Medicare jobs | Dice.com

WME MDM, Master Data & Data Integrations Lead (Healthcare/Life Sciences/Medicare)

Hybrid in Poughkeepsie, New York

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Today

Hello, Hope you are doing great, Title :: WME MDM, Master Data & Data Integrations Lead Location :: Hybrid, Titusville, NJ Position Summary The Master Data & Data Integrations Lead Consultant is responsible for defining, designing, and executing the end-to-end patient data architecture, master data strategy, and integration framework supporting the Patient CRM ecosystem. This role serves as the business lead for CRM data modeling, patient identity management, data migration, data aggregators,

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Contract, Third Party

Depends on Experience

Medicare Marketing Project Manager (PM)

Remote

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Today

Job Description: Seeking an organized and detail-oriented Medicare Marketing Project Manager to support campaign execution, marketing operations, workflow routing, and project coordination across Medicare brand and organic social initiatives. The ideal candidate will manage timelines, track deliverables, coordinate cross-functional teams, and ensure marketing materials move efficiently through review and approval processes. Required Skills: Experience in marketing operations, campaign execution,

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Third Party, Contract

55 - 60

Senior QA Tester with Healthcare Medicaid Medicare Claims domain

Remote

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Today

Hi Greetings from Infinite Computer Solutions ! Hope you are well today! I'd like to discuss a job opportunity with you. Hope you would be interested. Position: Senior QA Tester with Healthcare Medicaid Medicare Claims domain Location:Dallas, TX, St Louis, Mo, Las Vegas, NV, Hybrid/Remote Term : Fulltime About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,sca

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Full-time

70,000+

Data Integrity Engineer with( Centers for Medicare & Medicaid Services (CMS) federal healthcare program)

Hybrid in Tysons, Virginia

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20d ago

Job Title: Data Integrity Engineer Location: Tysons Corner, VA Duration: Fulltime Job Summary We are seeking an experienced Data Integrity Engineerto support data quality, validation, reconciliation, and integrity initiatives within a mission-critical Centers for Medicare & Medicaid Services (CMS)federal healthcare program. The Data Integrity Engineer will work with data engineers, application developers, database teams, business analysts, QA engineers, and business stakeholders to ensure that

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Full-time

100,000 - 140,000

Medicare Sales CRM

Remote

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7d ago

Medicare Sales CRM Remote 12 months contract We are looking to identify a highly experienced Medicare Sales CRM leader who has successfully led similar initiatives and can serve as a strategic advisor to our business partners. The objective is not only to rebuild our Medicare Sales CRM platform, but to ensure the solution is informed by industry-leading practices, proven operating models, and best-in-class capabilities that drive sales effectiveness, member engagement, and long-term business v

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Contract, Third Party

$45 - $50

Sr Business Systems Analyst

Hybrid in Columbia, South Carolina

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6d ago

Hansen Talent Group is seeking a Senior Business Systems Analyst with experience supporting Agile teams and cloud-hosted applications. This role will support a large-scale AWS cloud migration initiative and requires strong Medicare experience. Onsite in Columbia, SC is highly preferred, although hybrid and remote candidates may be considered. The Senior Business Systems Analyst will serve as the liaison between business and technical teams, defining requirements and ensuring cloud solutions alig

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Full-time, Third Party

Depends on Experience

Senior Data Analyst - Statistics

Remote

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Today

Senior Data Analyst - Statistics Remote If you enjoy solving complex problems with data and statistics, this is an opportunity to make a meaningful impact. You'll analyze healthcare payment and medical review data, contribute to federal healthcare policy research, and work with a multidisciplinary team to deliver high-quality analytical solutions. Responsibilities: Integrate datasets tracking healthcare billing and payment, medical reviews, and related operations Construct summaries and analyses

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Full-time

80000 - 90000

VP, Pharmacy Operations

Remote

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10d ago

Reports to: Chief Executive Officer Employment Type: Full-time Work Arrangement: Fully remote in USA only Compensation: $200,000$240,000 About the RoleWe are seeking a strategic Vice President of Pharmacy Benefit Management (PBM) to build and lead our in-house PBM. Reporting directly to the CEO, this leader will oversee the transition from outsourced PBM services to an internally managed model, establishing the processes, infrastructure, and team needed for long-term success. Initially, the ro

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Full-time

Depends on Experience

Lead Data Scientist - Aetna Medicare Stars

Hartford, Connecticut

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Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Aetna Medicare Stars business is s

Full-time

USD 130,295.00 - 260,590.00 per year

Sr. Product Data Analyst - Medicare Advantage - Remote

Remote or Minnetonka, Minnesota

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Today

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subjec

Full-time

USD 91,700.00 - 163,700.00 per year

Sr. Healthcare Data Scientist (Medicare/Medicaid)

