Healthcare payer jobs in washington

Seattle, Washington

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2d ago

Test Lead Healthcare Payer Location: Seattle, WA Work Arrangement: Onsite 4 days per week Experience: 10+ years in Quality Engineering and Testing Key Responsibilities Lead end-to-end testing across multiple applications, interfaces, and healthcare business domains.Define test strategy, scope, coverage, estimates, schedules, and release readiness criteria.Manage SIT, E2E(end to end), regression, and UAT testing activities.Oversee test execution, defect triage, root cause analysis, risk mitigatio

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Third Party, Contract

Depends on Experience

Senior EDI Developer (Healthcare Payer - Facets Ecosystem)

Seattle, Washington

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Today

Role: Senior EDI Developer: Healthcare Payer (Facets Ecosystem) Location: Seattle, WA (Onsite from Day 1) Job Type: Contract Experience: 8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway Need candidates with Facets - Claims experience Role Overview: We are looking for a Senior EDI Developer with strong healthcare payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands

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Contract, Third Party

Business Systems Analyst (ITS / Data Mapping / Healthcare Payer)

Remote

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Yesterday

Job Title: Business Systems Analyst (ITS / Data Mapping / Healthcare Payer) Location: 100% Remote Ideal Candidate: A Healthcare Payer Business Systems Analyst with strong ITS/BlueCard expertise, hands-on data mapping experience, and the ability to bridge business and technical teams. Job Summary Xcelerate Health is seeking a Business Systems Analyst (BSA) with strong experience in ITS (Inter-Plan Teleprocessing System), BlueCard, and Data Mapping within the healthcare payer domain. The ideal can

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Contract

Depends on Experience

Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)

Seattle, Washington

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Today

Role: Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem) Location: Seattle, WA (Onsite from Day 1) Job Type: Contract Experience: 8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway ROLE OVERVIEW: We are looking for a Senior EDI Support Specialist with strong healthcare payer experience to provide L2/L3 support for enterprise EDI platforms serving Claims, Membership, Enrollment, Provider, and Payment functi

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Contract, Third Party

Senior UiPath Developer Healthcare Payer Automation

Remote

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Today

Senior UiPath Developer Healthcare Payer Automation Remote / EST work hours Tentative duration - 6 months + There are 2 roles, 1 Senior UiPath Developer, and other Mid level UiPath Developer Required Technical Skills UiPath Studio and/or Studio Web; UiPath Orchestrator. UiPath queues, assets, schedules/triggers, unattended robots, package/version management and environment promotion. REFramework or comparable enterprise automation framework. Exception handling, structured logging, retry/reco

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Contract, Third Party

Test Program Manager / QE Transformation Lead with Healthcare Payer (Facets) exp

Seattle, Washington

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Today

Role: Test Program Manager / QE Transformation Lead Location: Seattle, WA (4 days a week on-site is required) Job Type: Contract Required Experience: 12+ years of experience in Quality Engineering and Testing. 5+ years of experience leading large testing programs. Proven experience in discovery, due diligence, transition, and managed services engagements. Experience building or managing a Testing Center of Excellence (TCoE). Strong experience in workforce planning, hiring, and vendor management

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Contract, Third Party

Senior EDI Support Specialist / EDI / Healthcare Payer | Facets Ecosystem

Remote

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Today

Request ID: 23873-1 Start/End Dates: 10/28/2026 - 12/31/2026 Tax Work Location: USA-Working from Home Job Title: Senior EDI Support Specialist / SalesMktg - Lead I - Product Support Job Description: Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise

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

USD 55-60

Messagepoint Developer – Healthcare Payer

Remote

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Yesterday

Messagepoint Developer Healthcare PayerW2 CANDIDATES ONLY Location: Remote Job Type: Contract Job SummaryWe are seeking an experienced Messagepoint Developer with hands-on experience in the Messagepoint platform and healthcare payer communications. The ideal candidate will be responsible for designing, configuring, and maintaining personalized member communications across print and digital channels. Key ResponsibilitiesDevelop, configure, and maintain Messagepoint templates, reusable content,

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Third Party, Contract

Depends on Experience

Senior QA / Reconciliation Analyst with Healthcare payer / Medicaid / MMIS testing experience : Remote

Remote

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Today

Senior QA / Reconciliation Analyst Job Description Role Summary Senior QA and data-validation role focused on ETL testing, large-scale data reconciliation, regulatory-output validation, and root-cause analysis for AWS Databricks data pipelines. Roles & Responsibilities Define and execute test strategies for complex ETL / ELT pipelines and regulatory data outputs. Perform record-count, control-total, field-level, segment-level, and file-level reconciliation. Validate source-to-target mappings,

