Search Jobs | Dice.com

42 results (3 new)

Group by company

Systems Analyst Advisor - Claims Platform Modernization

Neumeric Technologies Corporation

Baltimore, Maryland • Today

Easy Apply

Contract

$Open

Data Systems Analyst (Medical Claims or Pharmacy claims)

KE Staffing

Remote • 16d ago

Easy Apply

Contract

$50+

Sr Claims Systems Analyst - AI-Enabled

Curative

Remote or Austin, Texas • Today

Full-time

USD 110,000.00 - 165,000.00 per year

Claims Analyst

nTech Solutions

Baltimore, Maryland • 10d ago

Easy Apply

Contract

30 - 32

Workers Compensation Claims Adjuster

Apidel Technologies

Remote • 2d ago

Easy Apply

Contract

52 - 56

Senior SAS Business Analyst with Medicaid/Claims experience (Remote)

Cleo Consulting Inc.

Remote • 24d ago

Easy Apply

Third Party, Contract

$55 - $60

Transactional Liability Claims Counsel

SANS

Remote • Today

Easy Apply

Full-time

Depends on Experience

Manager, Full Stack Development Python / Go / Java, AWS (Healthcare Claims)

Bramkas Inc.

Remote • Yesterday

Easy Apply

Full-time

Depends on Experience

Product Owner, Claims Editing (RTM)

Vaco by Highspring

Remote • 10d ago

Easy Apply

Full-time

Depends on Experience

Systems Analyst (Senior) (Onsite)

Serigor

Linthicum Heights, Maryland • Yesterday

Easy Apply

Contract

Depends on Experience

Computer Systems Analyst

Leidos

Maryland • Today

Full-time

Data Architect – PBM Data Modernization

Fervorly

Remote • 7d ago

Easy Apply

Contract

Depends on Experience

CCaaS Systems Analyst

SN Cloud Solutions

Remote • 3d ago

Easy Apply

Contract

55 - 60

Data Architect, Product Modernization

FornaxTechnology Services Pvt Ltd

Remote • 14d ago

Easy Apply

Full-time

110,000 - 150,000

GTM Systems Analyst

Ashby

Remote or Canada, Kentucky • Today

Full-time

USD 115,000.00 - 162,438.00 per year

Workday System Analyst

Robert Half

Remote or New York, New York • Today

Easy Apply

Full-time

USD 76.00 - 88.00 per hour

ServiceNow Platform Architect

TATA Consultancy Services Limited

Remote • 23d ago

Easy Apply

Full-time

110,000 - 160,000

Data Technology Consultant - Data & AI Modernization

EPAM Systems

Remote or New York, New York • Today

Full-time

Data Technology Consultant - Data & AI Modernization

EPAM Systems

Remote • Today

Full-time

ServiceNow Principal Platform Architect

W3Global

Remote • Today

Contract

USD60.0/HOURLY - USD65.0/HOURLY

ServiceNow Principal Platform Architect

Talent Groups

Remote • 4d ago

Easy Apply

Contract

65 - 70

Workday Sr Systems Analyst

Shriners Hospitals for Children

Remote • Today

Full-time

Salesforce Field Services Subject Matter Advisor - Claims

Randstad Digital

Remote or Chicago, Illinois • Today

Contract

USD85 - USD95

Healthcare Claims Processor (Fully Insured)-Fully Remote

Elite Technical

Remote • 17d ago

Easy Apply

Contract

Senior Software Engineer (Casualty / Claims Intelligence)

CCC Information Services Inc.

Remote or Chicago, Illinois • Today

Full-time

USD 180,000.00 - 225,000.00 per year

Senior AI Engineer (CCC Casualty / Claims Intelligence)

EvolutionIQ

Remote or Chicago, Illinois • Today

Full-time

USD 180,000.00 - 225,000.00 per year

Senior AI Engineer (Casualty / Claims Intelligence)

CCC Information Services Inc.

Remote or Chicago, Illinois • Today

Full-time

USD 180,000.00 - 225,000.00 per year

Attorney - Transactional Liability Claims Professional

SANS

Remote • 5d ago

Easy Apply

Contract

100 - 300

Senior Machine Learning Engineer (Casualty / Claims Intelligence)

CCC Information Services Inc.

