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Hybrid in Baltimore, Maryland

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Today

W2 consultant - Seeking candidates that are local to Wash DC, Maryland, Va or WVA. Candidates must be eligible to convert to perm employment after 6 month contract. Vega Consulting Solutions is hiring a Healthcare Claims Adjuster for a Contract to hire job opportunity with our direct client. Candidate will be responsible for Investigating and performing adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guideline

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Contract

Depends on Experience

Senior Healthcare Integration Engineer

Remote

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Today

Title: Senior Healthcare EDI & Integration Engineer Location: Remote (US-Based) Job Type: Contract-To-Hire Compensation: $65 $70 per hour Industry: Healthcare Services Required Skills & Experience: Senior-level experience supporting healthcare EDI (834, 835, 837, 270/271, 276/277), building and managing FHIR and REST APIs, administering claims platforms, scripting & automating workflows, and supporting secure AWS-based integrations in a HIPAA-regulated environment. About the Role Our firm is re

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Contract

Depends on Experience

Lead Healthcare Product Owner

Remote

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13d ago

Lead Product Owner / Business Integration Lead (Prior Authorization) Location/Work model:100% Remote (must workEastern Time core hours) Type:Contract (~7 months, Possible extension) Compensation: $72/HRAbout the role Were looking for aLead Product Owner / Business Integration Leadto stabilize and improveend-to-end Prior Authorization (PA)operations and the supporting technology/process integrations. This is atrue hybrid role(Product Owner + Business Integration Lead) focused on fixing real break

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Third Party, Contract

$72.18

Lead ServiceNow Developer

Remote

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16d ago

KMM an ISO 9001:2015, CMMI Level 2 certified companyprovides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clien

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Third Party, Contract

$75 - $80

Claims Tester

Remote

•

Today

Title: Claims Tester Location: Remote Duration: Long-term Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the applic

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Contract

Depends on Experience

Payment Integrity Project Specialist

Remote or Hybrid in Grand Rapids, Michigan

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7d ago

100% Hybrid (Onsite Cadence: Tuesday, Wednesday, Thursday.) Out of state not required to come on site. Expenses allowed:to be decided Equipment to be Provided Must Have Claims/HealthcareInfluencing roleProject management of large scale complex implementations.SLA agreements.Nice To Have Job Summary Ensuring adherence to the Health Project Management methodology and quality standards, oversees various high-priority projects of mid to large size requiring considerable resources and high levels of

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Full-time, Third Party

Depends on Experience

AS/400 SYNON/Rxclaim Tech Lead with Healthcare Remote

Remote

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6d ago

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, Claims, and Payer. This role requires a proactive individual who can contribute to our Rxclaim development projects and help us achieve our goals. The position requires strong knowledge on SYNON and AS400 development. The selected candidate needs to work in offshore-onshore model. SYNON (8+years ) and Rxclaim adju

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Contract

Depends on Experience

Senior Business Analyst – Claims module

Remote

•

Today

Title: Senior Business Analyst Claims module Location: Remote Duration: Long Term Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the applicat

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Contract

Depends on Experience

EPIC Tapestry Analyst (100% REMOTE/NO C2C)

Remote

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Today

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplishedEPIC Tapestry Analyst NOTE-THIS IS 100% REMOTE ROLE& ONLY W2 CANDIDATES/NO C2C/1099 Candidate must be authorized to work in USA without requiring sponsorship Position Title EPIC Tapestry Analyst (Job ID 3320533) Location: Los Angeles CA 90024 (100% REMOTE) Duration: 6 Months Manager is looking for a candidate that can

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Contract

100 - 105

Sr. Data Analyst (Federal Healthcare SME) - Monthly Hybrid in Canton, MD - T2P Position (Local Preferred)

Hybrid in Baltimore, Maryland

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8d ago

Sr. Data Analyst (Federal Healthcare SME)Open for C2H Local Candidate Preferred Elite Technical is seeking a Data Analyst who can lead the creation of cutting-edge analytic tools to drive better and faster decision making within our clients healthcare payor organization, and provides critical support for key corporate programs, Medicare Advantage Stars and Risk Adjustment programs as it relates to provider data, provider to claims process. Must have previous Federal Healthcare/CMS Stars data ex

