healthcare claims testing analyst Jobs

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Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work

RX Claims Test Analyst

RiseIT Solutions

Remote

Contract, Third Party

Company: iTech US, Inc. Job Title: RX Claims Test Analyst Location : US Remote Job Responsibilities : Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.Superior organization, project management, and prioritization skills.Courteous and professional demeaner with the desire and ability to work as a team.Ability to interact and influence with senior leadership of the organization.Understanding of Federal and State agencies and their role in healthcare legislat

Senior Business Consultant | Chicago, IL | Contract to Hire

Walker Healthforce

Chicago, Illinois, USA

Contract

Senior Business Consultant| 3+ Years of Experience| Hybrid| Chicago, IL| Contract to Hire Walker Healthforce is seeking a Senior Business Consultant with 3+ years to support a healthcare clientbased out of Chicago, IL. This is a 6-monthcontract to hire opportunity. PAY RATE: $41 - $43.50 START DATE: ASAP HOURS/SCHEDULE: M-F; 8:00 AM - 5:00 PM CST (3 day onsite, 2 days remote) WORKER TYPE: Full-Time W2 CORE REQUIREMENTS: Bachelors Degree OR limited experience gathering and assessing business

Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work

Responsible AI (RAI) Testing Analyst

Russell, Tobin & Associates

Sunnyvale, California, USA

Contract

Duration: 9+ months - Possible Extension Location: Sunnyvale, CA - Hybrid Pay Range: $80-$90/hr on W2 (As per experience) Job Description: Project Overview: The Responsible AI Scaled Testing Team within Trust & Safety performs pre-launch structured testing for AI applications against safety, fairness, and neutrality policies and standards. It is a global team with Responsible AI domain expertise and diverse backgrounds in operations, strategy, ethics, risk management, product management, and p

Sr. Plan Design Analyst & Builder, Self-Funded Healthcare Plans

Cobalt Benefits Group LLC

South Burlington, Vermont, USA

Full-time

Job DescriptionJob Description Description:Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Sr. Plan Design Analyst & Builder, you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. This is a senior-level position responsible for drafting and maintaining plan documents as well as building, revising, and maintaining self-insured healthcare plans in the claims adjudication s

Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work

Supplemental Benefits Medical Director (Physician Reviewer) | Remote | Contract to Hire

Walker Healthforce

Remote

Contract

Supplemental Benefits Medical Director|10+ years | Remote | Contract Walker Healthforce is seeking a Supplemental Benefits Medical Directorwith 10+ years experience to support a healthcare client based out of Nashville, TN. This is a 6-month contract opportunity. START DATE: ASAP CORE REQUIREMENTS: TheMedical Director will be a Board-certified physician with current unrestricted medical license Minimum of 10-years of clinical practice experience. Candidates must be able to obtain medical lice

Claims Business Analyst

Vaco by Highspring

Tampa, Florida, USA

Contract

Location: onsite M-F in Tampa Duration: contract-to-hire Pay: $45-50/hr and will convert to $95,000 Overview: The Claims Business Analyst will work with stakeholders across the enterprise to deliver business solutions that meet the needs of the stakeholders and the organization. Additionally, the Claims Business Analyst will be responsible for UI based configuration changes, demos of functionality to the business, and developing relationships with members of the Claims management team. Respons

Interim Operations Manager - Revenue Integrity

GHR Healthcare

Remote

Contract

Interim Operations Manager - Revenue Integrity | Remote Healthcare Jobs Interim Operations Manager - Revenue Integrity Join our dynamic healthcare team as an Interim Regional Operations Manager specializing in Revenue Integrity. This remote healthcare job involves leading Release of Information (ROI) operations while ensuring compliance with revenue cycle integrity initiatives. Ideal candidates will possess strong leadership skills, operational oversight, and expertise in Health Information Mana

Pharmacy Technician | Remote | Michigan | Contract

Walker Healthforce

Remote

Contract

Pharmacy Technician | Remote | Michigan |Contract Walker Healthforce is seeking a Pharmacy Technician with 2-4+ years of experience in Michigan. This is a 6-month contract opportunity. CORE REQUIREMENTS: 2-4 years Specialty and/or Retail Pharmacy- knowledge ofspecialty prescription drug names, NDC drug codes, therapeutic classes and/or claims processing Experience in provider/member call center or helpdesk with high volume call experience Analyzing written, faxed, and verbal inquiries which may

