Healthcare payer jobs in alaska

Remote

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Today

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

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Contract

Depends on Experience

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

Remote

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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

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Full-time, Third Party

167000 - 250000

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

Remote or Arkansas

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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

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Third Party, Contract

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

Remote

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13d 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

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Contract

Depends on Experience

Healthcare BA +QA

Remote

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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

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Contract, Third Party

Salesforce Lead-Only W2

Remote

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Today

Role : Salesforce Lead Location : Remote Must Have Skills Skill 1 Lightning Web Components (LWC) 2-3+ Years Skill 2 OmniStudio (OmniScripts, FlexCards, DataRaptors, Integration Procedures) 1+ Year / 2 Projects Skill 3 Apex, Triggers, SOQL, Visualforce, Lightning Development 2-3+ Years Skill 4 Salesforce Integrations (REST/SOAP APIs, Web Services, Metadata API) & Deployment Experience 2+ Years Good To have Skills Skill 1- Healthcare Payer Domain - any relevant exp Skill 2 - Java/.NET Development

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Full-time, Third Party

$60+

Azure Databricks Architect

Remote

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17d 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

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Contract, Third Party

Depends on Experience

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

Remote

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4d 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

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Full-time

Depends on Experience

Healthcare Solution Architect

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Healthcare Solution Architect Location: Baltimore, MD (Remote Required Once

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Contract, Third Party

Depends on Experience

Product Owner – Healthcare PDM / PLM / Capitation

Remote

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6d 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

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Contract

Business Process Management (BPM) Consultant

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Business Process Management (BPM) Consultant Location: Columbia/Baltimore, MD

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Contract

Depends on Experience

Automation Test Lead with Healthcare domain

Remote

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Today

Job Description: Automation Leadership Design and implement scalable test automation frameworks using C#, Selenium, and open-source tools. Lead automation strategy across UI, API, and integration testing layers. Establish reusable automation components and best practices. Drive migration from legacy tools to open-source automation solutions. Mentor QA engineers and enforce coding/testing standards. Performance Testing & Engineering Plan and execute performance testing using LoadRunner. Design

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Full-time

Up to $90,000

Senior/Principal Oracle Financials Solution Architect

Remote

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6d ago

Job Description, Day to Day, Education, Certification, etc.: Senior/Principal Oracle Financials Solution Architect Baltimore, MD (Remote). 6-12 Months+ Job Description: PURPOSE: Responsible for establishing strategic technology direction and creating solution architecture for large complex initiatives/projects. Responsible for the strategic design of technical solutions for complex business problems that are in line with established and emerging technology standards, patterns, and b

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Third Party, Contract

Depends on Experience

Technical Business Analyst (Healthcare Claims Domain and Medicaid/MMIS, Overall 10+ years of experience)

Remote

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2d ago

Job Description: Job Title: Technical Business Analyst (Claims Domain, MMIS) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle.

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Full-time

$70,000 - $95,000

RCM Strategist

Remote

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13d ago

Job Title: RCM Strategist Location: Remote U.S. Based Travel: Client Travel Required Job Type: Full-Time, Permanent Employment Type: Exempt Industry: Healthcare / Revenue Cycle Management Experience: 8+ Years Job Overview We are seeking an experienced RCM Strategist to join our client's Customer Success Consulting Practice. This is a client-facing consulting and advisory role focused on helping healthcare provider organizations optimize their Revenue Cycle Management (RCM) operations and improve

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Full-time

Depends on Experience

Healthcare Quality Assurance Automation Lead

Remote

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10d ago

Job Title: Healthcare Quality Assurance Automation Lead Location:Remote Duration: Fulltime Job Description : Key Points: 1. We need a hands-on QA Lead with a consulting background. 2. Healthcare experience should be strong. 3. TOSCA experience is a must Healthcare payer domain skills Lines of business. Medicaid, Medicare Advantage, Duals/MMP, TRICARE, and Marketplace each with its own eligibility, submission, and reconciliation rules. Medicaid depth matters most for this client.Facets. The cor

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Full-time

Depends on Experience

Healthcare Business Analyst Health Plan

Remote

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Today

Healthcare Business Analyst Health Plan Location - REMOTE / EST work hours Tentative Duration - 6 months + We are seeking an experienced Healthcare Business Analyst with strong Health Plan/Payer experience to support business and technology initiatives within the healthcare insurance domain. Key Responsibilities & Qualifications: 5+ years of Business Analyst experience, including 3+ years supporting Health Plans/Payers. Strong experience with Claims, Enrollment, Eligibility, Benefits, Provid

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Third Party, Contract

Oracle ORMB Consultant (Healthcare Billing)

Remote

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Today

Immediate need for a talented Oracle ORMB Consultant (Healthcare Billing). This is a 12+months contract opportunity with long-term potential and is located in Norfolk, VA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-25477 Pay Range: $85/hr - $90/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Configure,

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Contract

$85 - $90

Program Manager-Healthcare

Remote

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Today

8+ years of experience managing enterprise software implementations, with direct responsibility for project outcomes. 5+ years in a customer-facing project management role, ideally within a professional services or consulting organization in the healthcare industry. Proven ability to lead cross-functional teams of 10+ in complex environments and drive projects to completion under tight deadlines. Deep understanding of Agile, Waterfall, and hybrid project management methodologies. Skilled in proj

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Contract, Third Party

$50 - $55

Program/Engagement Manager - Healthcare Delivery & Solutions (Remote - No C2C)

Remote

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4d ago

Role: Program/Engagement Manager - Healthcare Delivery & Solutions Location: USA || Remote Experience: 18-25 Years Domain: Healthcare Technology & Digital Solutions Key Responsibilities Delivery Leadership & Client Management Lead end-to-end delivery of complex healthcare technology programs, ensuring quality, timelines, and client satisfaction Drive strategic client-facing discussions, program planning, and stakeholder management across multiple accounts Manage delivery risks, dependencies,

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Contract

Depends on Experience

Healthcare payer jobs in Alaska, USA