manual tester with healthcare edi Jobs

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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
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Posted 22 hours ago

In Person is must - Hybrid- Senior Data Scientist-.-Mason OH-C2C- CH

Empower Professionals

•

Mason, Ohio, USA

Contract, Third Party

Final interview will be in person interview Role- Senior Data Scientist Location- Mason, OH. 12+ Months Must- AI agent architectures, LLMs, NLP developing A2A Protocols and Model Context Protocols (MCP)LLMs and NLP models (e.g., medical BERT, BioGPT)Retrieval-augmented generation (RAG)Coding experience in Python, with proficiency in ML/NLP librariesHealthcare data standards like FHIR, HL7, ICD/CPT, X12 EDI formats.AWS, Azure, or Google Cloud Platform including Kubernetes, Docker, and CI/CD We ar
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Posted 9 days ago | Updated 21 hours ago

Dot Net Architect with Facets

Talent Groups

•

Remote

Contract

Job Summary: We are looking for a highly skilled .NET Architect/Tech Lead with strong hands-on experience in Facets to lead the design, development, and implementation of healthcare payer systems. The ideal candidate will have deep knowledge of healthcare domain, particularly claims processing, member enrollment, billing, and provider modules in Facets, coupled with strong technical architecture skills in the .NET ecosystem. Key Responsibilities: Lead architecture, design, and development of en
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Posted 2 days ago | Updated 2 days ago

EDI Data Engineer (Healthcare Domain)

Info Dinamica Inc

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Remote or New York, New York, USA

Contract, Third Party

Role: EDI Data Engineer Healthcare Domain Location: NYC, NY & Canada (Remote) Job Type: Contract Note: Need minimum 10+ years experience and recent lead expertise Summary: The Senior Data Engineer designs and leads scalable data architectures and pipelines to support analytics and business intelligence. This role focuses on data optimization, workflow automation, and ensuring reliable data operations in a cloud-based environment Minimum Qualifications: 8+ years of IT experience, with 5+ yea
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Posted 5 days ago | Updated 18 hours ago

QA Automation Tester

Veloc Inc.

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Plano, Texas, USA

Full-time

QA QA Automation Tester Experience: Automation TesterWorked in HealthcareIntegrationUnderstating of HL-7Good communication
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Posted 27 days ago

.Net Developer with Medicaid

Millennium Software, Inc.

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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
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Posted 22 days ago | Updated 22 days ago

.Net Developer with Healthcare development

Millennium Software, Inc.

•

Remote

Full-time

For our Detroit based client we require .Net Developer with extensive healthcare project 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. Experience
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Posted 22 days ago | Updated 22 days ago

Encounters System Analyst

ALTA IT Services

•

Dayton, Ohio, USA

Full-time

Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program
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Posted 6 days ago | Updated moments 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
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Posted 22 days ago | Updated 5 days ago

Service Desk Supervisor - Indianapolis, IN - Hybrid

Gainwell Technologies LLC

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Indianapolis, Indiana, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The position is responsible for the goals defined above and will report directly to the Account Delivery Manager (ADM). The Ser
Posted 60+ days ago | Updated 12 hours ago

Software Engineering Advisors- Hybrid

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
Posted 35 days ago | Updated 3 hours ago

Transition Project Coordinator ONLY W2

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
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Posted 16 days ago | Updated 9 days ago

Business Analyst

4 Consulting Inc

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Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
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Posted 36 days ago | Updated 15 days ago

Senior Systems Analyst

Judge Group, Inc.

•

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
Posted 28 days ago | Updated moments ago

Senior Systems Engineer ETL & Application Support

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
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Posted 21 days ago

Healthcare Business Analyst-Claims,Vendor Integration-Fully Remote

Elite Technical

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Remote

Full-time

Absolutely no third parties please !! Ideal work location is Westbury NY (Long Island) with a hybrid schedule (3 days onsite). Alternatively, this position can be staffed remotely for candidates that reside in one of the following states: CO, CT, FL, GA, IL, MA, MD, MI, MN, MO, NC, NJ, NY, OH, PA, SC, TN, TX, WA. We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Health Plan administration experience of self-funded clients who excels in client int
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Posted 6 days ago

Sr Claims Systems Data Analyst - QNXT

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
Posted 57 days ago | Updated 3 hours ago

Healthcare 837 EDI Specialist

Kforce Technology Staffing

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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 1 day ago | Updated 1 hour ago

Software Developement Manager / .NET

Motion Recruitment Partners, LLC

•

Philadelphia, Pennsylvania, USA

Full-time

A SaaS company based in Philadelphia, PA is looking for a hands-off Software Development Manager. In this role, you'll be responsible for overseeing a team of developers working on the companies healthcare SaaS product. They need someone who comes from a .NET technical background who can live close to the code. You'll be primarily hands off; however, they want someone who can work through the technical day to day with the engineers and strategize effectively. Healthcare experience is a huge plus
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Posted 37 days ago | Updated moments ago

Edifecs Senior Software Engineer (EDI) - Remote

Magellan Health Services

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Remote or Frisco, Texas, USA

Full-time

Create/update maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic.Create maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 278, 837 I/P, 834, 835, 820 transactions.Responsible for design, development, and implementation of Edifecs solution.Excellent understanding of technical and business challenges relating to EDI product upgrades.Able to configure the Edifecs tools, and understand systems integration, ap
Posted 28 days ago | Updated 3 hours ago