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Hybrid in Philadelphia, Pennsylvania

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Yesterday

Title:Business Analyst Client: Health Insurance Location: On-site 3 days per week inPhiladelphia PA Type: Contract to hire The Senior Business Analyst develops and ensures accurate set-up of medical and claim payment policies in accordance with business requirements. The Senior Business Analyst reviews claims data and trends to determine if system enforcement is appropriate or requires adjustment, as well as identifying areas of improvement, system inconsistencies and training opportunities. DU

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Contract

Depends on Experience

Sr. Analyst - PBM - Claims / formulary adjudicator - Healthcare - Medicaid

Remote

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4d ago

PBM experience Agile Healthcare Government programs, compliance, or Medicare. NCPDP 4 year degree is required (must be achieved) claims adjudicator integration understanding with strong business and technical acumen

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Contract

$50+

Senior Data / Business Systems Analyst in healthcare (payer: Medicaid/Medicare)

Hybrid in Philadelphia, Pennsylvania

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30+d ago

Hi Professionals, Title:Senior Data / Business Systems Analyst (Healthcare Payer domain) Locaion:Hybrid (Philadelphia) Duration: CTH JD: 8+ years in data/business analysis & project work 5+ years in healthcare (payer: Medicaid/Medicare) Experience with EDI & care management data Technical Skills: Strong SQL Expertise in Azure Databricks (Delta Lake, DLT, Unity Catalog) Knowledge of ETL processes Familiarity with BI tools (Power BI/Tableau) Understanding of data governance, PII, Coll

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Contract, Third Party

Depends on Experience

Senior Solution Business Analyst – Healthcare AI & Agentic Solutions

Remote

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22d ago

Company Overview: Req ID: 367045 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. NTT DATA''s Client is currently seeking a Solution Business Analyst to join their team in Dallas, Texas (US-TX), United States (US). REMOTE Key ResponsibilitiesBusiness & Domain AnalysisEngage with healthcare stakeholders across providers, payers, life sciences, opera

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Contract

$70 - $80

AI/ML Business Analyst (Healthcare)

Remote

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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: AI/ML Business Analyst (Healthcare) Location: Reston, VA (Remote) Job Type: C

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Contract

Depends on Experience

Senior Healthcare Integration Engineer

Remote

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Yesterday

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

ERP Business Systems Analyst (Healthcare)

Remote

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Today

Role ERP Business Systems Analyst (Healthcare)Location RemoteContract Role Overview:We are seeking a highly skilled and analytical ERP Business Systems Analyst (BSA) to join our team. This role is instrumental in the collection, analysis, and interpretation of complex data related to healthcare services. You will act as a bridge between technical data structures and business objectives, ensuring that our ERP systems (covering Finance, Supply Chain, Workforce Management, and more) effectively su

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Contract, Third Party

$60 - $65

Business Analyst - Healthcare Domain

Remote

•

Yesterday

Senior Business Analyst - (Healthcare Domain)Location: Remote (Travel Required for Go-Live as Needed) CompensationCompetitive (based on experience)Role OverviewWe are seeking a Senior Business Analyst with strong expertise in ServiceNow and proven experience in the healthcare domain. This role requires a seasoned professional who can bridge business and technology, drive requirements, and support end-to-end delivery including testing and release cycles. Key ResponsibilitiesGather, analyze, and

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Full-time, Third Party

Depends on Experience

Clinical Business Analyst in Healthcare environment - REMOTE (MUST be a SC Resident) - W2 ONLY

Remote

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2d ago

Job Description: Only W2 resumes are accepted Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. This project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance policy and code change alignment. Note - Medicaid Manage

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Contract

Depends on Experience

Senior Business Analyst- Health Care (HEDIS)

Philadelphia, Pennsylvania

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3d ago

HMG America LLC is the best Business Solutions focused Information Technology Company with IT consulting and services, software and web development, staff augmentation and other professional services. One of our direct clients is looking for Senior Business Analyst- Health Care (HEDIS) in Philadelphia, PA. Below is the detailed job description. Role: - Senior Business Analyst- Health Care (HEDIS) Location: - Philadelphia, PA Mode of work: - Hybrid (3 days/ week) JD:- Lead requirements end to en

