Healthcare payer jobs

Remote

•

2d ago

Hiring! Healthcare Payer and PBM Operations Architect - for a contract to hire job opportunity with our direct client. Though this is a 100% remote based job opportunity, we are seeking candidates that are located in the DMV, WVA, PA, NY, NJ or Texas areas. Candidates must be eligible for full time employment and work on a W2 basis. Job requirement: Proficiency in innovating ideas and solutions resulting in tangible and measurable business outcomes.Mastery in creating architecture solutions w

Easy Apply

Contract

Depends on Experience

Healthcare Payer Quality Engineer - Hybrid

Eagan, Minnesota

•

Today

Genesis10 is currently seeking a Healthcare Payer Quality Engineer position with a Regional Health Insurance Provider located in Eagan, MN. This is a 12+ month contract-to-hire opportunity. This is a hybrid position - 2 days onsite, 3 days remote. Compensation: $70.00 - $80.00 per hour, W2, based on qualifications Position Overview: This is a configuration-focused Quality Engineering role supporting a major technology transformation within the healthcare payer space. The Quality Engineer will jo

Easy Apply

Full-time

USD 70.00 - 80.00 per hour

Vice President – Healthcare Payer Sales New Logo/( Hunter)

Remote

•

6d ago

VP Sales Healthcare Payer Sales Leadership- HunterVice President Healthcare Payer Sales opportunity. This is a high-impact leadership role focused on driving business growth within the Healthcare Provider market. Key Qualifications: Bachelors degree in Business, Engineering, Technology, or a related field (MBA preferred but not required).15+ years of experience in business development, sales, delivery leadership, or related leadership roles.8+ years of proven success leading sales within the H

Easy Apply

Full-time, Third Party

167000 - 250000

Healthcare System Analyst - Payer Systems

Wright-Patterson Air Force Base, Ohio

•

Today

Location: Woodland Hills, CA / Mason, OH Client: Wipro Employment Type: Contract / Full Time Salary: $130K/Annum or $50/hr W2 Must-Have Skills: Healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management Strong SQL: Complex queries, joins, stored procedures Database design, schemas, and data relationships Payer data analysis, reconciliation, and troubleshooting Facets platform: Architecture, modules, capabilities, and core payer workf

Easy Apply

Full-time, Part-time, Contract, Third Party

Compensation information provided in the description

Azure Databricks Architect Healthcare Payer

Irving, Texas

•

Today

Job Title: Techno-Functional Azure Databricks Architect Healthcare Payer Location: Princeton, NJ (Remote) Role Summary We are seeking a highly experienced Techno-Functional Azure Databricks Architect with deep expertise in the Healthcare Payer domain and a proven track record of leading large-scale Enterprise Data Warehouse (EDW) to Azure Databricks migration programs. The ideal candidate will possess strong architecture, data engineering, stakeholder management, and delivery leadership skill

Easy Apply

Third Party

Remote Opening || Enterprise Architect with AI, Cloud and Data with Healthcare Payer || Contract

Remote or Arkansas

•

Today

Job Title: Enterprise Architect with AI, Cloud and Data with Healthcare Payer Location: Newark, NJ Remote with Monthly 3 days onsite Mode of Hire: Contract Job Description: Must have experience in AI, Cloud and Data- ( we can look for enterprise level cloud architect or AI architect or technical architect). Must have strong in healthcare payer experience Enterprise Architect Consultant: Role Overview: The Enterprise Architect (Consultant) serves as a strategic, enterprise-level advisor resp

Easy Apply

Contract, Third Party

Healthcare System Analyst Payer Systems

Mason, Ohio

•

2d ago

Job Description: 1 A technical system analyst with good understanding of the healthcare process flow Eligibility & Enrollment Provider contract pricing Claims adjudication Billing Appeals and Grievances 2 Technical understanding of Sql and Dot net full stack preferable 3 knowledge of Facets platform from a developer point of view i.e. data models, architecture, and process flow 4 Good experience in working with Business and technical teams to prepare system requirements and Technica

Easy Apply

Third Party, Contract

55 - 65

Healthcare BA +QA

Remote

•

Today

Business Analyst with QA to support a healthcare payer client's migration from a legacy SQL Server/SSIS data warehouse to Databricks. The role focuses on requirements gathering, data validation, QA, UAT, and stakeholder management across the migration lifecycle. Location: Remote EST Duties: Gather, document, and manage business requirements. Create BRDs, user stories, and acceptance criteria. Define and execute QA strategy, test plans, and defect management. Perform source-to-target data vali

Easy Apply

Third Party, Contract

Technical Project Manager - Healthcare (Claims, Benefits & Membership)

Remote

•

12d ago

Job Title: Technical Project Manager Healthcare (Claims, Benefits & Membership) 100% Remote Role Summary We are seeking an experienced Technical Project Manager to lead enterprise healthcare modernization initiatives. The ideal candidate will have deep healthcare payer experience and a proven track record of managing large-scale system implementations involving claims, benefits, membership, and data modernization. Experience with QNXT is highly preferred. Key Responsibilities Lead end-to-end del

Easy Apply

Contract

Depends on Experience

System Analyst -II Healthcare -NASCO

Hybrid in Detroit, Michigan

•

26d ago

Title: Systems Analyst IILocation: Detroit MI--HybirdDept: PCR & HCR UnitsHealthcare payer and NASCO exp is must Will this position be required to work onsite for any reason at any time? Yes, resource will be required to come onsite twice a week.Engagement DescriptionResponsible for the delivery of major health care payer National Health Care Reform benefit policy changes. The work includes but is not limited to business requirement assessment, detailed system analysis, benefit designs and claim

