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Data Management Coordinator CFHP

University Health

•

San Antonio, Texas, USA

Full-time

POSITION SUMMARY/RESPONSIBILITIES Manages the daily activities of the Provider Data Maintenance team. Plans and implements projects that will improve processes related to the maintenance of provider data, generating provider directories and claims entry/processing functions. Acts as an advisor and technical resource for electronic claims reporting and processing to enable the department to meet regulatory requirements/CFHP business plan. Leads or assists Configuration Manager in managing vario
Posted 3 days ago | Updated 12 hours ago

Business Analyst - EDIFECS

Avance Consulting

•

Hartford, Connecticut, USA

Full-time

Role: Business Analyst - EDIFECS Location - Hartford, CT - Onsite At least 8+ years of Information Technology experience. At least 4 years' experience with healthcare payer, preferably on Claims, Benefits, and Care Management. At least 2 years of experience in EDIFECs Preferred Qualifications: Planning and Co-ordination skills. Good Communication and Analytical skills. Experience and desire to work in a management consulting environment that requires regular travel. Experience and desire to wor
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Posted 1 day ago | Updated 22 hours ago

Business Analyst - EDIFECS

Avance Consulting

•

Hartford, Connecticut, USA

Full-time

Job Title :- Business Analyst - EDIFECSLocation: - Hartford ,CT Job DescriptionAt least 4 years of Information Technology experience. At least 4 years' experience with healthcare payer, preferably on Claims, Benefits, and Care Management. At least 2 years of experience in EDIFECs Preferred Qualifications: Planning and Co-ordination skills. Good Communication and Analytical skills. Experience and desire to work in a management consulting environment that requires regular travel. Experience and d
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Posted 2 days ago | Updated 1 day ago

Enterprise Domain Architect - HEALTHCARE

Vega Consulting Solutions

•

Remote or Reston, Virginia, USA

Contract, Third Party

Vega is Hiring! Enterprise Domain Architect for our direct client. 100% REMOTE BASED. Seeking Architects to provide and Build end to end solutions, in addition to providing support. Prefer candidates that are located on the East Coast. Candidates will be required to work East Coast hours. Preferred Qualifications: Advanced degree Bachelor's Degree - Computer Science, Information Technology, or related field Ability to motivate and influence others so that project objectives are met in a timely m
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Posted 8 days ago | Updated 7 days ago

AS 400 with Synon

LiveMindz

•

Texas, USA

Third Party, Contract

Looking for AS/400 with Synon exp Local to - Dallas TX or Chicago IL Domain - Healthcare /Pharma Key qualifications for these positions include: At least 8 years of experience in AS/400 application development and support. At least 4 years of experience in RPG, RPGLE, CL, and Synon2/E (COOL 2/E). At least 4 years of IBMi SQL experience. Experience with SDLC and Agile methodologie RX Claims
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Posted 27 days ago | Updated 26 days ago

Business Analyst - EDIFECS

Avance Consulting

•

Hartford, Connecticut, USA

Full-time

Job Title: Business Analyst EDIFECSLocation: Hartford, ConnecticutJob Type: Full-Time / OnsiteJob Description:We are seeking an experienced Business Analyst with strong expertise in EDIFECS and a solid background in healthcare payer systems. The ideal candidate will play a key role in requirements gathering, functional design, and integration support for healthcare-related solutions.Basic Qualifications:Minimum 4 years of experience in Information Technology.At least 4 years of experience workin
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Posted 2 days ago | Updated 1 day ago

Entry Level Business Analyst

Dhalite

•

Remote

Full-time

Entry Level Business Analyst - Healthcare Remote Full-Time Role. Job Summary:We are seeking an entry-level Business Analyst to support healthcare operations by gathering requirements, analyzing processes, and assisting in the development of technology-driven solutions. You will work closely with stakeholders, clinicians, and IT teams to enhance patient care delivery and operational efficiency. Responsibilities: Gather and document business requirements from clinical, administrative, and IT stake
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Posted 7 days ago

Lead Data Scientist

Data Capital Inc

•

Woodland, California, USA

Full-time

7+ years in applied AI, deep expertise in LLMs, transformers, multi-agent frameworks, or NLP within healthcare or related domains. Demonstrated hands-on experience using Agent-to-Agent (A2A) protocols and Model Context Protocols (MCP) to build interoperable agent ecosystems. Advanced Python development skills, with proficiency in Hugging Face Transformers, PyTorch, LangChain, spaCy, etc. Strong understanding of healthcare benefit systems, claims data workflows, eligibility rules, and regulatory
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Posted 1 day ago

SQL Developer (Mid/Senior)

Empower Professionals

•

Remote

Contract

Role: SQL Developer Location: 100% remote Duration: 6-12+ months contract to hire Summary: We are looking for people with healthcare experience and very solid SQL. Want them to be able to understand the business so ask candidates what their project was doing for the business. If they can t answer, they are not worth submitting. LOOK AT THE MUST HAVES FOR WHAT WE ARE LOOKING FOR. For all roles - looking for (in order of importance) Personality/Culture fit - need someone who is collaborative, wi
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Posted 5 days ago | Updated 5 days ago

Product Owner

Gov Services Hub

•

New York, New York, USA

Contract

? Define and maintain the product roadmap for LexisNexis solutions within the organization ? Lead cross-functional teams to ensure effective utilization of LexisNexis capabilities ? Engage stakeholders to gather and translate requirements into actionable user stories ? Drive the integration of LexisNexis with internal systems such as CRM, claims, provider, and analytics platforms ? Provide technical oversight and ensure solution alignment with business objectives ? Collaborate with LexisNex
Posted 16 days ago | Updated 14 hours ago

