Medicare jobs in atlanta, ga

Remote or Hybrid

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Today

Remote position Must have Medicare exp & Mobile testing Must Have: 5+ years of Medicare experience 10 + years of experience in technology Quality Engineering. Strong experience with UI and Mobile OS (iOS/Android) testing Proficiency in API testing tools such as Postman, Bruno, or REST Assured. Experience of SDLC processes, agile methodology and QE practices. Agile certification is preferred. Experience with using AWS services like S3, Lambda, DynamoDb etc. Strong experience with UI and database

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Third Party

Enterprise Data Modeler Medicare Advantage

Remote

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6d ago

We are looking for a Senior Enterprise Data Modeler with deep healthcare domain expertise to lead the development of enterprise and domain data models for a strategic data transformation program. You will bridge the gap between business stakeholders and technical execution teams to build resilient, enterprise-wide data structures. Key ResponsibilitiesDesign and maintain Enterprise, Logical, Physical, and Canonical Data Models. Translate complex business concepts into robust domain data models. P

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Contract

Depends on Experience

Clinical Pharmacist Advisor - Medicare - Remote

Remote

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25d ago

Title: Clinical Pharmacist Advisor - Medicare - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelin

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Contract

47 - 52

Data Modeler with Medicare Advantage

Remote

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13d ago

Enterprise Data Modeler (Medicare Advantage) Position Summary We are seeking a highly experiencedEnterprise Data Modelerto lead the development of enterprise and domain data models that will serve as the foundation of a strategic enterprise data transformation program. This role will be responsible for creating and maintaining: Enterprise Business Data ModelsCanonical Data ModelsLogical Data ModelsPhysical Data ModelsDomain Data Models across prioritized business domainsCritical Success Factors

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Contract

Depends on Experience

Technical Architect/Lead Java, Spring Boot & Cloud

Hybrid in Atlanta, Georgia

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13d ago

Title: Technical Architect/Lead Java, Spring Boot & Cloud Location: Atlanta, GA Experience: 12 18+ Years Must have: MMIS/Medicare/Medicaid Experience Job Summary We are seeking an experienced Technical Architect to design and lead the implementation of scalable, secure, and high-performance enterprise applications. The ideal candidate should have strong expertise in Java, Spring Boot, Microservices, Cloud technologies, DevOps, and modern software architecture. The Technical Architect will collab

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Contract, Third Party

Depends on Experience

Healthcare Informatics Analyst (Pharmacy OR Medicare Advantage - Fully Remote Contract Role )

Remote

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25d ago

Position 2: Sr. Healthcare Informatics Analyst (Medicare Advantage)Seeking a Senior Healthcare Informatics Analyst! The selected candidate will independently provide analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider en

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Contract

75 - 80

Medicare Benefits Advisor

Remote

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14d ago

Immediate need for a talented Medicare Benefits Advisor. This is a 03 - 04+months contract opportunity with long-term potential and is located in Denver, CO (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-22375 Pay Range: $37/hr - $40/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: Work Schedule & HoursPa

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Contract

$37 - $40

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

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12d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

Data Reporting and Analytics Consultant III

Atlanta, Georgia

•

Today

Overview: This role supports the development and execution of Medicare market strategies through rigorous analysis, planning, and cross-functional collaboration. This role manages components of large-scale projects, conducts market assessments, and delivers actionable insights to inform leadership decisions. The consultant leverages strong analytical skills and clear communication to synthesize data into dashboards, reports, and decision-support materials. Success in this position requires adapt

Full-time

USD 80,400.00 - 103,950.00 per year

Application Engineer Co Op

Atlanta, Georgia

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Today

ABOUT THIS POSITION We're looking for a 3-Semester Application Engineer Co-Op who wants to help simplify and unify healthcare payments across the revenue cycle. We run an agile development team with weekly sprints to quickly deliver code to our clients. Our team prides itself on rapid development, so as a Co-Op, your code will make it to production many times during your term. That's right, at Waystar, our Co-Ops actually push code into production. WHAT YOU'LL DO As a Co-Op, you will be like