Remote

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: NACI (T1) Job Family: Data Science and Data Engineering Job Qualifications: Skills: Agentic AI, Big Data, Generative AI, Machine Learning Methods, Python (Programming Language) Certifications: None Experience: 5 + years of related experience ship Required: No Job Description: We are GDIT. We take pride in providing our clients with the data t

Full-time

USD 97,968.00 - 132,250.00 per year

VP AI ML Engineering, Medicare & Retirement

Minnetonka, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. The Vice Pres

Full-time

USD 200,400.00 - 343,500.00 per year

Clinical Coordinator

Remote or Hybrid in Florida City, Florida

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14d ago

Avanciers Incorporated is hiring a Clinical Coordinator for one of our clients. Role: Clinical CoordinatorLocation: Florida / Remote (as applicable)Experience: 15 years of clinical nursing experienceRequired License: Active, unrestricted Florida RN License or Compact RN LicenseJob Description:Reviews and investigates member and provider appeals involving clinical/medical necessity denials.Analyzes medical records, claims history, and clinical documentation against InterQual/MCG criteria to deter

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Contract

Depends on Experience

Clinical Data Analyst

Remote

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30+d ago

Clinical Data Analyst Location:CentralFlorida;mustbewillingtotraveltoOrlandoorVillagesfromtimetotime(remote,butavailableforonsitemeetings) TemptoPermrole:20hoursaweektostart,convertstofulltime Key Responsibilities: Review any new Medicare patients from last 3 months Whethernewpatientisseenornot,thispersonwould:RevieweachnewpatientsHCCsReviewtheirADTsRevieweCW/PrismafordocumentsavailablefromhospitalsIfnewpatientisalreadyseen,thispersonwillalsodothefollowing:ReviewchartsanddiagnosticsSpecialistvis

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Contract

Senior Business Systems Analyst

Columbia, South Carolina

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17d ago

DPP is seeking a Senior Business Systems Analyst for an opportunity with our client in the healthcare insurance industry. Work Location: Onsite in Columbia, SC Duration: 6 months Terms: W2 Contract Responsibilities: Working within Agile teams, participate in daily stand-ups and use tools like Jira and Confluence to track progress, document user stories, and collaborate with developers, testers, and business stakeholders. May also contribute to team presentations, where strong communication sk

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Contract

Depends on Experience

Senior LoadRunner & UI Automation Consultant

Hybrid in New York, New York

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Today

Senior LoadRunner & UI Automation Consultant Location: Midtown Manhattan, NYC (at least 3 days work form office) (Healthcare Claims | TriZetto to HealthEdge Migration) Role Summary Support migration from TriZetto to HealthEdge with focus on healthcare claims testing, automation engineering, and performance testing. Key Responsibilities Validate member, enrollment, provider, claims adjudication, pricing, payment and remittance workflows.Design automation frameworks and reusable test suites.Estab

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Contract, Third Party

65 - 75

Inbound Call Center Rep

Indianapolis, Indiana

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9d ago

Agency Interview Type: Phone and in-person Short Description: Must complete a 5-day training on health insurance for people with Medicare. Answers 800 helpline calls and performs other general office duties such as data entry, mailings, and inventory. Must make it in by 8am but in some cases will allow 8:30. Complete Description: OVERVIEW Answer in-coming 800 helpline calls, transfer calls to volunteers when available, data entry of client contacts, and other clerical functions such as mailings

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Contract

$10 - $14

Senior Product Owner

Remote

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Today

Lead Enterprise Product Strategy and Shape the Future of Digital Healthcare Are you a strategic product leader ready to influence enterprise-wide transformation and drive meaningful business outcomes? Join Liberty Dental Plan as a Senior Product Owner and play a key role in shaping the vision, strategy, and success of critical digital products across the organization. About the Role As a Senior Product Owner, you will serve as the voice of the customer and a trusted advisor to senior leadership,

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Full-time

105,000 - 125,000

Business Systems Analyst

Remote

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7d ago

Client: health insurance companyJob title:Business Systems AnalystLocation: 100% remote, working EST hoursDuration: 1 year contract + extensionsPay Rate: $52.97/hr W2 Required Skills: Agile experienceCloud-hosted application experience (ideally AWS)Medicare experienceJira/ConfluenceStrong experience creating user storiesStrong experience writing acceptance criteriaNice to Have Azure DevOps, GitHub ActionsUnderstanding of DevOps practices and helping manage cloud-based analytics pipelines and dep

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Contract

$52.97

Data Reporting & UAT Analyst

Hybrid in Richmond, Virginia

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8d ago

Job SummaryWe are seeking an experienced Data Reporting & UAT Analyst to support data analysis, reporting, data quality validation, User Acceptance Testing (UAT), and project coordination within a healthcare or Medicaid environment. The analyst will review functional and technical design documents, identify requirement gaps, map data across interface systems, develop test scenarios, validate data pipelines and reports, and coordinate with business stakeholders, quality assurance (QA) teams, deve

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Full-time, Third Party

Depends on Experience