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Contract, Third Party

$DOE

AI/ML BUSINESS ANALYST

Remote

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Yesterday

AI/ML Business Analyst QTechUS (Remote, W2 Contract)Location: Remote (USA) Type: 12+ months W2 Contract (No C2C) About QTechUSQTechUS is seeking a talented Senior Business Analyst to join our innovative team in delivering cutting-edge AI/ML solutions within the healthcare insurance domain. Why Join Us?Work remotely on impactful AI/ML projects in healthcareCollaborate with cross-functional Agile teamsCompetitive W2 contract ratesLong-term 12+ month engagement with growth potentialKey Responsibil

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Third Party, Contract

Depends on Experience

Senior Business Analyst

Remote

•

Yesterday

Senior Business Analyst (Remote) QTechUSLocation: Remote (USA) Type: W2 Contract (12+ months) Industry: IT/HealthcareAbout QTechUSQTechUS is seeking a talented Senior Business Analyst to join our remote team working on innovative AI/ML solutions in the healthcare insurance domain. As a strategic partner to our clients, we deliver cutting-edge digital, data, analytics, automation, and AI-enabled solutions. Why Join Us?Remote work flexibility across the USALong-term contract opportunity (12+ mont

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Contract, Third Party

Depends on Experience

Senior Business Analyst

Remote

•

Yesterday

Senior Business Analyst (Remote) QTechUSLocation: Remote (USA) Type: 12+ months W2 ContractAbout QTechUSQTechUS is seeking a talented Senior Business Analyst to join our innovative team in delivering cutting-edge AI/ML solutions within the healthcare insurance domain. Why Join Us?Work remotely on impactful healthcare technology projectsCollaborate with cross-functional Agile teams on AI/ML initiativesCompetitive W2 contract rates for top talentLong-term 12+ month engagement with leading industr

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Third Party, Contract

Depends on Experience

Provider Engagement Administrator II

Remote

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14d ago

Immediate need for a talented Provider Engagement Administrator II. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote -90%)(2 days travel. 5 days remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-12243 Pay Range: $21 - $24/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 Responsi

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Contract

$21 - $24

Benefits Configuration Analyst - Facets

Remote

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Today

Benefits Configuration Analyst- Facets Role & Responsibilities: Design, analyze, and implement benefit coding change requests with a high level of precision, ensuring alignment with client specifications and regulatory requirements.Gather, interpret, and evaluate complex client requirements to assess the impact of benefit designs on claims processing; effectively communicate tailored benefit setup options to stakeholders and internal teams, thereby advising on optimal solutions.Manage non-standa

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Full-time

$55,000 - $65,000

data Architect with Health Care Payer Domain

Philadelphia, Pennsylvania

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Yesterday

Position Title: Data Architect with Health Care Payer Domain Location: Philadelphia, PA Experience Level: 10+ years About the Role : The Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves in working range of stakeholders including business and IT teams to ensure d

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Contract, Third Party

Depends on Experience

Lead DataStage Platform Developer

Remote

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10d ago

A client of Innova Solutions is immediately hiring for a Lead DataStage Platform Developer Position Type: Full-time Contract Duration: 12+ Months Location: Lincoln, NE (Remote) As a Lead DataStage Platform Developer you will, DataStage Platform Administration: Lead administration of the IBM InfoSphere DataStage platform (11.7) including installation, configuration, and ongoing platform management. Configure and manage DataStage components including engine tier, services tier, repositories, a

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Contract

Depends on Experience

Business Analyst

Remote

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2d ago

Job ID: SC-10851 Remote/Local Healthcare BA with ICD/CPT/HCPCS, Optum Encoder/Medical Coding/Claim processing system, remediation, SME, MMIS experience Location: Columbia, SC (SCDHHS)Duration: 12 MonthsWork Location: Fully RemoteCandidate Location: Candidate MUST be a SC resident. No relocation allowed. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 5 years experience in healthcare insurance; medical review, program integrity, or appeals. 5 years experience working with IT developers/programme

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Contract

Depends on Experience

MMIS Reference Administrator

Remote

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Today

Requirements5 or more years of experience in medical coding and claims adjudication within a payor environment.Proficiency in MMIS and CPT, HCPCS, and ICD-10 coding methodologies.Experience in translating clinical policies into technical business and functional requirements.Experience with Optum Encoder and specialized medical coding software programs.Experience in collaborating with software developers on technical claims processing system updates.Experience with supervising staff responsible f

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Contract, Third Party

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

•

Today

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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Contract, Third Party

$60 - $70

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