healthcare edi Jobs

Refine Results
1 - 20 of 97 Jobs

Healthcare 837 EDI Specialist

Kforce Technology Staffing

•

Montebello, California, USA

Full-time

RESPONSIBILITIES: Kforce has a client in Montebello, CA that is in need of a Healthcare 837 EDI Specialist. Responsibilities: * Interpret ASC X12 837 files (837P and 837I), identifying loops and segments * The Healthcare 837 EDI Specialist will manage EDI claims submission, exchange, and reconciliation * Process related files: 837D, 277CA, 999, and TA1 * Respond to EDI acknowledgments and error reports, identifying accepted vs. rejected claims * Write and modify intermediate-level SQL queries f
Posted 9 days ago | Updated 2 hours ago

Entry level/Junior Healthcare EDI Business Analyst-Hybrid

Elite Technical

•

Elkridge, Maryland, USA

Full-time

Absolutely no third parties please ! If you have at least 1 year of business analysis experience and a little healthcare industry experience. Our direct client, a non-profit organization, is seeking a Junior Healthcare EDI Business Analyst First 4-6 months is training, must be in the office 5x per week. After training is completed, hybrid situation with more flexibility to work remote. You will support our client with day to day EDI claim file loading and error review. We are seeking a passi
Easy Apply
Posted 8 days ago

TIBCO Developer

Vaco by Highspring

•

Plano, Texas, USA

Contract

Job Title: TIBCO Developer Job Type: Contract-to-hire Worksite Location: Addison, TX Worksite Schedule: 4-days onsite in Addison, TX (Monday Thursday, Fridays remote) Industry: Healthcare Contract Hourly Compensation: $58.00 - $70.00 (W2), based on experience and credentials Salary Conversion: $120,000 - $140,000, based on experience and credentials Employee Benefits401(k) Retirement Plan with Employer MatchMedical, Vision, Prescription, Telehealth, & Dental PlansLife & Disability InsurancePai
Easy Apply
Posted 16 days ago

Remote QA Manager with Healthcare Payer and Claims exp

Infinite Computer Solutions (ICS)

•

Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Summary: We are looking for an experienced QA Healthcare Manager 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: we need someone who understand healthacre paye
Easy Apply
Posted 16 days ago | Updated 6 days ago

Remote IBM Sterling B2B Integrator with Healthcare Domain

Infinite Computer Solutions (ICS)

•

Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Description: 8+ years of experience as an IBM Sterling Developer mainly in Healthcare IndustryHands-on experience with EDI Transactions mainly Healthcare Transactions for both Inbound and OutboundStrong knowledge on BPML in Sterling B2B IntegratorOptimize Business Processes and workflows in Sterling Integrator to improve performanceShould be able to work with logs, alerts, data validation and error handling mec
Easy Apply
Posted 56 days ago | Updated 7 days ago

Medicaid Business Analyst

InterBase Corporation

•

Columbia, South Carolina, USA

Full-time

Business Analyst Client: SCDHHS Location: Columbia, SC 29201 Last Date: 7/25/2025 Positions: 3 Start: 08/26/2025 Duration: 12 months Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Scope of the project: SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the State s aging MMIS and related applications with more modern capabilities along with corresponding business operations services
Easy Apply
Posted 6 days ago | Updated 3 days ago

.Net Developer with Medicaid

Millennium Software, Inc.

•

Remote

Full-time

For our Detroit based cleitn we require .Net Developer with Medicaid related application development experience. Required Skills and Experience: Experience developing enterprise applications using .NET technologies (C#, ASP.NET, .NET Core). Hands-on experience with Medicaid systems or large-scale healthcare IT projects. Proven experience with relational databases (SQL Server, Oracle) and advanced SQL development. Demonstrated leadership in technical design, code reviews, and mentoring. Experienc
Easy Apply
Posted 30 days ago | Updated 30 days ago

Business Analyst

Digitek Software, Inc.

•

Columbia, South Carolina, USA

Contract, Third Party

One of our clients is looking Business Analyst Consultant with following skills: Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Daily Duties / Responsibilities: The Business Analyst will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensur
Easy Apply
Posted 3 days ago

Business Analyst -Enrollment Eligibility-Healthplan Administration-Fully Remote !!

