote or Pittsburgh, Pennsylvania, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op
Posted 14 hours ago

Senior Data Engineer (Scala)

ICF

•

Reston, Virginia, USA

Full-time

*We are open to supporting 100% remote work anywhere within the continental US* Please read below before applying. We seek a talented Senior Data Engineer who is eager to apply computer science, software engineering, databases, and distributed/parallel processing frameworks to prepare big data for the use of data analysts and data scientists. If you have experience with Scala and Spark and want your work to contribute to systems that utilize healthcare data to improve the quality and cost of h
Posted 22 days ago | Updated 7 hours ago

Software Engineer - athenaCollector

Athenahealth

•

Boston, Massachusetts, USA

Full-time

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for a Software Engineer to join our athenaCollector team. In athenaCollector we build technology solutions that automate (RCM) Revenue Cycle Management. This Collector team is implementing the underlying medical back-office processes to automate and integrate the unique claims cycle requirements. The Team: The athenaCollector product builds a critical part
Posted 33 days ago | Updated 17 hours ago

ETL Tester

Spar Information Systems

•

US

Full-time

ETL Tester Remote Client is searching a highly skilled ETL QA with expertise in Abinitio to join our dynamic team for a healthcare client. The ideal candidate will have a strong background in ETL processes, data validation, and quality assurance, with a focus on healthcare data. The opportunity: Develop and execute test plans, test cases, and test scripts for ETL processes using Abinitio. Perform data validation and quality assurance on healthcare data. Collaborate with ETL developers to ensure
Easy Apply
Posted 18 days ago | Updated moments ago

Data Analyst II Medical Economics

Centene Corporation

•

Florida, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of v
Posted 23 days ago | Updated 7 hours ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

•

Kansas City, Missouri, USA

Full-time

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 Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 18 days ago | Updated 2 days ago

Application Development Advisors- Hybrid

Cigna

•

Remote or Plano, Texas, USA

Full-time

The job profile for this position is Application Development Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Develop software applications to support payment integrity programs, produce accurate claim payments, and reduce medical cost expenditures.Contribute to software development, strategy, and product roadmap.Use system development life cycle methodologies.Assist with the re-writing of end-to-end (E2E) vendor programs and t
Posted 52 days ago | Updated 7 hours ago

Testing Engineering Senior Analyst - Healthcare Sy

Judge Group, Inc.

•

Westlake, Texas, USA

Contract

Location: Westlake, TX Salary: $28.00 USD Hourly - $29.00 USD Hourly Description: Job Title: Testing Engineering Senior Analyst - Healthcare Systems Tester Location: Westlake, TX (Day 1 Onsite) Duration: 3 months Contract to Hire Local Candidates Only Must have Skills: Bachelor's degree or equivalent professional experience3+ years of experience in Health and Welfare benefits services3+ years of professional experience with strong functional depthPrevious experience with client implementat
Posted 33 days ago | Updated 4 hours ago

Navilink Software Engineer II

Unum

•

Chattanooga, Tennessee, USA

Full-time

Our Fortune 500 company is driving a digital transformation and looking for forward-thinking innovators to disrupt how our industry thinks about and uses technology. As one of the world's leading employee benefits providers, we help millions of people gain affordable access to benefits that help them protect their families, their finances and their futures. Are you an asker of questions, a solver of problems, and a challenger of the status quo? Our mission is to provide a differentiated custome
Posted 19 hours ago | Updated 7 hours ago

Pharmacy Business Analyst - Conversion & Prior Auth SME

Gainwell Technologies LLC

•

Kansas City, Missouri, USA

Full-time

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 Pharmacy Business Analyst - Conversion & Prior Auth SME at Gainwell, you can contribute your skills as we harness the powe
Posted 18 days ago | Updated 2 days ago

Desk Site Support

Yochana IT Solutions

•

Cooperstown, New York, USA

Third Party, Contract

Core Function The technology support specialist provides onsite IT support at a customer site (hospital & clinic environments) within ProHealth Care. This position is responsible for a wide variety of hardware, software, application, throughout the healthcare system. This function includes support to incident break/fix, service request fulfillment, deployments, upgrades, hardware lifecycle management, and collaborative work with other tier II and IT and shared services teams throughout the orga
Easy Apply
Posted 47 days ago | Updated 23 hours ago

Data Scientist

Abbott Laboratories

•

Alameda, California, USA

Full-time

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'
Posted 19 days ago | Updated 9 hours ago

Sr. EDI Developer (with EDIFECS Exp) & Health Care Plan Exp.

Cystems Logic

•

US

Full-time, Contract

Hi Good Morning, Sr. EDI Developer (with EDIFECS Exp. ) Location: Remote Duration: Long Term Contract Must have Health Care Plan Exp. Essential Functions Analyzes business requirements EDIFECS and creates EDI mapping specifications. Analyzes and interprets EDI data to identify trends, patterns, and issues. Monitors EDI transactions and troubleshooting errors. Creates and maintains detailed documentation for all reporting processes and procedures. Configures EDI software and mapping tools to
Easy Apply
Posted 40 days ago | Updated 4 days ago

Associate Director - Hematology, Oncology Data Sciences & Digital Health

Johnson & Johnson

•

Remote or New Brunswick, New Jersey, 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
Posted 44 days ago | Updated 7 hours ago

RN with Medicaid SME experience Columbia, SC

Software People, Inc.

•

Columbia, South Carolina, USA

Contract, Third Party

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Phone/Skype Hire. Onsite from day 1 / REMOTE Location: Columbia, SC / upto 80% remote Duration: 12+ months Rate: Open The current position's focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term pla
Easy Apply
Posted 60+ days ago | Updated 2 days ago

Java Sr. Developer

Cognizant

•

New Jersey, USA

Full-time

Job Summary We are seeking a Sr. Developer with 8 to 10 years of experience to join our team. The ideal candidate will have expertise in Genesys Composer Genesys Eservices Genesys CIM Platform and Genesys Voice Portal. Additionally experience in Medicare & Medicaid Claims Claims and Payer domains is essential. The role is hybrid with day shifts and no travel required. Responsibilities Develop and maintain applications using Genesys Composer to ensure seamless integration with existing systems. I
Posted 60+ days ago | Updated 16 hours ago

SQL Claims Analyst

Apex Systems

•

Montgomery, Alabama, USA

Full-time

Job#: 2069329 Job Description: Position: SQL Claims Analyst - Medicaid Location: ONSITE - 501 Dexter Ave, Montgomery, AL 36104 Duration: 12-month Contract-to-Hire Pay Rate: $50 - $60/hr. Overview: AL EDS is the new Alabama Medicaid Data warehouse, This position will support the Agency in the rollout and usage Responsibilities: Support the Agency with their Analytic StaffProvide on-site help desk supportCreate Power BI reports at the request of the AgencyProvide data analysis at the request
Easy Apply
Posted 60+ days ago | Updated 7 hours ago

PBM Strategy and Implementation Consultant

TalTeam

•

Remote

Contract

This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness. Project Leadership & Accountability Manage business execution team, ensuring alignment of team efforts with goals, o
Easy Apply
Posted 40 days ago | Updated 4 days ago