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Contract, Third Party

75 - 85

Sr. Analytics Engineer/BI Developer - Part time (Databricks + Tableau + Azure Healthcare Data)

Remote

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27d ago

100% remote work. Part-time position (20 hrs/week), but the candidate MUST be available to work during normal business hours. This is a hybrid Analytics Engineering and BI Development role focused on Azure Databricks, Tableau dashboards, healthcare data pipelines, and analytics delivery. Our client is looking for a Senior Analytics Engineer / BI Developer with strong Azure Databricks and Tableau expertise to support a major healthcare analytics initiative. This role combines hands-on data engine

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Part-time

50 - 65

Business Process Management Consultant (Healthcare)

Hybrid in Columbia, Maryland

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Business Process Management Consultant (Healthcare) Location: Columbia, Maryl

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Contract

Depends on Experience

Senior Medicaid BI / Reporting Business Analyst (Remote)

Remote

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Yesterday

Senior Medicaid BI / Reporting Business Analyst Location: Remote U.S. About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Why S2Tech?: Stable, privately-owned company with a strong reputation for

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Full-time

Depends on Experience

Data Analyst IV Healthcare Analytics, Medical Economics

Remote or Michigan

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Today

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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employmen

Full-time

USD 87,700.00 - 157,800.00 per year

AI Data Scientist

Hybrid in Columbia, Maryland

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8d ago

AI Data ScientistSeeking a Data Scientist who can lead the proliferation of machine learning and artificial intelligence throughout the enterprise. Identifies and solves business problems by using various numerical techniques, algorithms, and models in statistical modeling, machine learning, operations research, and data mining. Uses advanced analytical capabilities to support data science initiatives. Communicates across product teams and with customers and educates on artificial intelligence,

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Contract

Up to $82

Claims Reimbursement Analyst-Remote

Remote

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8d ago

Claims Reimbursement Analyst 100% Remote Job Title: Claims Reimbursement Analyst Location: 100% Remote Job Type: Contract / Full-Time Job Summary: We are seeking a detail-oriented Claims Reimbursement Analyst to support claims processing, reimbursement analysis, and payment accuracy initiatives. The ideal candidate will have strong experience working with healthcare claims, payer systems, reimbursement methodologies, and data analysis within a healthcare environment. Responsibilities: Ana

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Contract, Third Party

$20 - $26

Data Scientist (Healthcare Provider Data)

Hybrid in Columbia, Maryland

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Data Scientist (Healthcare Provider Data) Location: Columbia, Maryland (Hybri

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Contract

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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30+d ago

Job: Technical Delivery Manager (MMIS Medicaid Business) Location: Remote from anywhere in US Job Duties: Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts.Directly oversee the MMIS Claims Adjudication lifecycle, ensuring all payment processing modules align with CMS standards and state-specific business rules.Should be able to contribute in building and maintaining modern applications with cloud native architectureManage top-down oversig

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Third Party, Contract

$60 - $70

Provider Support Specialist – Remote

Remote

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Today

Job Title: : Provider Support Specialist Remote Location: Corvallis, OR Duration: 3 + Months Rate : $ 25/hr. on W2 Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans procedures, benefits, policies, and available provider toolsCoordinates and provides administrative support to the Network Contracting and Relations team.Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely a

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Contract

Healthcare Data Quality Engineering Lead-Remote

Remote

•

Yesterday

Title - Healthcare Data Quality Engineering Lead Location-Remote Duration Contract Job Title: Healthcare Data Quality Engineering Lead Location: USA (Remote/Hybrid) Experience: 10+ Years Must Have Data Engineering, Data Quality Engineering, QA LeadershipHealthcare industry experience is mandatory.Deep understanding of healthcare data domains, including pharmacy, clinical, claims, provider, and member data.Data Engineering, Data Quality Engineering, QA Leadership, or a related role.SQL, ETL,

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Contract

Depends on Experience

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