healthcare edi Jobs

21 - 40 of 112 Jobs

Medicaid Business AnalystJob Title - Medicaid Business Analyst

Talent GroupsCompany Name - Talent Groups

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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

EDIFECS BAJob Title - EDIFECS BA

DCM Infotech LimitedCompany Name - DCM Infotech Limited

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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

Technical Business Analyst (Claims/HRP)- W2Job Title - Technical Business Analyst (Claims/HRP)- W2

PamTen IncCompany Name - PamTen Inc

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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

EDI Integrations DeveloperJob Title - EDI Integrations Developer

LaSalle NetworkCompany Name - LaSalle Network

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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

EDI Project ManagerJob Title - EDI Project Manager

LaSalle NetworkCompany Name - LaSalle Network

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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

Transition Project Coordinator ONLY W2Job Title - Transition Project Coordinator ONLY W2

Aziro Technologies LLCCompany Name - Aziro Technologies LLC

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Remote

Full-time

We are looking for Transition Project Coordinator Position. Below is the Job Description, please have a look and if you are available for this position, please get back to me along with your updated resume in word format with contact number. Job Title: Transition Project Coordinator Job location: Remote Duration: Long term Contract Industry: Healthcare/Hospital Job Summary: The Payer Enrollment Transition Coordinator is responsible for the accurate and timely enrollment and maintenance of all ho

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

Cystems LogicCompany Name - Cystems Logic

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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

Senior Systems AnalystJob Title - Senior Systems Analyst

Judge Group, Inc.Company Name - Judge Group, Inc.

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Quincy, Massachusetts, USA

Contract

Location: Quincy, MA Salary: $70.00 USD Hourly - $78.57 USD Hourly Description: Job Title: Senior Systems Analyst - Health IT Systems & Data Integration Location: Quincy, MA (Hybrid) Duration: 12+ Months (Possibility of Extension) About the Role Join a collaborative, mission-driven environment within the client IT and the Office of Long-Term Services and Supports (OLTSS). We're seeking a seasoned Senior Systems Analyst to drive complex system and data integration initiatives across multipl

Sr Claims Systems Data Analyst - QNXTJob Title - Sr Claims Systems Data Analyst - QNXT

Molina HealthcareCompany Name - Molina Healthcare

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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

Senior OCR Specialist EngineerJob Title - Senior OCR Specialist Engineer

AgreeYa SolutionsCompany Name - AgreeYa Solutions

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San Francisco, California, USA

Contract

Role/Title: Senior OCR Specialist Software Engineer Location: Hybrid (Alpharetta, GA, Oakland/SF, Rancho Cordova, CA) Duration: 12+ Months Project Description: The Senior Software Engineer will help Enhance and support the Formworks application. Along with writing effective code, the position will be responsible for designing, building, delivering and maintaining a highly scalable functionality in Formworks application. The incumbent will use industry best practices and work collaboratively with

Senior Database Management SpecialistJob Title - Senior Database Management Specialist

VoyatekCompany Name - Voyatek

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Baltimore, Maryland, USA

Full-time

Outcomes. Delivered. Voyatek delivers outcome-driven technology solutions to public sector agencies and higher education institutions nationwide. For example, our technology: Facilitates access to nutritious food for children of mothers participating in the WIC programSupports first responders in reducing opioid overdoses within their communitiesEmpowers colleges and universities to identify and thwart financial aid fraudEquips teachers with valuable insights to identify students requiring addit

Business analystJob Title - Business analyst

Nanda TechnologiesCompany Name - Nanda Technologies

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Columbia, South Carolina, USA

Contract

Title: Business analyst JPC: 6544 Location: Columbia, SC Onsite Required exp: 8+ years Tax Terms: C2C/W2 Note: Need state client experience with valid proof Need only locals no relocation acceptable Required Skills: At least seven years of experience in commercial healthcare At least three years experience in State Medicaid payer system integration and delivery Experience with inner workings of cross functional projects Familiarity with Medicaid Information Technology Architecture (MITA) b

