healthcare claims manual tester Jobs

Refine Results
121 - 140 of 343 Jobs

Big Data Engineer - Medicare/Medicaid

Molina Healthcare

•

Long Beach, California, USA

Full-time

Job Description Job Summary We are seeking a highly skilled and forward-thinking Big Data Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This position requires deep technical expertise i
Posted 60+ days ago | Updated 3 hours ago

Epic PB - Resolute Professional Billing Consultant

InterSources Inc.

•

San Mateo, California, USA

Full-time, Contract

Title: Epic PB Resolute Professional Billing Consultant Location: San Mateo, California Job Description: You will lead or participate in all phases of the Epic Professional Billing implementation lifecycle, including requirements gathering, design, build, testing, training, and go-live support. Key Responsibilities: Configure and customize the Epic PB application to meet business needs while ensuring compliance with industry standards. Collect, analyze, and document workflows and operational da
Easy Apply
Posted 22 days ago | Updated 10 hours ago

Senior Healthcare Research Analyst - Hybrid (PA/NJ/DE)

Independence Blue Cross, LLC

•

Philadelphia, Pennsylvania, USA

Full-time

Our organization is looking for individuals who love working with data and using analytics while using their skills to help our members. If this describes you, we want to speak with you! Independence (IBX) is looking for an experienced and analytically minded individual to support analytical requests for clinical initiatives and evaluations. This Senior Research Analyst position will report to the Director, Reporting and Analytics within the Informatics Department, supporting advanced analytics
Posted 33 days ago | Updated moments ago

Sr. Analyst, Application Development

CVS Health

•

Remote or Monroeville, Pennsylvania, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 43 days ago | Updated 3 hours ago

IT - SCDHHS - Quality Assurance Analyst

Apex Systems

•

Columbia, South Carolina, USA

Full-time

Job#: 2083365 Job Description: Job Posting: Quality Assurance Tester - Advanced We are seeking a Quality Assurance Tester - Advanced to support a large-scale modernization initiative focused on transforming Medicaid Management Information Systems (MMIS). This role is ideal for professionals who thrive in complex, change-driven environments and are passionate about improving healthcare outcomes through technology and innovation. About the Program This MMIS modernization effort is a major trans
Easy Apply
Posted 7 days ago | Updated 4 hours ago

RWE Data Scientist

Katalyst Healthcares and Lifesciences

•

Cambridge, Massachusetts, USA

Full-time

Job description: Role is responsible for designing, planning, and executing large scale data analysis, and algorithm development to identify gaps in the care continuum and to measure impact using RWD. This work highlights the value of utilizing real world data to inform or address strategic questions in the disease areas of interest to client. The role involves the application of statistical theories, analytical methods, and technical programming skills to analyze clinical, survey, claims, and
Posted 60+ days ago | Updated 3 hours ago

RWE Data Scientist

Katalyst Healthcares and Lifesciences

•

North Chicago, Illinois, USA

Full-time

Job description: Role is responsible for designing, planning, and executing large scale data analysis, and algorithm development to identify gaps in the care continuum and to measure impact using RWD. This work highlights the value of utilizing real world data to inform or address strategic questions in the disease areas of interest to client. The role involves the application of statistical theories, analytical methods, and technical programming skills to analyze clinical, survey, claims, and
Posted 60+ days ago | Updated 3 hours ago

RWE Data Scientist

Katalyst Healthcares and Lifesciences

•

Branchburg, New Jersey, USA

Full-time

Job description: Role is responsible for designing, planning, and executing large scale data analysis, and algorithm development to identify gaps in the care continuum and to measure impact using RWD. This work highlights the value of utilizing real world data to inform or address strategic questions in the disease areas of interest to client. The role involves the application of statistical theories, analytical methods, and technical programming skills to analyze clinical, survey, claims, and e
Posted 60+ days ago | Updated 3 hours ago

Lead Test Engineer - AI/ML Server Platforms

Jabil Circuit Inc

•

Florence, Kentucky, USA

Full-time

At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's top brands, offering comprehensive engineering, manufacturing, and supply chain solutions. With over 50 years of experience across industries and a vast network of over 100 sites worldwide, Jabil combines global reach with local expertise to deliver both scalable and customized solutions. Our commitment extends beyond business success as we strive to build sustainable processe
Posted 46 days ago | Updated 3 hours ago

Sr Lead Software Engineer - CDFO Platform Manager

JPMorgan Chase & Co.