Remote or Chicago, Illinois • Today

Full-time

USD 180,000.00 - 225,000.00 per year

Senior Machine Learning (ML) Engineer (CCC Casualty / Claims Intelligence)

EvolutionIQ

Remote or Chicago, Illinois • Today

Full-time

USD 180,000.00 - 225,000.00 per year

Job Details

Skills

Business Process
Mainframe
Data Flow
Macros
Robotic Process Automation
Functional Requirements
UI
Business Rules
Quality Assurance
Regression Analysis
Knowledge Transfer
Evaluation
Code Refactoring
Data-flow Diagrams
Sequence Diagrams
Entity Relationship Model
Business Systems
Process Mapping
Requirements Traceability
Software Modernization
API
Agile
JIRA
Testing
Collaboration
Communication
Medicare
Health Care
Electronic Data Interchange
Reporting
MuleSoft
Python
React.js
Interfaces
Inventory
Workflow
User Stories
Test Scenarios
Documentation

Business Process
Mainframe
Data Flow
Macros
Robotic Process Automation
Functional Requirements
UI
Business Rules
Quality Assurance
Regression Analysis
Knowledge Transfer
Evaluation
Code Refactoring
Data-flow Diagrams
Sequence Diagrams
Entity Relationship Model
Business Systems
Process Mapping
Requirements Traceability
Software Modernization
API
Agile
JIRA
Testing
Collaboration
Communication
Medicare
Health Care
Electronic Data Interchange
Reporting
MuleSoft
Python
React.js
Interfaces
Inventory
Workflow
User Stories
Test Scenarios
Documentation

Summary

Hello,

Hope you are doing good,

Position: Systems Analyst Advisor - Claims Platform Modernization

Location: Multiple location Across USA

Duration: Contract opportunity

Job Description:

Key Responsibilities:

Lead current-state analysis of Medicare Part A/Part B business processes, application functions, legacy mainframe interactions, data flows, interfaces, macros and RPA-supported workflows.
Conduct stakeholder workshops and document business outcomes, system interactions, upstream/downstream dependencies, exceptions and operational controls.
Assess Claims Core native capabilities and supported APIs with technical teams; document retain, modify, consolidate, replace or retire recommendations without assuming one-for-one replacement.
Prepare business and functional requirements, user stories, process maps, interface/data requirements, acceptance criteria and traceability to impacted applications and work packages.
Work with architects to define future-state workflows, modem web UI needs, API integration scenarios. acceptance criteria and traceability to impacted app cations and work packages.

Work with architects to define future-state workflows, modem web UI needs, API integration scenarios and application modernization opportunities.
Identify jurisdiction-specific needs for Jurisdiction K and Jurisdiction 6, including configuration, business rules, data and testing.
Coordinate with Wellpoint Federal teams and, as authorized, CMS and the Claims Core platform vendor to clarify functionality, interfaces, dependencies and open questions.
Partner with QA to define functional, integration, negative, regression and legacy/Claims Core coexistence test scenarios.
Maintain analysis artifacts, decisions, dependencies and work items in Wellpoint Federal-approved Agile tools, including JIRA.
Support documentation, knowledge transfer and implementation readiness for subsequent engineering work.
Compare current and proposed systems; identify functional, technical, operational, and security gaps. Support evaluation of refactoring, and replacement options. Document dependencies, constraints, business impacts, risks.
Create current-state and future-state process maps, system context diagrams, data-flow diagrams, sequence diagrams, and entity-relationship models.
Explain system boundaries, integrations, exception paths, and changes to user workflows clearly to both technical and business audiences.

Required Qualifications:

Strong experience as a senior systems analyst or business systems analyst supporting complex enterprise applications and integrations.
Experience with current-state discovery, business process mapping, functional specifications, user stories, acceptance criteria and requirements traceability.
Ability to analyze APIs, data exchanges, system dependencies, batch processes and operational workflows with technical and business stakeholders.
Working knowledge of application modernization, API-first design and integration concepts. Experience supporting Agile delivery, JIRA, testing and cross-functional technical coordination.
Strong written communication and ability to produce clear documentation where legacy specifications are incomplete.