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Contract, Third Party

Depends on Experience

Functional Test Lead – Healthcare Payer / Facets

Seattle, Washington

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2d ago

Position SummaryWe are seeking an experienced Functional Test Lead with strong expertise in Healthcare Payer systems, particularly the Facets healthcare platform, to lead functional testing assessments, discovery workshops, and testing transformation initiatives. The ideal candidate will have extensive experience in Quality Engineering, healthcare payer business processes, testing program leadership, and managed services transitions. This role will assess existing testing capabilities, evaluate

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Full-time

Depends on Experience

Business Systems Analyst (Healthcare Payer/Member Domain)

Remote

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22d ago

Role: Business Systems Analyst (Healthcare Payer/Member Domain) Experience:10+ years Location: Remote (USA) Must-Have Domain Skills Healthcare Payer / Member Domain Member Enrollment & Eligibility Benefits Administration Medicare, Medicaid, ACA Exchange Programs Member Operations Business Analysis Skills Requirement Gathering & Analysis BRD/FRD Documentation Functional Specifications & User Stories Process Mapping & Gap Analysis Data Analysis UAT Support Stakeholder Management Technical Skills S

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Contract, Third Party

Depends on Experience

Senior Data Analyst, Healthcare Payer Side - Predictive Analytics - Full Time, Direct Only

Remote

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15d ago

Remote opportunity for Permanent Residents Only The Senior Data Analyst will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and generating (SQL) and analyzing data and processes to identify opportunities for improvement, predictive ROIs and KPIs for Population Health Programs. In this role, you will be challenged to think creatively while developing actionable insights to inform client and program stra

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Full-time

110,000 - 130,000

HEDIS Analyst/Consultant

Remote

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21d ago

Hi Professionals, Title: HEDIS Analyst/Consultant Locattion: Remote JD: Must-Have: US Healthcare Payer Actuarial Underwriting HEDIS / Quality Claims & Enrollment Data PMPM / MLR / IBNR / Risk Adjustment SQL & Data Profiling Data Lineage / Data Mapping Business Rule Discovery Reverse Engineering Healthcare Analytics / Data Modernization Snowflake (Preferred) Key Requirements: Strong US Healthcare Payer domain expertise Experience with Actuarial, Underwriting & HEDIS/Quality Knowle

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Third Party, Contract

Depends on Experience

Senior EDI Developer / EDI developer

Remote

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Today

Job Description: Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing

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

USD 70-75

Business Systems Analyst (FACETS )

Seattle, Washington

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Today

Role: Business Systems Analyst (FACETS) Location: Seattle, WA Duration: 12 Months Job description: Client is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations within a Healthcare Payer environment. This role will serve as a Subject Matter Expert (SME) responsible for driving business analysis, solution design, system enhancements, regulatory mandates, and FACETS modern

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Contract, Third Party

Enterprise Architect

Remote

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Today

Enterprise Architect Position Overview We are seeking an experienced Enterprise Architect to help drive enterprise architecture initiatives, define future-state technology solutions, and support the delivery of strategic business capabilities across a complex enterprise environment. The ideal candidate will bridge business and technology teams, develop architecture roadmaps, and ensure solutions align with enterprise standards for security, scalability, interoperability, and operational excellen

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Contract

Salesforce Technical Architect

Remote

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2d ago

Job Description: Our client is seeking an experienced Salesforce Solution/Technical Architect to lead the design, solutioning, and delivery of Salesforce solutions across client engagements. This role will serve as a subject matter expert, providing architectural guidance and technical strategy recommendations across Salesforce products, including Health Cloud, Service Cloud, Nonprofit Cloud, and Marketing Cloud. The architect will assess the current Salesforce landscape, identify gaps and oppor

Third Party, Contract

75 - 90

Senior Facets Developer

Remote

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Yesterday

Job title: Senior Facets Developer Location: Remote Job type: Full time and Contract c2c both Interview: Video JD Candidates must have experience delivering healthcare payer solutions across a combination of TriZetto Facets, Mainframe, Java/J2EE, IBM DataStage, Talend/TalendWorks, databases, batch processing, APIs and system integrations. Candidates should have strong knowledge of Medicaid managed-care processes and state-specific regulatory requirements, together with a good understanding of Me

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Full-time

Depends on Experience

Lead Data Analyst with Medicaid / Pharmacy / PBM experience

Remote

•

Yesterday

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

W2 | Systems analyst 2 | 100% Remote

Remote

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3d ago

Job DescriptionJob Role: Systems analyst 2Location: 100% RemoteHealthcare Payer experience. Theses should last 3 years.The resource will work offsite at this time, subject to future corporate workplace requirements. If corporate requirements change, the position may transition to a hybrid model with Detroit Towers as the onsite location. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more moderately

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Third Party, Contract

Healthcare payer jobs in Washington, USA