Medicaid BAJob Title - Medicaid BA

Innosoul incCompany Name - Innosoul inc

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Columbia, South Carolina, USA

Third Party, Contract

Job ID: SC-7514 Hybrid/Local Hybrid/Local Medicaid BA (AWS/Azure/CCP must) with payer system integration, MITA, EDI, Federal Certification, BPR, MES Modernization, PM experience Location: Columbia, SC (DHHS )Duration: 12 Months (Possibility for Extension: Yes)Position: 1 Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Required Skills: At least seven years of experience in commercial healthcare At least three years experience in

Senior EDI specialistJob Title - Senior EDI specialist

Softsages LLCCompany Name - Softsages LLC

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Boston, Massachusetts, USA

Part-time, Third Party, Contract

Dear Mohd, We are delighted to reach out to you on behalf of SoftSages Technology, a rapidly expanding IT and staffing company headquartered in Malvern, PA. We take immense pride in serving critical clients across various sectors, including federal, commercial, and healthcare industries. Our commitment to excellence extends beyond just our clients, as we firmly believe that our consultants are equally vital to our success. We are currently seeking dynamic individuals like yourself to join our d

Senior Systems Engineer ETL & Application SupportJob Title - Senior Systems Engineer ETL & Application Support

Mansai CorporationCompany Name - Mansai Corporation

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Baltimore, Maryland, USA

Full-time

Install, configure and manage Informatica Power Center. Assess the impact of upgrading Informatica and all its components (Informatica PowerCenter mappings, workflows, jobs, and other ETL processes). Identify and troubleshoot system outages, installation issues, and application code errors running Java applications in AWS. Generate and install security certificates and PGP keys. Work with the Control-M tool or equivalent to create and schedule batches and to create calendars and daily schedules

IT Business Integration AnalystJob Title - IT Business Integration Analyst

United Global TechnologiesCompany Name - United Global Technologies

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Columbia, South Carolina, USA

Contract

This is a new position needed to provide business integration expertise and support for the MMIS Modernization efforts. Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Required: 7+ years of experience in commercial healthcare 3+ years experience in State Medicaid payer system integration and delivery 1+ year with Medicaid Information Technology Architecture (MITA) business architecture principles 1+ year with standard data structur

Business AnalystJob Title - Business Analyst

Nanda TechnologiesCompany Name - Nanda Technologies

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Columbia, South Carolina, USA

Contract

Healthcare BAJob Title - Healthcare BA

Refulgent Technologies Inc.Company Name - Refulgent Technologies Inc.

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Columbia, South Carolina, USA

Contract

Client Prefers Current Resident in SC # of Positions - 3 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 principles, business goals and values of the program are met. The Business Analyst will: Possess expertise in the business unit(s) they support, as well as an und

Software Engineering Advisors- HybridJob Title - Software Engineering Advisors- Hybrid

CignaCompany Name - Cigna

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Remote or Chattanooga, Tennessee, USA

Full-time

The job profile for this position is Software Engineering Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Support the development and delivery of complex solutions for the Enterprise Gateway EDI transaction platform.Work closely with solution architects to design and develop healthcare EDI processing solutions and general healthcare payer transaction processing systems. Design, develop, and test applications.Create unit and int

Healthcare Business Analyst Consultant with MITA ExperienceJob Title - Healthcare Business Analyst Consultant with MITA Experience

ICS Global Soft, Inc.Company Name - ICS Global Soft, Inc.

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Columbia, South Carolina, USA

Contract

Hello, Hope you are doing well. This is Ram from ICS Global Soft. Kindly find the below job description and let me know your availability Position: Healthcare Business Analyst Consultant with MITA Experience Work Location: Columbia, SC - Hybrid (1 day remote per week). Duration: 12+ months, Candidate must be a CURRENT SC resident. No relocation allowed. Required Skills : At least seven years of experience in commercial healthcare.At least three years experience in State Medicaid payer system i