Part-time

Manager, Data Engineering

Atlanta, Georgia

•

Today

ABOUT THIS POSITION We are seeking a Technical Manager, Data Engineering, to lead and scale Waystar's data engineering function while actively contributing to the delivery of our modern data platform. This role combines people leadership, technical ownership, and hands-on engineering to drive execution across our BigQuery-based data platform. You will be responsible for managing a team of data engineers, setting technical directions, and ensuring the successful delivery of scalable ingestion a

Full-time

Senior Software Engineer I

Atlanta, Georgia

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Today

ABOUT THIS POSITION We are looking for an outstanding, brilliant, and driven Senior Software Engineer to join our growing team. While our Software Engineers are involved in multiple things throughout the Technology organization, primarily they are responsible for working with the Technology and the Business teams to design, build, and implement amazing web and process applications. These Team Members are also charged with assisting the Client Success department in resolving issues relating to p

Full-time

Software Engineer II - Full Stack

Atlanta, Georgia

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Today

ABOUT THIS POSITION Our client base is constantly growing and we're looking for great software engineers to make our team better. As a Software Engineer, you'll be a technical contributor for our Aware platform. You'll be challenged often and will find yourself working on all areas of the application domain across the full app delivery stack. Design and implement highly resilient, scalable, and performant solutions that solve complex healthcare problems using VueJS, NodeJS, Java, AWS and more.

Full-time

Software Engineer II

Atlanta, Georgia

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Today

ABOUT THIS POSITION The FinTech team is responsible for building and managing real-time APIs, both for our integrating partners, and payment processing industry vendors. The team is also responsible for building and managing the core system logic to batch payment data and integrate with the banking system for funding and accounting. The team builds internal tools to manage merchant onboarding and payment exception handling. Right now, we are looking for an outstanding, brilliant, and driven Ap

Full-time

Data Governance + Enablement Manager

Duluth, Georgia

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Today

ABOUT THIS POSITION Job Description Summary We're looking for a Data Enablement + Governance Manager to lead and mature our enterprise-wide data governance strategy and practices. In this role, you'll be instrumental in ensuring our data is accurate, secure, and used responsibly across the organization. You'll drive initiatives that establish and reinforce data standards, compliance protocols, and a strong culture of data stewardship. You will be responsible for developing and managing governa

Full-time

AS400/Synon/RxClaim Tech Lead

Remote

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Today

Job title: AS400/Synon/RxClaim Tech Lead Role is remote Years of experience required: SYNON (8+years) and Rxclaim adjudication experience (min 3 years) Mandatory skills: 1.SYNON 2.Healthcare Pharmacy claims adjudication and pricing 3. COBOL/400 We are seeking technical lead with 8+ years of experience to join our team. The ideal candidate will have expertise in SYNON, AS400 along with domain experience in Medicare & Medicaid Claims, Claim Adjudication and pricing knowledge This role requires a p

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Contract

$60 - $70

Product Owner – Capitation & Value-Based Care

Remote

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22d ago

Job Title: Product Owner Capitation & Value-Based Care Location: Remote/Hybrid Experience: 712 Years Position Summary We are looking for a Product Owner with deep experience in Capitation, Value-Based Care (VBC), and Provider Reimbursement. This role will own products supporting capitation payments, provider incentives, attribution, quality programs, and population health analytics while partnering with payer and provider stakeholders. Capitation is a payment model where providers receive a fix

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Contract

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Remote

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7d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Contract, Third Party

Depends on Experience

Claims Examiner - Workers Compensation - W2 Only

Remote

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5d ago

Position: Claims Examiner - Workers Compensation - W2 Only Duration: 03 Months of Contract with possible extension or conversion Pay Range: $52/hr to $56/hr on W2 (without Benefits) Requirements: Only Ex-Sedgwick candidatesAny specific skill/ certification/ license: CA adjuster certificationYears of experience: 3+ years of relevant experience Primary purpose: To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims

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Contract

52 - 56

Technical Project/Delivery Manager With Medicaid Experience - Remote

Remote

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3d ago

Required:15+ years of overall IT experience5+ years of managerial experienceDeep functional knowledge of Healthcare processes specially Medicaid BusinessAware of the Cloud native architecture along with understanding of associated technologiesDemonstrated understanding of Project Management processes, strategies and methodsExperience mentoring, coaching and developing rising talent in the technology departmentExcellent time management and organizational skills and experience establishing guideli

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Contract, Third Party

$61

Medicare jobs in Atlanta, GA, USA