Elite Technical

•

Remote

Full-time

Our direct client is seeking a Business Analyst Bachelors degree is required. BA Certifications and or PMP is a plus. 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration. 4+ years of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder. Must have experience with have experience with the -hours intake- process AND eligibility calculations. Experience with SFTP,
Easy Apply
Posted 6 days ago

Business Analyst Consultant - Hybrid

VIVA USA INC

•

Columbia, South Carolina, USA

Contract

Title: Business Analyst Consultant - Hybrid Mandatory skills: commercial healthcare, Medicaid payer system integration, delivery, Medicaid Information Technology Architecture, MITA, business architecture principles, standard data structures, electronic data interchange, processes, file formats, SharePoint, Microsoft Suite, business processes, methods, procedures, technology, business, technology integration, Commercial integrations, Medicaid, Project management, project management program, Medi
Easy Apply
Posted 6 days ago

IBM Transformation Extender (ITX) Specialist - W2 Only

nTech Solutions

•

Remote

Contract

Title: IBM Transformation Extender (ITX) Specialist Terms of Employment W2 Contract, 12 Months Location: Remote Opportunity Overview As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interopera
Easy Apply
Posted 2 days ago

Business Analyst

DP Professionals Inc

•

Columbia, South Carolina, USA

Contract

DPP is seeking a Business Analyst for an opportunity in Columbia, SC. Work arrangement: Hybrid: 1 day/week remote; 4 days onsite W2 position; 12 months Candidates must be local to South Carolina Position description: The Business Analyst will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensure the pri
Easy Apply
Posted 6 days ago | Updated moments ago

IBM Transformation Extender (ITX) Specialist

InfiCare Technologies

•

Remote or US

Third Party, Contract

Job Title: IBM Transformation Extender (ITX) Specialist Location: Remote (work from home) Duration: 1+ year Contract Job Description As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interop
Easy Apply
Posted 2 days ago | Updated 6 hours ago

EDIFECS/EDI Consultant

DCM Infotech Limited

•

Remote

Contract

Role:EDIFECS/EDI Consultant Location: Remote, Duration: 6-12+ Months Must Have Skills EDIFECS Encounters EDI Nice to have skills Healthcare SSIS Detailed Job Description Should have Good hands on experience in EDIFECS and EDI and Encounters knowledge. Should have min 5 Years of work experience in EDIFECS product. Should know 837 Claims processing. Should be able to work in SSIS packages. Minimum years of experience 8-10 years Certifications Needed :No Top 3 responsibilities you would expect th
Easy Apply
Posted 2 days ago | Updated 8 hours ago

Medicaid Business Analyst

Talent Groups

•

Columbia, South Carolina, USA

Contract

Minimum 5-8 years of experience in the commercial healthcare industry At least 2-3 years of hands-on experience with Medicaid payer system integration and implementation Strong understanding of cross-functional project execution and coordination Experience with healthcare data standards, EDI processes, and file formats Proven ability to drive innovation in processes, procedures, and technologies Excellent written and verbal communication skills; able to interact with both frontline staff and exe
Easy Apply
Posted 2 days ago | Updated 2 days ago

EDIFECS BA

DCM Infotech Limited

•

Remote

Full-time

Must Have Skills EDIFECS Encounters EDI Nice to have skills Healthcare SSIS Detailed Job Description Should have Good hands on experience in EDIFECS and EDI and Encounters knowledge. Should have min 5 Years of work experience in EDIFECS product. Should know 837 Claims processing. Should be able to work in SSIS packages. Minimum years of experience 8-10 years Certifications Needed :No Top 3 responsibilities you would expect the Subcon to shoulder and execute Should have Good hands on experience i
Easy Apply
Posted 2 days ago

EDI Integrations Developer

LaSalle Network

•

Lemont, Illinois, USA

Full-time

EDI Integrations Developer We are seeking a highly skilled EDI (Electronic Data Interchange) Integrations Developer to join our IT team. The ideal candidate will be responsible for designing, developing, implementing, and maintaining EDI systems and integrations. You will work closely with business partners, clients, and internal teams to ensure seamless data exchange across various platforms, with a specific focus on common EDI transactions such as 940, 945, 944, 847, 990, and the use of Cleo I
Easy Apply
Posted 22 days ago | Updated 4 hours ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

•

Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
Easy Apply
Posted 14 days ago

EDI Project Manager

LaSalle Network

•

Chicago, Illinois, USA

Contract

EDI Project Manager - Contract | Weekly Hybrid | Chicago LaSalle Network is hiring an EDI Project Manager to drive B2B integration success across a leading organization's digital supply chain. Based in Chicago with a weekly hybrid schedule, this contract role is ideal for someone who thrives in a fast-paced, high-stakes environment where precision, communication, and cross-functional leadership are key. We're looking for someone who brings deep EDI expertise and knows how to get things done-fas
Easy Apply
Posted 13 days ago | Updated 4 hours ago

Sr. EDI Developer (with EDIFECS Exp) & Health Care Plan Exp.

Cystems Logic

•

US

Full-time, Contract

Hi Good Morning, Sr. EDI Developer (with EDIFECS Exp. ) Location: Remote Duration: Long Term Contract Must have Health Care Plan Exp. Essential Functions Analyzes business requirements EDIFECS and creates EDI mapping specifications. Analyzes and interprets EDI data to identify trends, patterns, and issues. Monitors EDI transactions and troubleshooting errors. Creates and maintains detailed documentation for all reporting processes and procedures. Configures EDI software and mapping tools to
Easy Apply
Posted 30 days ago | Updated 1 hour ago