Medicare jobs in remote

Weatherford, Texas

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for a Traditional Medicare Bill Collector for a Contract to hire assignment with one of our premier Healthcare clients in Weatherford, TX. Fully remote (must be based in Texas) Responsibilities : We are seeking a Traditional Medicare Bill Collector with strong hospital revenue cycle experience to support billing and collections efforts. This role is focused on managing Medicare accounts, resolving outstanding balances, and ensuring accura

Contract

USD 22.00 - 28.00 per hour

Medicare Benefits Advisor

Hybrid in Oregon City, Oregon

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10d ago

Immediate need for a talented Medicare Benefits Advisor.This is a 03-04 months contract opportunity with long-term potential and is located inOregon(Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID:26-22365 Pay Range: $25 - $27.5/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: The Seasonal Sr.SalesAssociatep

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Contract

$25 - $27.5

QA Test Analyst (Healthcare, Medicaid/Medicare)

Hartford, Connecticut

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16d ago

Seeking a QA Test Analyst with strong experience in Manual and Automation testing of complex enterprise applications. The role involves functional, regression, integration, API, backend, and end-to-end testing in an Agile/Scrum environment. Key Responsibilities Create and execute test cases, scenarios, and automation scripts based on business requirements. Perform functional, regression, integration, SIT, UAT, API, and end-to-end testing. Conduct REST/SOAP API testing using Postman and validate

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Contract

Depends on Experience

Medicare Benefits Advisor

Remote

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13d 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

Automation Mobile Tester with Medicare

Remote or Hybrid

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2d ago

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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4d 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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24d 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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11d 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

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

Remote

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23d 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

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

Remote

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10d 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

Analyst, FP&A - Medicare/Medicaid COGS & Network Performance

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 Analyst, FP&A - Medicare/Medicaid C

Full-time

USD 43,888.00 - 93,574.00 per year

Lead Data Analyst, Medicare Stars & Quality Analytics

No location provided

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Today

Job Description Job Description Job Summary The Lead Data Analyst serves as a senior individual contributor responsible for complex healthcare analytics supporting Medicare Stars, provider incentive programs, member outreach campaigns, and enterprise performance reporting. This role requires advanced analytical skills, healthcare domain expertise, and the ability to independently lead complex analyses with minimal oversight. The Lead Data Analyst partners with business leaders, quality teams

Full-time

USD 65,791.00 - 142,548.00 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

Data Governance Program Lead

Hybrid in Minneapolis, Minnesota

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3d ago

Hello, I hope youre doing well. Im Abhay from Inceptra solutions llc. I came across your profile and felt it could be a good match for a current opportunity were working on. Please share your updated resume and a good time for a quick conversation. Job Title : DG Program Lead (Data Governance Program Lead) Location : Minneapolis, MN, USA (Client Location: Eagan, MN) Work Model : Onsite/Hybrid - Must be in the office at least 3 days per week. Target Industry: Healthcare Position Summary The DG

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Contract

Depends on Experience

Senior Actuary - Hybrid

Chicago, Illinois

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Today

Need the peace of mind that comes from working for a well-established company? Growing Health carrier is has a great opportunity for a Senior Staff Actuary with a solid background in Medicare. This individual will develop complicated models, manage day-to-day projects, and communicate effectively with other actuaries. The ideal candidate would be an ASA or FSA with 5+ years of actuarial experience, including effective documentation and presentation skills. (#58709) Compensation: Salary range of

Full-time

Compensation information provided in the description

Technical Architect/Lead Java, Spring Boot & Cloud

Hybrid in Atlanta, Georgia

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12d 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

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Hybrid in Elkridge, Maryland

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6d ago

Fraud, Waste, and Abuse (FWA) Medical Record ReviewerElite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer with expertise in analyzing medical documentation, claims data, provider billing patterns, and regulatory compliance requirements. Skilled in identifying potential fraud, waste, and abuse indicators through detailed record review, coding validation, and investigative researc

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Contract

40 - 50

Product Owner – Capitation & Value-Based Care

Remote

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20d 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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5d 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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Third Party, Contract

Depends on Experience

Agile Business System Analyst

Columbia, South Carolina

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2d ago

Hansen Talent Group is seeking a remote Business System Analyst to support a large enterprise''s cloud and modernization initiatives. This role will offer a candidate the unique opportunity to work closely with new technologies and leadership. The Business System Analyst will support an agile delivery team through the development and implementation of cloud-native solutions and applications, working closely with client stakeholders, executive leadership, and technical SMEs. Duties: Lead discov

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Full-time, Third Party

Depends on Experience