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Principal Claims Product SME

Lorven Technologies, Inc.

Jefferson City, Missouri • 2d ago

Easy Apply

Third Party, Contract

Depends on Experience

Claims Tester

PamTen Inc

Remote • 2d ago

Easy Apply

Third Party, Contract

Depends on Experience

FACETS Architect (with Healthcare Claims)

Mindlance

Remote • 3d ago

Easy Apply

Contract

$80 - $90

Senior Project Manager(Healthcare Claims Experience(Required))

eSystems, Inc.

Remote • 11d ago

Easy Apply

Contract, Third Party

55 - 65

Rx Claims Configuration & Plan Migration

Randstad Digital

Remote or Natchitoches, Louisiana • Today

Contract

USD30 - USD40

Rx Claims Configuration & Plan Migration

Randstad Digital

Remote or Natchitoches, Louisiana • Today

Contract

USD30 - USD37

Claims Examiner Workers Compensation

Apidel Technologies

Remote • 10d ago

Easy Apply

Contract

Sr Claims Architect

Talent Groups

Remote • 25d ago

Easy Apply

Contract

Depends on Experience

CareFirstBridge/FEP Claims Tester

Goldenpick Technologies LLC

Remote • 2d ago

Easy Apply

Third Party, Contract

$40 - $45

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

TESTINGXPERTS, INC. DBA DAMCOSOFT

Remote • Today

Easy Apply

Third Party, Contract

Data QA Engineer With Payer / Provider / Claims

Magicforce

Remote • 3d ago

Easy Apply

Third Party, Contract

Depends on Experience

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

UnivEdge Consulting LLC

Remote • 23d ago

Easy Apply

Contract

Depends on Experience

Property & Casualty Liability Claims Manager (Remote - Florida)

Davies

Remote or Birmingham, Alabama • 9d ago

Full-time

USD 120,000.00 - 140,000.00 per year

Senior Business Analyst Claims @ W2

Cyber Sphere LLC

Remote • 6d ago

Easy Apply

Contract

Depends on Experience

Manager, IT Testing (Claims domain)

Conduent

Remote or Georgia • Today

Full-time

USD 97,790.00 - 127,000.00 per year

Claims ALLIE Business Architect - Customer Engagement - Remote

Allstate Insurance Company

Remote or New York, New York • Today

Full-time

USD 100,000.00 - 170,500.00 per year

Director, AI/ML Engineering - Claims Automation & Orchestration - Remote

UnitedHealth Group

Remote or Eden Prairie, Minnesota • Today

Full-time

USD 176,700.00 - 302,900.00 per year

Data Analyst- Insurance Claims

GE Aerospace

Remote • Today

Full-time

USD 76,400.00 - 130,300.00 per year

Epic PB Build Analyst / PB Claims Analyst

TekDallas

Remote • 4d ago

Easy Apply

Contract

Depends on Experience

Urgent Opening for the Position of Pega Healthcare Claims Developer in Remote

Lorven Technologies, Inc.

Remote • 2d ago

Easy Apply

Third Party, Contract

Depends on Experience

Solutions Architect (Healthcare Facets/Claims/GuidingCare (HealthEdge))

TalTeam

Remote • 4d ago

Easy Apply

Contract

Depends on Experience

Power BI Developer-Healthcare / Medicaid / healthcare claims

StoneGate-Technologies LLC

Remote • 2d ago

Easy Apply

Contract

$40,000 - $120,000

Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

EvolutionIQ

Remote or New York, New York • Today

Full-time

Director of Architecture for Agentic AI Claims Automation - Remote

UnitedHealth Group

Remote or Tempe, Arizona • Today

Full-time

USD 134,600.00 - 230,800.00 per year

Project Manager - PBM - PMP - Claims / Medicare - Medicaid

KE Staffing

Remote • 6d ago

Easy Apply

Contract

$60+

Job Details

Skills

Claims

Summary

Job Title: Principal Claims Product SME

Location: Jefferson City, MO (Hybrid)

Job Description:

10+ years of healthcare payer claims domain experience.
10+ years of Business Analysis, Systems Analysis, or Product Analysis experience.
Deep understanding of healthcare claims adjudication platforms and payer operations.
Experience working on claims platform implementations, enhancements, or modernization initiatives.
Strong communication, facilitation, and stakeholder management skills.
Ability to bridge business operations and product engineering teams.
Familiarity with configurable rules engines, workflow-driven applications, and AI-assisted modernization.
Experience working across Medicare, Medicaid, and Commercial Lines of Business.

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: 10120137
Position Id: 71745-10367-1790357475
Posted 2 days ago

Fitment

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Sr Claims Architect

Remote

•

25d 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

Easy Apply

Contract

Depends on Experience

Senior Project Manager(Healthcare Claims Experience(Required))

Remote

•

11d ago

Role : Senior Project Manager Client : Government of North Carolina(NCDIT) Work Type : Remote Experience in Healthcare Claims Required(7 Years(Minimum)) Minimum Relevant Experience : 7 Years Max Payrate : 65$ Per Hour Duration : 12 Months(Extendable) eSystems Inc. is a fast-growing Systems Integrator based in Princeton, New Jersey. We provide strategic IT solutions and services with primary practice areas in Java and Microsoft centric e-Business solutions, ERP solutions, Enterprise Application I

Easy Apply

Contract, Third Party

55 - 65

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

Remote

•

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,

Easy Apply

Third Party, Contract

Healthcare Medicaid Business Analyst(Medicaid/MMIS Domain)

Remote

•

6d 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

Easy Apply

Full-time

$70,000 - $95,000

Job Details

Skills

Claims

Summary

Job Title: Principal Claims Product SME

Location: Jefferson City, MO (Hybrid)

Job Description:

10+ years of healthcare payer claims domain experience.
10+ years of Business Analysis, Systems Analysis, or Product Analysis experience.
Deep understanding of healthcare claims adjudication platforms and payer operations.
Experience working on claims platform implementations, enhancements, or modernization initiatives.
Strong communication, facilitation, and stakeholder management skills.
Ability to bridge business operations and product engineering teams.
Familiarity with configurable rules engines, workflow-driven applications, and AI-assisted modernization.
Experience working across Medicare, Medicaid, and Commercial Lines of Business.

Dice Id: 10120137
Position Id: 71745-10367-1790357475
Posted 2 days 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

Sr Claims Architect

Remote

•

25d ago

Easy Apply

Contract

Depends on Experience

Senior Project Manager(Healthcare Claims Experience(Required))

Remote

•

11d ago

Easy Apply

Contract, Third Party

55 - 65

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

Remote

•

Today

Easy Apply

Third Party, Contract

Healthcare Medicaid Business Analyst(Medicaid/MMIS Domain)

Remote

•

6d ago

Easy Apply

Full-time

$70,000 - $95,000