healthcare claims testing analyst Jobs

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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

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

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

Data Center Architect

Oracle Corporation

No location provided

Full-time

Job Description Job Title: Datacenter Architect Job Summary: Oracle Multi Cloud Engineering is seeking a Data center Architect to design, implement, and manage our mission-critical data center infrastructure. This role requires deep expertise in server hardware, networking, virtualization, cloud integrations, and security to ensure high availability, scalability, and optimal performance. The ideal candidate will lead complex projects, mentor junior engineers, and drive innovation in data cent

RWE Data Scientist II

Katalyst Healthcares and Lifesciences

South San Francisco, California, USA

Full-time

Job description: As a Real-World Data (RWD) Scientist , you will be part of a team powering data driven insights that lead to better, faster decisions and therapies for our patients. Acting as a lead data scientist in your project area, you will contribute RWD expertise to broader cross-functional initiatives. Candidates should be excited to drive innovation by implementing new business technology solutions that solve significant scientific or business problems through the use and understanding

RWE Data Scientist II

Katalyst Healthcares and Lifesciences

North Chicago, Illinois, USA

Full-time

Job description: As a Real-World Data (RWD) Scientist , you will be part of a team powering data driven insights that lead to better, faster decisions and therapies for our patients. Acting as a lead data scientist in your project area, you will contribute RWD expertise to broader cross-functional initiatives. Candidates should be excited to drive innovation by implementing new business technology solutions that solve significant scientific or business problems through the use and understanding

Data & Decision Analyst, Senior

BlueShield Of California

Long Beach, California, USA

Full-time

Job Description Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The Medical Informatics Analyst - Senior ( Individual Family Plan) will report to the Senior Manager of Medical Informatics and play a critical role in advancing the health plan's specialty lines of business (dental, v

Principal Security DevOps Engineer, CSS Security

Oracle Corporation

Reston, Virginia, USA

Full-time

Job Description Position Overview Work location: Reston VA, Seattle, WA, or Austin TX Oracle's Customer Success Services (CSS) Organization is looking for a seasoned information security devops engineer to join our efforts in shaping the cloud services landscape across industry verticals and solving difficult problems by designing and building a suite of managed security services in Oracle's Classified Cloud for US National Security (ONSR). Oracle's Customer Success Services (CSS) is a dynam

Sr Manager, Electrical Engineering

Aduril Industries

Irvine, California, USA

Full-time

Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century's most innovative companies to the defense industry, Anduril is changing how military systems are designed, built and sold. Anduril's family of systems is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams into a realtime, 3D command and c

Senior Consultant - Life Sciences Advisory - Data Scientist (Pharma & Biotech)

Navigant Consulting

Philadelphia, Pennsylvania, USA

Full-time

Job Family: Data Science Consulting Travel Required: Up to 25% Clearance Required: None What You Will Do: We are looking for a Senior Consultant to join our Life Sciences team, which supports pharmaceutical and biotech companies with commercial insights and strategy as well as data and business analytics. This role will be a primary member of our Life Science advisory team, and collaborate closely with our firmwide Data, Advanced Analytics, and Technology Transformation teams to shape the gr

Agile Product Owner Senior Analyst

Endava

Morris Plains, New Jersey, USA

Full-time

What You Will DoServe as the primary liaison between business stakeholders and technical teams for healthcare claims products.Define, manage, and prioritize product backlog items, ensuring alignment with business goals and compliance standards (e.g., HIPAA).Translate complex healthcare and medical claims requirements into clear user stories with acceptance criteria.Collaborate with engineering, QA, design, and business teams to deliver product features on time and within scope.Analyze and interp

Principal Security Engineer, CSS Security

Oracle Corporation

Reston, Virginia, USA

Full-time

Job Description Position Overview Oracle's Customer Success Services (CSS) Organization is looking for a seasoned information security devops engineer with top-secret clearance to join our efforts in shaping the cloud services landscape across industry verticals and solving difficult problems by designing and building a suite of managed security services in Oracle's Classified Cloud for US National Security (ONSR). Oracle's Customer Success Services (CSS) is a dynamic, high-impact division th

Sr. Principal Data Center Engineer

Oracle Corporation

No location provided

Full-time

Job Description We are seeking a Senior Datacenter Engineer to design, implement, and manage our mission-critical data center infrastructure. This role requires deep expertise in server hardware, networking, virtualization, cloud integrations, and security to ensure high availability, scalability, and optimal performance. The ideal candidate will lead complex projects, mentor junior engineers, and drive innovation in data center operations. Career Level - IC5 Responsibilities Responsibilitie

Associate Healthcare Econ Director - Labs and Genetics Services - Remote

Optum

Remote or Minnetonka, Minnesota, 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv

Vulnerability Management Senior Analyst

Penn Medicine

Philadelphia, Pennsylvania, USA

Full-time

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our e

Special Investigation Unit Investigator (Remote in US)

Gainwell Technologies LLC

Remote or Dallas, Texas, 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: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan's member and provider fraud, waste, and ab

Special Investigation Unit Investigator (Remote in US)

Gainwell Technologies LLC

Remote or Houston, Texas, 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: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan's member and provider fraud, waste, and ab

Special Investigation Unit Investigator (Remote in US)

Gainwell Technologies LLC

Remote or Austin, Texas, 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: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan's member and provider fraud, waste, and ab

Information Technology - Analyst, Technical Ld

Lumen Solutions Group Inc.

Remote or N/A

Contract

About us: Lumen Solutions Group Inc., a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Florida, USA. As a leading consulting services and solutions provider, we focus on IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation for our clients. Our client base includes Fortune 500, Government, non-profit and emerging growth companies. Job Description: Job Title: Lead Technical Analyst/Network Manageme

Agile Software Application Product Owner

Gainwell Technologies LLC

Los Angeles, California, 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