medicare Jobs

41 - 60 of 184 Jobs

Medicaid Data SpecialistJob Title - Medicaid Data Specialist

Advansys IncCompany Name - Advansys Inc

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Remote

Contract, Third Party

Job Title: Medicaid Data Specialist Required Qualifications: More than ten (10) years of experience in information technology with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems.Understanding of claims, recipient/eligibility, and provider/enrollment data processes.Able to create and perform data analysis using SQL, Excel

Sr. Mainframe Developer (COBOL/DB2)Job Title - Sr. Mainframe Developer (COBOL/DB2)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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New Orleans, Louisiana, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Senior IT Project ManagerJob Title - Senior IT Project Manager

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Newark, New Jersey, USA

Full-time

Senior IT Project ManagerJob Title - Senior IT Project Manager

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Jersey City, New Jersey, USA

Full-time

Senior Manager, Network Management, National Behavioral HealthJob Title - Senior Manager, Network Management, National Behavioral Health

CVS HealthCompany Name - CVS Health

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Connecticut, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Senior Data Analyst - Healthcare - CAJob Title - Senior Data Analyst - Healthcare - CA

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and unde

Senior Project ManagerJob Title - Senior Project Manager

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Milwaukee, Wisconsin, USA

Full-time

Member Ops Billing SpecialistJob Title - Member Ops Billing Specialist

Change State LLCCompany Name - Change State LLC

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Rochester, New York, USA

Full-time

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Member Ops Billing Specialist to join #TeamMVP. If you have a passion for driving efficiency in healthcare operations and analytical thinking this is the opportunity for you. What's in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse per

Member Ops Billing SpecialistJob Title - Member Ops Billing Specialist

Change State LLCCompany Name - Change State LLC

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Schenectady, New York, USA

Full-time

Senior Business Analyst - Power BIJob Title - Senior Business Analyst - Power BI

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Denver, Colorado, 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 As a Senior Business Analyst - Power BI at Gainwell, you can contribute your skills as we harness the power of technology to he

Program Analyst/SMEJob Title - Program Analyst/SME

Unissant, Inc.Company Name - Unissant, Inc.

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Remote

Full-time

Unissant, Inc. delivers innovative capabilities to the agencies that keep our nation healthy and safe. We apply our domain expertise, data acumen, and technology know-how to achieve breakthrough results for our clients. Working collaboratively, we advance missions and careers through a focus on honesty, integrity, and dependability. We continuously look for talent, excited to join that effort. To learn more about our exciting organization, please visit us at . We are seeking a highly knowledgeab

Senior Specialist, Provider Network AdministrationJob Title - Senior Specialist, Provider Network Administration

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana

Sr. Configuration Analyst with Facets Exp. (Hybrid - Mason, Ohio)Job Title - Sr. Configuration Analyst with Facets Exp. (Hybrid - Mason, Ohio)

OMG TechnologiesCompany Name - OMG Technologies

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Mason, Ohio, USA

Contract

Sr. Configuration Analyst with Facets Exp. (Hybrid - Mason, Ohio) We are looking to hire a candidate with the skills sets mentioned and experience for one of our clients within the retail luxury goods and jewelry industry. This is a Hybrid role in Mason, Ohio; 2 days per week in Mason office. MUST work on W2 as this a potential full-time employment. Position Summary: Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benef

IT Project ManagerJob Title - IT Project Manager

United Global TechnologiesCompany Name - United Global Technologies

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Nashville, Tennessee, USA

Contract

Do not if you do not have Healthcare or Medicare / Medicaid experience. Non work at home position, flexible hours between 7:30-8:30 am based on business need. May require >40hrs week for some projects. Required Education: Bachelor's Degree or 4 years of job related work experience or 2 years of job related experience plus an associate s degree in any major. Required Work Experience: 3 years IT experience in a leadership capacity on one or more project teams. Oversee full SDLC - Software Develop

Claims Examiner - Workers Compensation(California)Job Title - Claims Examiner - Workers Compensation(California)

MetaSense, Inc.Company Name - MetaSense, Inc.

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Remote

Contract, Third Party

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates an

Network Management - Senior AnalystJob Title - Network Management - Senior Analyst

CVS HealthCompany Name - CVS Health

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Arizona, USA

Full-time

Manager, Data Analytics & Reporting (SQL, PowerBI)Job Title - Manager, Data Analytics & Reporting (SQL, PowerBI)

Centene CorporationCompany Name - Centene Corporation

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Indiana, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote IN. Position Purpose: Oversee and ensure accurate, timely, and efficient reporting related to all core business functions Ensure the timeliness and accuracy of internal and external report deliverables

Sr. Microsoft EngineerJob Title - Sr. Microsoft Engineer

ConsultNet, LLCCompany Name - ConsultNet, LLC

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Remote

Full-time

Sr. Microsoft Engineer Location: Remote Type: Full-time Experience Required: 8 years of related work experience Transform the Future of Healthcare IT Join a mission-driven team dedicated to reshaping healthcare for over 12 million Medicare beneficiaries and 700,000 providers. At the forefront of healthcare transformation, we believe in building better experiences-starting with innovative technology. We're seeking a Senior Microsoft Engineer to lead the evolution of our Microsoft infrastructure,

Financial Analyst IIIJob Title - Financial Analyst III

SAR TECH LLCCompany Name - SAR TECH LLC

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Remote

Contract

Client: Baxter Job Title: Financial Analyst Location: Deerfield, IL (100% Remote) Benefits: 9 Days of Sick Leave/PTO included, Medical or Dental are not included Employment Terms: W2 only (No Corp-to-Corp or 1099) US.C Only Position Overview: The Financial Analyst / Government Price Reporting Associate will assist in reviewing and validating government pricing which may include (Medicaid (AMP/BP), Medicare Part B (ASP), Public Health Service(340B) and Non-FAMP (VA) to ensure accuracy and comp

Senior Regional Director, SGS Program ManagementJob Title - Senior Regional Director, SGS Program Management

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Columbus, Ohio, 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 We're on the lookout for an exceptional and visionary leader to join our dynamic organization as a Senior Regional Director. If