Preferred Qualifications:

Medicare claims processing or healthcare payer operations experience, especially Part A/Part B, MAC operations, FISS, MCS or CWF.
Exposure to EDI transactions, claims edits/adjustments, operational workflows and reporting.
Familiarity with REST APIs, MuleSoft, Python-based integrations and React-based user interfaces.
Experience with legacy-to-modern platform transitions, coexistence and data reconciliation.

Expected Work Products

Validated application/process inventory and dependency maps.
Current-state process and integration documentation, including known gaps.
Future-state requirements, workflow recommendations, user stories and acceptance criteria.
Impact assessment, technical dependency register and prioritized implementation-ready work packages.
Test scenarios, traceability and handover documentation.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10123174
Position Id: 2026-13856
Posted 46 minutes ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Claims Analyst

Baltimore, Maryland

•

10d ago

Terms of Employment W2 Contract-to-Hire, 6-Months Location: 100% On-Site (Canton / Downtown Baltimore, MD) Schedule: Monday - Friday, 8:00 AM 4:30 PM (40 hours per week) Equipment Requirement: Must bring your own laptop/device for the duration of the contract period Interview Process: Onsite interviews Overview Join a leading healthcare services administration team as a Functional Analyst. In this role, you will provide critical operational support by reviewing, researching, and validating high

Easy Apply

Contract

30 - 32

Systems Analyst (Senior) (Onsite)

Linthicum Heights, Maryland

•

Yesterday

Job Title: Systems Analyst (Senior) (Onsite) Location: Linthicum, MD, 21090 Duration: Upto 7 Years Position Description: The Senior Systems Analyst (Senior) provides technical and administrative direction for personnel performing software development tasks; this includes the review of work products for correctness, adherence to the design concept and to user standards, and for progress in accordance with schedules. The Senior Systems Analyst will be expected to support the analysis, design, and

Easy Apply

Contract

Depends on Experience

Senior Business Analyst

Hybrid in Baltimore, Maryland

•

16d ago

Senior Business AnalystSQN Systems, Corp | Columbia, MD Job Details Location: Baltimore, MD (40-65% onsite) Duration: 12 months, with a one-year renewal option Anticipated start: January 2027 Employment type: W2 employee or direct consultant with SQN Systems Pay: $125,000/year salary OR $60.10/hour Labor category: Analyst, Computer Systems (Senior) About the Role SQN Systems is seeking a Senior Business Analyst to support multiple large IT modernization initiatives and ongoing PMO activity

Easy Apply

Full-time

Business Analyst

Rockville, Maryland

•

Today

Job Title: Business Analyst Location: Rockville, MD Duration: Long Term Contract Technical Skills: Years/Level of Experience Requirements Analysis (3-5 yrs experience) Business Analysis (3-5 yrs experience) Role Description: The Business Systems Analyst serves as the senior liaison between business stakeholders and technical delivery teams for Azure DevOps enabled process improvement for custom developed and enterprise workflow initiatives in a regulated federal IT environment. The role lead

Easy Apply

Contract

Depends on Experience

Job Details

Skills

Business Process
Mainframe
Data Flow
Macros
Robotic Process Automation
Functional Requirements
UI
Business Rules
Quality Assurance
Regression Analysis
Knowledge Transfer
Evaluation
Code Refactoring
Data-flow Diagrams
Sequence Diagrams
Entity Relationship Model
Business Systems
Process Mapping
Requirements Traceability
Software Modernization
API
Agile
JIRA
Testing
Collaboration
Communication
Medicare
Health Care
Electronic Data Interchange
Reporting
MuleSoft
Python
React.js
Interfaces
Inventory
Workflow
User Stories
Test Scenarios
Documentation