Data Architect EPIC VBPM and Population Health

Gardner Resources Consulting, LLC

•

Boston, Massachusetts, USA

Contract

One of our healthcare clients is seeking a Data Architect EPIC VBPM and Population Health for an 18-month contract (Remote with possible travel for monthly and/or quarterly meetings) Seeking a hands-on and Certified expert Data Architect specialized in population health data, with advanced proficiency in complex data modeling. Understanding of Patient Care, Engagement, Care Coordination, Value based care, risk sharing models. 1. Expert in EPIC VBPM module, claims data, public health databases,
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Posted 7 days ago

Medicaid EDI Manager

IDR Inc.

•

Mason, Ohio, USA

Full-time

IDR is seeking a dedicated and detail-oriented Medicaid EDI Manager to join one of our top clients in Mason, OH. If you're looking for an opportunity to work with a large organization in a team-oriented environment, please apply today! Position Overview/Responsibilities for the Medicaid EDI Manager: Serve as the subject matter expert for EDI transactions (EDI 837, 835, 820, 276/277, 278) for Medicaid and Medicare programs. Lead the loading and validation of membership and claims data into the
Posted 1 day ago | Updated 12 hours ago

Collection Specialist

Software Guidance & Assistance

•

San Leandro, California, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Collection Specialist for a Contract assignment with one of our premier Healthcare clients in San Leandro, CA. Responsibilities : The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital services. Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websi
Posted 6 days ago | Updated 1 hour ago

Automation Tester

ADDSOURCE

•

Franklin, Tennessee, USA

Third Party

Title: Automation Tester Location: Franklin, TN (onsite from day 1) Mandatory skills Cucumber, Selenium, C# and Healthcare Responsibilities: - Skills : C# Net Selenium Spec flow prefer BDD ATDD Test Automation Desired Skills : CICD Pipelines Job Description : - Use skills as a Test Automation Engineer and create scalable bug free applications to work on Cucumber framework for UI and Rest Assured for APIs Creation and execution of Automated Test Cases Test Framework Experience on Cucumber Seleniu
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Posted 26 days ago | Updated 21 hours ago

Healthcare Data Analyst

Dugong Global Services

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Remote

Full-time

Job Description:Dugong is seeking a detail-oriented and analytical Healthcare Data Analyst to join our remote team. You will work on projects involving EHR/EMR data, claims data, Insurance Data and healthcare quality reporting. This role requires a deep understanding of healthcare datasets and the ability to turn complex information into actionable insights that support clinical and operational decisions. Responsibilities: Analyze healthcare data from claims, EHRs, and other data sources to supp
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Posted 20 days ago

Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

SanKar Inc

•

Remote

Contract

Position: - Sr. Business Analyst (PBM Domain and RxCLAIM experience)Location: - RemoteType: - Contract Job Description Perform comprehensive business analysis including requirement elicitation, stakeholder interviews, and gap analysis.Create detailed Business Process Maps (BPMs) and flow diagrams to visualize current and future-state workflows.Work closely with solution architects, QA teams, developers, and business users to ensure proper interpretation of Business processes.Use SQL to query da
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Posted 5 days ago

Configuration Analyst - FACETS

Intellect IT

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Mason, Ohio, USA

Contract, Third Party

MENTION CURRENT LOCATION AND LINKEDIN PROFILE IN SUBMITTAL. MUST BE LOCAL to MASON OH (or within 200 miles) and be able to be on site in MASON OH 2 days a week. MUST BE ABLE TO COME ON SITE FOR FINAL INTERVIEW Please fill out my RED MATRIX BELOW with all submittals. MUST HAVE: 3+ years FACETS experience Please list how many and WHERE: MUST HAVE: 3+ SQL experience Please list how many: Interview: 2 video + on site Visa: EAD * Hybrid Opportunity - in office every 2 days a week. JD MUST HAVE: This
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Posted 7 days ago

CalAIM Project Manager

Triune Infomatics Inc

•

Redwood City, California, USA

Contract

Role: CalAIM Project Manager Location: Redwood City, CA (Hybrid) Duration: 12+ Months Description/Scope of Work: Project Manager will manage cross-functional project team. Develop and maintain project plan and ensure project milestones and tasks are completed on budget and on schedule. Manage risks and issues log. Project Manager will organize the teams to comply with CalAIM initiative that will impact SMC's clinical systems (i.e. Epic). Examples of Duties: The Project Manager will be respons
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Posted 8 days ago | Updated 1 day ago

Business Systems Analyst - W2

Javen Technologies, Inc

•

Eagan, Minnesota, USA

Contract

Title: Business Systems Analyst Location: Eagan, MN Hybrid (2 days office) Duration: 3+ months with possible extensions The Impact You Will Have Assist with the development of an interface between our internal claims system and our external health analytics vendor. Identify and document which claims should be transmitted, assess the scope of Pharmacy claims, and establish a hierarchy for leveraging multiple vendors for claims validation.Define reporting requirements and understand how to manage
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Posted 1 day ago

Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Saama Technologies, LLC

•

Remote

Contract, Third Party

We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain for a hospital (Provider) ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting. Key Responsibilities: Collaborate with stakeholders to gather, define, and document both current and future business and data need
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Posted 22 days ago | Updated 1 day ago