healthcare claims manual tester Jobs

Refine Results
161 - 180 of 341 Jobs

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
Easy Apply
Posted 4 days ago

Healthcare Business Analyst HEOR (Health Economics and Outcomes Research)

Learn Beyond Consulting LLC

•

Remote

Contract

Job Title: Healthcare Business Analyst HEOR (Health Economics and Outcomes Research) Company Description Client is a leader in delivering innovative healthcare IT solutions that empower providers, payers, and healthcare organizations to improve patient outcomes, streamline operations, and meet regulatory compliance. Job Description We are seeking an experienced Healthcare Business Analyst with a strong background in clinical and health economics-related analytics (HEOR) and healthcare data manag
Easy Apply
Posted 1 day 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 19 days ago | Updated 2 days 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,
Easy Apply
Posted 10 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 3 days ago | Updated 1 day 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 8 days ago | Updated 11 hours ago

Contract Healthcare Data Reporting Analyst

Concero

•

Remote

Full-time

Location: Remote (U.S.)Contract Duration: Approximately 2 months (flexible based on project needs)Type: Full-time, contract (w2, no c2c) < data-start="468" data-end="542">Company Overview Our client is a recognized leader in managing complex healthcare operations including behavioral health, specialty pharmacy, and integrated care solutions. The organization emphasizes leveraging cutting-edge analytics and technology to enhance individual wellness, streamline care delivery, and support diverse
Easy Apply
Posted 1 day ago | Updated 1 day ago

Healthcare Data Analyst

Dugong Global Services

•

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
Easy Apply
Posted 22 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
Easy Apply
Posted 7 days 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
Easy Apply
Posted 29 days ago | Updated 1 day ago

Configuration Analyst - FACETS

Intellect IT

•

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
Easy Apply
Posted 10 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
Easy Apply
Posted 11 days ago | Updated 4 days ago

Epic Application Analyst I, II, III, Tapestry Core Administration-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

•

Remote or Eau Claire, Wisconsin, USA

Full-time

Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to kameron.PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. External applicants must possess active Epic certification in the required application/module at the time of hire. This position will focus primarily on the following Epic
Posted 1 hour 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
Easy Apply
Posted 25 days ago | Updated 3 days ago

Director of Data Architecture and Engineering

Eventus WholeHealth

•

Remote

Full-time

Position Summary: The Director of Data Architecture and Engineering will spearhead the end-to-end design, development, and optimization of a new healthcare data infrastructure, ensuring seamless operations, advanced analytics, and robust reporting solutions in a dynamic, high-growth environment. Qualifications: Education, Licensure and Certifications, Related Work Experience Degree in computer science, engineering, or related field.8+ years of experience in data engineering, with at least 3 y
Posted 9 days ago | Updated 9 days ago

Healthcare Systems Analyst

Gurus Infotech, Inc.

•

Plano, Texas, USA

Third Party, Contract

Job Title: Sr. Systems AnalystLocation: Plano, TX (Onsite Local Candidates Preferred)Duration: 8+ Months (Strong Potential for Extension) Key Qualifications & Required Skills:Healthcare IT Experience Health Insurance, Claims Processing, Enrollment, Premium BillingTechnical Expertise RESTful APIs, Microservices, AWS Services, NoSQL Databases, JSON, XMLAgile & Testing Agile Methodology, BDD/TDD, Test Automation, Writing Test ScriptsSystem & Business Analysis System Configuration, Gap Analysis, Doc
Easy Apply
Posted 3 days ago | Updated 1 day ago

Agile Product Owner

Yochana IT Solutions

•

Bloomfield, Connecticut, USA

Contract

Agile Product Owner Bloomfield, CT Onsite Position Contract Position Position Summary A strategic project to enable the full administration and payment of gene therapy and transplant claims. The Agile Product Owner will focus on detailed requirements and system analysis in support of the end-to-end claim flow build. This individual will act as a liaison between business stakeholders and technology to set business objectives, communicate capability requirements, and establish priority of enhanc
Easy Apply
Posted 2 days ago | Updated 15 hours ago

Project Coordinator (Onsite in VA)

On-Demand Group

•

Chesapeake, Virginia, USA

Contract

Job Title: Project Coordinator Duration: 6-month contract Location: 100% Onsite at Client Location in Chesapeake, Virginia Job Summary: Assist with project administration, claims, and insurance-related tasks. Coordinate project schedules, meetings, and deliverables to ensure timely project completion. Manage and organize project documentation, contracts, and insurance claims. Collaborate closely with the project manager to track objectives and milestones. Develop strategies and maintain respons
Easy Apply
Posted 15 days ago | Updated 15 days ago

Senior Business System Analyst

Pyramid Consulting, Inc.

•

Remote

Contract

Immediate need for a talented Senior Business System Analyst . This is a 05+months contract opportunity with long-term potential and is located in KP States (CA, OR, WA, GA, MD, VA and HI)(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-80099 Pay Range: $60 - $65/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Requirements
Easy Apply
Posted 5 days ago

Appeals & Grievance (Claim Medicare) Analyst

Digitive LLC

•

Remote

Contract

Job Title: Claim Processor Location: 100% Remote Contract: 12+ Months Job Description Responsible for reviewing and resolving provider disputes and communicating resolution to provider in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Job Responsibilities: Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from providers and related outside agencies to ensure that internal and/or
Easy Apply
Posted 40 days ago | Updated 9 days ago