Remote Senior QA Test Manger/QA Leader with Strong Healthcare Domain

Infinite Computer Solutions (ICS)

Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Descriptions : We are looking for an experienced Senior QA Healthcare Manager/QA Leader to lead the quality assurance team in ensuring the reliability, security, and compliance of healthcare applications. The ideal candidate should have a strong background in healthcare software testing, regulatory compliance (HIPAA, CMS, FDA), test automation, and team leadership. Key Responsibilities: Lead and manage the QA t

IT CYBERSECURITY SPECIALIST (SYSANALYSIS)

Naval Sea Systems Command

Pennsylvania, USA

Full-time

Summary You will serve as a IT Cybersecurity Specialist (SYSANALYSIS) in the Code 541 Navigation and Navy ECDIS Controls Branch of NSWC PHILA DIV. The Secretary of Defense has ordered a department-wide hiring freeze subject to certain limited exceptions. This position is subject to the DoD hiring freeze. Offers of employment related to this vacancy announcement will not be executed until the position has an approved exemption. This job is open to Internal to an agency Current federal employe

Sr Claims Systems Data Analyst - QNXT

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Responsible for accurate and timely review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on claims to identify billing issues that will impact claims processing and payment. Monitor ne

Sr. Data Analyst - Revenue Cycle and Claims

Ascension Health

Remote

Full-time

Details Department: Technology, DDG Data Delivery GovernanceSchedule: Full-Time: Monday-FridayLocation: RemoteBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors includ

IT SPECIALIST (SYSANALYSIS)

Commander, Naval Information Warfare Systems Command (NAVWARSYSCOM)

No location provided

Full-time

Summary You will serve as a IT SPECIALIST (SYSANALYSIS) in the DEPARTMENT OF THE NAVY/SPAWAR SYSTEM COMMAND of NAVWARSYSCEN PACIFIC SAN DIEGO CA. This is a RE-ADVERTISEMENT of Announcement Number: ST-12728699-25-KMS. Applicants that have previously applied NEED to re-apply to this announcement. This job is open to Internal to an agency Current federal employees of the hiring agency that posted the job announcement.Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or d

SUPERVISORY NUCLEAR ENGINEER

United States Fleet Forces Command

Virginia, USA

Full-time

Summary You will serve as a SUPERVISORY NUCLEAR ENGINEER in the Fluid Systems and Mechanical Engineering Division (C2320), Nuclear Engineering and Planning Department (C2300) of NORFOLK NAVAL SHIPYARD. This job is open to Internal to an agency Current federal employees of the hiring agency that posted the job announcement.Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.Military spouses

SUPERVISORY NUCLEAR ENGINEER

United States Fleet Forces Command

Portsmouth, Virginia, USA

Full-time

Summary You will serve as a SUPERVISORY NUCLEAR ENGINEER in the Fluid Systems and Mechanical Engineering Division (C2320), Nuclear Engineering and Planning Department (C2300) of NORFOLK NAVAL SHIPYARD. This job is open to Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Military spouses

ENGINEER

Naval Sea Systems Command

Port Hueneme, California, USA

Full-time

Summary You will serve as an Engineer in the Sensors Weapons and Launcher Department of NAVAL SURFACE WARFARE CENTER. This position is part of the Warfare Centers Personnel Demonstration Project. The ND-05 pay band encompasses positions equivalent to GS-14 and GS-15. This job is open to Internal to an agency Current federal employees of the hiring agency that posted the job announcement.Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and

TECHNICAL PROJECT MANAGER (TECHNICIAN)

Naval Sea Systems Command

Corona, California, USA

Full-time

Summary You will serve as a TECHNICAL PROJECT MANAGER (TECHNICIAN) in the PROJECT MANAGEMENT BRANCH, BUSINESS OPERATIONS DIVISION, PERFORMANCE ASSESSMENT DEPARTMENT of NAVAL SURFACE WARFARE CTR CORONA DIV, located in Corona, CA. This job is open to Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales.Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department wa