Easy Apply

Third Party, Contract

$40 - $45

Azure Databricks Architect

Remote

•

16d ago

We are seeking a highly experiencedTechno-Functional Azure Databricks Architectwith deep expertise in theHealthcare Payer domainand a proven track record of leading large-scaleEnterprise Data Warehouse (EDW) to Azure Databricks migration programs. The ideal candidate will possess strong architecture, data engineering, stakeholder management, and delivery leadership skills, capable of driving digital transformation initiatives from strategy through execution. This role requires a blend of technic

Easy Apply

Contract, Third Party

Depends on Experience

Advisor (Lead) Data Analyst (US Cit to pass clearance)

Remote

•

3d ago

We are seeking to hire a Advisor (Lead) Data Analyst with expertise in Medicare / Pharmacy Benefits Management systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid

Easy Apply

Full-time

Depends on Experience

Product Owner – Healthcare PDM / PLM / Capitation

Remote

•

5d ago

We are seeking an experienced Product Owner with strong expertise in Provider Data Management (PDM), Provider Lifecycle Management (PLM), and Healthcare Capitation to lead Agile product initiatives within a Healthcare Payer / Health Plan environment. The ideal candidate will have hands-on experience managing provider-focused products and processes, including provider onboarding, enrollment, credentialing, contracting, maintenance, termination, provider data quality, network management, capitatio

Easy Apply

Contract

Health Policy Analyst | Healthcare Program Analyst

Washington, District of Columbia

•

26d ago

Position Description: Client: Public Sector Job Title: Health Policy Analyst | Healthcare Program Analyst Location: Washington, DC Duration: 12+ Months (Strong Possibility of Extension) Note: Applicants must be local to the DMV area. Key Skills: Healthcare Policy, Health Program Analysis, Healthcare Financing, Payment Reform, Healthcare Data Analysis, Public Health, Project Management, Stakeholder Management. Responsibilities: Assesses, evaluates, and implements payment and delivery system

Easy Apply

Contract

Lead Business Analyst with Healthcare

Atlanta, Georgia

•

Today

Title: Lead Business Analyst / Consultant II Location is Atlanta, GA or Dallas, TX Duration: Long Term Must Have Skills Skill 1 Business Discovery & Stakeholder Management 5-8+ Years Skill 2 Process Analysis & Operating Model Assessment 5-8+ Years Skill 3 Workshop Facilitation, Requirements Gathering & Business Assessment 5-8+ Years Skill 4 Business Transformation / Consulting / Strategic Advisory 5-8+ Years Good To Have Skills Skill 1 Healthcare Payer & Claims Operations 3+ Years Skill 2

Easy Apply

Full-time, Part-time, Contract, Third Party

Senior Healthcare NASCO-Newark, NJ

Newark, New Jersey

•

25d ago

Job Title: Senior Healthcare NASCO Claims Domain Specialist UAT Testing Location: Newark, NJ (Onsite) Duration:12+Months Short JD: Seeking a Senior Healthcare NASCO Claims Domain Specialist with 1520 years of experience in US Healthcare Insurance and deep expertise in NASCO Claims Processing. The ideal candidate will lead UAT, functional, integration, and regression testing for healthcare claims applications. Must have strong knowledge of claims adjudication, EDI transactions (837/835/270/27

Easy Apply

Contract, Third Party

Depends on Experience

Technical Project Manager

Boston, Massachusetts

•

3d ago

Hello, job title: Technical Project Manager Location: Boston, MA Technical Program Manager who is strong in US Payer Healthcare + Java/Spring Boot + GenAI/Agentic AI delivery. Key Must-HavesTechnical Project/Program ManagementUS Healthcare Payer / Payor domainGenAI / Agentic AI projectsJava + Spring BootAgile/Scrum, sprint planning and deliveryStakeholder/vendor/team managementRisk, issue, scope and milestone managementTechnical troubleshooting / hands-on attitudeAccount growth / revenue expans

Easy Apply

Full-time

$140,000 - $160,000

Oracle ORMB Consultant (Healthcare Billing)

Remote

•

2d ago

We are seeking an experienced Oracle Revenue Management and Billing (ORMB) Consultant to support healthcare billing and revenue management initiatives. The consultant will be responsible for configuring, enhancing, and supporting Oracle ORMB solutions that enable accurate billing, payment processing, collections, and financial transactions across healthcare business operations. Top 3 Skills 1. Oracle Revenue Management & Billing (ORMB) 2. Healthcare Billing / Revenue Cycle Management 3. ORMB Con

Easy Apply

Contract

Depends on Experience

Salesforce Business Analyst - Healthcare

Frisco, Texas

•

Today

Hello Everyone, Hope you are doing good My name is Pavan and I work with SPAR Information System., I have a great opportunity for you, please find the job details below, if you are interested in applying please send me your updated resume and best time for you to discuss about this opportunity in details. Role: Business Analyst Location: Atlanta, GA /Dallas Texas Duration: Long term contract We are seeking a highly analytical and consultative Business Analyst / Consultant II to lead stakeholder

Easy Apply

Full-time, Part-time, Third Party, Contract

Reporting Analyst

Hybrid in Baltimore, Maryland

•

5d ago

Description: 1. Reporting Analyst Experience Minimum 5+ years of Reporting Analyst experience Strong background in analyzing data and generating client-facing reports Experience collaborating with business stakeholders and account teams 2. Cedar Gate Experience (Critical Requirement) Minimum 3+ years of Cedar Gate experience Candidate will not be developing, modifying, or administering Cedar Gate Primary responsibility is to: Pull standard reports from Cedar Gate Analyze report results Validate

Easy Apply

Full-time