Business Process
Mainframe
Data Flow
Macros
Robotic Process Automation
Functional Requirements
UI
Business Rules
Quality Assurance
Regression Analysis
Knowledge Transfer
Evaluation
Code Refactoring
Data-flow Diagrams
Sequence Diagrams
Entity Relationship Model
Business Systems
Process Mapping
Requirements Traceability
Software Modernization
API
Agile
JIRA
Testing
Collaboration
Communication
Medicare
Health Care
Electronic Data Interchange
Reporting
MuleSoft
Python
React.js
Interfaces
Inventory
Workflow
User Stories
Test Scenarios
Documentation

Summary

Hello,

Hope you are doing good,

Position: Systems Analyst Advisor - Claims Platform Modernization

Location: Multiple location Across USA

Duration: Contract opportunity

Job Description:

Key Responsibilities:

Lead current-state analysis of Medicare Part A/Part B business processes, application functions, legacy mainframe interactions, data flows, interfaces, macros and RPA-supported workflows.
Conduct stakeholder workshops and document business outcomes, system interactions, upstream/downstream dependencies, exceptions and operational controls.
Assess Claims Core native capabilities and supported APIs with technical teams; document retain, modify, consolidate, replace or retire recommendations without assuming one-for-one replacement.
Prepare business and functional requirements, user stories, process maps, interface/data requirements, acceptance criteria and traceability to impacted applications and work packages.
Work with architects to define future-state workflows, modem web UI needs, API integration scenarios. acceptance criteria and traceability to impacted app cations and work packages.

Work with architects to define future-state workflows, modem web UI needs, API integration scenarios and application modernization opportunities.
Identify jurisdiction-specific needs for Jurisdiction K and Jurisdiction 6, including configuration, business rules, data and testing.
Coordinate with Wellpoint Federal teams and, as authorized, CMS and the Claims Core platform vendor to clarify functionality, interfaces, dependencies and open questions.
Partner with QA to define functional, integration, negative, regression and legacy/Claims Core coexistence test scenarios.
Maintain analysis artifacts, decisions, dependencies and work items in Wellpoint Federal-approved Agile tools, including JIRA.
Support documentation, knowledge transfer and implementation readiness for subsequent engineering work.
Compare current and proposed systems; identify functional, technical, operational, and security gaps. Support evaluation of refactoring, and replacement options. Document dependencies, constraints, business impacts, risks.
Create current-state and future-state process maps, system context diagrams, data-flow diagrams, sequence diagrams, and entity-relationship models.
Explain system boundaries, integrations, exception paths, and changes to user workflows clearly to both technical and business audiences.

Required Qualifications:

Strong experience as a senior systems analyst or business systems analyst supporting complex enterprise applications and integrations.
Experience with current-state discovery, business process mapping, functional specifications, user stories, acceptance criteria and requirements traceability.
Ability to analyze APIs, data exchanges, system dependencies, batch processes and operational workflows with technical and business stakeholders.
Working knowledge of application modernization, API-first design and integration concepts. Experience supporting Agile delivery, JIRA, testing and cross-functional technical coordination.
Strong written communication and ability to produce clear documentation where legacy specifications are incomplete.

Preferred Qualifications:

Medicare claims processing or healthcare payer operations experience, especially Part A/Part B, MAC operations, FISS, MCS or CWF.
Exposure to EDI transactions, claims edits/adjustments, operational workflows and reporting.
Familiarity with REST APIs, MuleSoft, Python-based integrations and React-based user interfaces.
Experience with legacy-to-modern platform transitions, coexistence and data reconciliation.

Expected Work Products

Validated application/process inventory and dependency maps.
Current-state process and integration documentation, including known gaps.
Future-state requirements, workflow recommendations, user stories and acceptance criteria.
Impact assessment, technical dependency register and prioritized implementation-ready work packages.
Test scenarios, traceability and handover documentation.

Dice Id: 10123174
Position Id: 2026-13856
Posted 46 minutes ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Claims Analyst

Baltimore, Maryland

•

10d ago

Easy Apply

Contract

30 - 32

Systems Analyst (Senior) (Onsite)

Linthicum Heights, Maryland

•

Yesterday

Easy Apply

Contract

Depends on Experience

Senior Business Analyst

Hybrid in Baltimore, Maryland

•

16d ago

Easy Apply

Full-time

Business Analyst

Rockville, Maryland

•

Today

Easy Apply

Contract

Depends on Experience