•

Columbus, Ohio, USA

Full-time

Job Description We have an opportunity to impact your career and provide an adventure where you can push the limits of what's possible. As a Senior Lead Software Engineer at JPMorgan Chase within the Claims, Disputes and Fraud Operations product, you will be an integral part of an agile team focused on creating, enhancing, and deploying innovative technology products that prioritize security, stability, and scalability. In this key technical role, you will implement critical technology solutio
Posted 31 days ago | Updated 3 hours ago

Software QA Tester

LMI Government Consulting (Logistics Management In

•

Remote

Contract

Overview Remote (U.S. Based) | Some Travel Required LMI is a new breed of digital solutions provider dedicated to accelerating government impact with innovation and speed. Investing in technology and prototypes ahead of need, LMI brings commercial-grade platforms and mission-ready AI to federal agencies at commercial speed. Leveraging our mission-ready technology and solutions, proven expertise in federal deployment, and strategic relationships, we enhance outcomes for the government, efficie
Posted 50 days ago | Updated moments ago

Lead Test Engineer - AI/ML Server Integration

Jabil Circuit Inc

•

Florence, Kentucky, USA

Full-time

At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's top brands, offering comprehensive engineering, manufacturing, and supply chain solutions. With over 50 years of experience across industries and a vast network of over 100 sites worldwide, Jabil combines global reach with local expertise to deliver both scalable and customized solutions. Our commitment extends beyond business success as we strive to build sustainable processe
Posted 46 days ago | Updated 3 hours ago

Data Analyst

Apex Systems

•

Okemos, Michigan, USA

Full-time

Job#: 2080953 Job Description: Role: Data Analyst Location: Hybrid - 2 days/week onsite in Greater Lansing, MI area Duration: Long-term contract Job Summary: We are seeking a highly skilled data science/analytics contractor with hands-on experience in SQL, DBT, and Tableau, and a strong understanding of Medicaid and Medicare dental data. This individual will help drive insights, automation, and model development in support of utilization-based scoring, claims optimization, and policy evaluat
Easy Apply
Posted 27 days ago | Updated 4 hours ago

Pharmacy Network Oversite or Pharmacy Process Manager

Vega Consulting Solutions

•

Remote

Third Party, Contract

Vega Consulting Solutions, Inc. is hiring! We are staffing a Pharmacy (Healthcare) Process Manager for Network Oversite (or Process Manager) for a 18 month Contract to hire opportunity with our direct client. This position is 100% remote based. This role supports the oversight and optimization of pharmacy network operations.Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.Support credentialing, re-contracting, and termination proc
Easy Apply
Posted 60+ days ago | Updated 6 days ago

Systems Analyst III - EPIC Billing

Cleveland Clinic

•

Remote or Cleveland, Ohio, USA

Full-time

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Systems Analyst - EPIC Billing Location Cleveland Facility Remote Location Department Job
Posted 60+ days ago | Updated 3 hours ago

Director - Leader of Technical Application Support Operations team

Magellan Health Services

•

Frisco, Texas, USA

Full-time

- SME on building and creating maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic. - Understand current maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions. - Understand and decompose the design and implementation of current Edifecs solution. - Experience with AWS and strong understanding of AWS components like FSx, file processing and Queues - Excellent understanding of
Posted 24 days ago | Updated 3 hours ago

Jr. Data Scientist, Machine Learning - Remote

ConsultNet, LLC

•

Remote or South Jordan, Utah, USA

Full-time

Title: Jr. Data Scientist, AI and Machine Learning Location : 100% Remote Target Start Date : ASAP Type: contract or contract to hire Pay Rate: DOE We're looking for an industry-leading Data Scientist focused on building production-level machine learning solutions. Rather than a research role, this position emphasizes applying ML/AI to real-world healthcare challenges-such as reducing costs and improving care quality. You'll work with structured and unstructured data (claims, membership, provi
Easy Apply
Posted 46 days ago | Updated 3 hours ago

Software Engineer/Developer, Staff

American Systems Corporation

•

Maryland, USA

Full-time

Overview AMERICAN SYSTEMS is an employee-owned federal government contractor supporting national priority programs through our strategic solutions in the areas of Information Technology, Test & Evaluation, Program Mission Support, Engineering & Analysis, and Training. Responsibilities You will be part of a Navy IPT that is developing, and will deploy, a modernized weapon test system - Standard Tester of Reprogrammable Munitions (STORM). This program has completed a Section 804 Middle Tier Acq
Posted 11 days ago | Updated 3 hours ago

Manager, Analytics - Vaccines

Sanofi

•

Moosic, Pennsylvania, USA

Full-time

Job Title: Manager, Analytics Location: Moosic, PA ( Hybrid) About the Job The primary objective of this position is to facilitate the and strengthen insight-driven decision-making and create advanced analytics to help enhance the strategy and tactics of the VaxServe marketing and sales organization. Business knowledge and analytical expertise will be utilized to continuously assess and improve the company's approach in sales force strategy, brand strategy, targeting, and other projects and b
Posted 2 days ago | Updated 10 hours ago

System Manager Healthcare Data Engineering

Commonspirit Health

•

Remote or Englewood, Colorado, USA

Full-time

Overview Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more tha
Posted 60+ days ago | Updated 3 hours ago