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Remote

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Yesterday

Technical Lead - QNXT Custom Solutions & Boomi API Development Location: Remote (United States) Role: Technical Lead Domain: Healthcare Payer / QNXT Primary Technologies: QNXT, Boomi, .NET, APIs, DevOps Description: We are seeking an experienced Technical Lead with deep expertise in QNXT, Boomi API development, and .NET technologies to lead the design, development, and integration of custom healthcare solutions. The ideal candidate will have a strong understanding of the QNXT database model, ha

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Contract

Depends on Experience

Sr Claims Architect

Remote

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24d ago

Job Description: Senior Claims Domain Consultant with deep expertise in Healthcare Payer Claims Operations and working knowledge of Generative AI tools such as Claude, Copilot, ChatGPT, or similar LLM-based platforms. The consultant will work closely with business, operations, technology, product, and client stakeholders to assess current claims processes, identify improvement opportunities, and define AI-enabled solutions that enhance claims accuracy, reduce manual effort, improve first-pass ad

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Contract

Depends on Experience

Data Analyst with Healthcare / QNXT experience

Remote

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2d ago

We are seeking to hire a Conversion Data Analyst with expertise in Medicare / Healthcare Claims systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holida

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Full-time

Depends on Experience

Performance & LoadRunner Automation Engineer

New York, New York

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15d ago

Position : Performance & Load Test Automation Engineer Location: NYC Duration: 6+ month Key Skills Required Strong automation testing experience.Manual testing experienceLoadRunner, JMeterPerformance engineering, workload modelling, monitoring tools, environment setup, capacity planning, bottleneck analysis, reportingStrong SQL and backend testing skills.Experience with API, integration, database, and file testingExperience working in Agile environmentsISTQB Certification (Foundation Level minim

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Contract, Third Party

Depends on Experience

Information Technology - Application Support Lead 130-2064

Tulsa, Oklahoma

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Today

JOB SUMMARY: The Application Support Lead is responsible for strengthening Service Delivery's ability to resolve business-critical application issues by building application knowledge, documentation, and training. Serves as a trusted escalation point for business partners when system issues cross departmental lines. KEY RESPONSIBILITIES: Author and maintain documented application-support procedures and troubleshooting runbooks for support teams to use independently.Build and deliver a formal t

Full-time

Facets Product Consultant-W2- Remote

Remote

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3d ago

Job Summary: * Create solutions based on the customer needs and review solutions with client business and IT teams; * Perform analysis, design, coding, testing and implementation of quality custom solutions within the software development life cycle in Healthcare domain. * Design and develop moderate to complex software applications to meet the customers business needs. * Validation and gaining approval of technical and business requirements to ensure both feasibility and completeness of solutio

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Contract

Depends on Experience

Information Technology - Director of Product 130-7002

Tulsa, Oklahoma

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Today

JOB SUMMARY: The Director of Product is responsible for scaling product management capability across core health plan value streams. This role will oversee product strategy, strengthen Product Owner capability, and ensure product investments are clearly connected to business, regulatory, member, provider, and operational outcomes. KEY RESPONSIBILITIES: Oversee the Product Owner community across value streams by establishing product management standards, building product capabilities and drivin

Full-time

Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance

Los Angeles, California

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Today

Salary Range: $121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality he

Full-time

USD 121,056.00 per year

Senior Analyst, Provider Data Management (SQL/ QNXT)

No location provided

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Today

Job Description JOB DESCRIPTION The Sr. Analyst, Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. The Sr. Analyst often acts as a liaison between the business units and IT, ensuring that technical solutions align with business goals. Knowledge/Skills/Abilities Collaborate with stakeholders to understand business objectives, gather requirements, and translate them int

Full-time

USD 54,373.27 - 117,808.76 per year

Senior LoadRunner & UI Automation Consultant

Hybrid in New York, New York

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10d ago

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

Senior LoadRunner & UI Automation Consultant :: Healthcare Claims | TriZetto to HealthEdge Migration

Hybrid in New York, New York

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24d ago

Role: Senior LoadRunner & UI Automation Consultant Location: Midtown Manhattan, NYC (at least 3 days work form office) Duration: 6+ months (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

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Contract, Third Party

Depends on Experience

Revenue Cylcle Enrollment Mangement

Remote

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25d ago

Job Title: Revenue Cycle & Enrollment ManagerLocation: Remote (Fully Remote)Job Type: Long-Term ContractStart Date: ASAPJob SummaryWe are seeking a highly efficient, detail-oriented Revenue Cycle & Enrollment Manager to oversee our revenue cycle department and health plan enrollment operations. In this dual-focus leadership role, you will manage department staff, optimize financial workflows, and ensure the accurate processing of member enrollments, claims, billing, and appeals. You will be resp

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Contract

Depends on Experience

Senior Business Analyst Medicaid Enterprise Systems

Remote

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3d ago

Position: Senior Business Analyst Medicaid Enterprise Systems 100% Remote Hiring: W2 Contract / Fulltime Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Key responsibilities Own requirements and functional design for assigned CMdS modules (Claims, Member, Finance, and related interfaces).Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans.Facilitate working sessions; clarify

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Full-time

Depends on Experience

Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity

Remote

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22d ago

< class="t-24 ">Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity Remote (US) Contract OpportunityMust-Have: A minimum of 5 years of experince with Healthcare Payer Systems, Claims & Payment Integrity Primary Skills: ETL Fundamentals, SQL, SQL (Basic + Advanced), Alation, Talend, Matillion, Python, Data Warehousing, IICS, Modern Data Platform Fundamentals, Data Modelling Fundamentals, PLSQL, T-SQL, Stored ProceduresSpecialization ETL Specialization: Lead Data Engineer

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Contract

Depends on Experience

Healthcare Medicaid Business Analyst(Medicaid/MMIS Domain)

Remote

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5d ago

Job Description: Job Title: Healthcare Business Analyst Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary: Serve as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance

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Full-time

$70,000 - $95,000

Business Analyst with experience in Medicaid Enterprise Systems (MES) and Claims

Remote

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Today

Business Analyst - CMdS Claims, Member & Finance Implementation (MES) Location: Maryland (100% Remote) Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary Serve as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance criteria. Partner with development,

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Contract, Third Party