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Role: Business Analyst (Healthcare Payer Government Programs/Risk Adjustment) Duration: 06 Months with Possible extension Location: 100% REMOTE (EST candidates strongly preferred) Key Responsibilities Elicit, analyze, and document business requirementsfor initiatives impacting government programs, including risk adjustment, care management, claims, and provider engagementSupportrisk adjustment programs, including data validation, gap identification, suspecting logic, and performance trackingColl

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Contract

55 - 60

Healthcare Payer Business Analyst - Government Programs/Risk Adjustment

Remote

•

Today

Business Analyst (Healthcare Payer Government Programs/Risk Adjustment) Tentative duration - 06 Months with Possible extension REMOTE (EST candidates strongly preferred) Position Summary We are seeking an experienced Business Analyst to support strategic and operational initiatives for a health plan focused on government lines of business (Medicaid, Medicare, and ACA Exchange). This role will partner closely with clinical, operational, compliance, and technology teams to drive initiatives re

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Contract, Third Party

Healthcare Business Analyst with SNF

Remote

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14d ago

Healthcare Business Analyst (BA) in the Skilled Nursing Facility (SNF) Location : Remote Duration : 8 Months Job Description : SNF and ALF experience. Direct, hands on operational experience inside a skilled nursing or assisted living facility. You know what MDS is, you understand the census, you know how a care plan moves, and you can hold your own in a conversation with a DON or an administrator without losing credibility in the first five minutes. This is the single most important qu

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Contract, Third Party

Depends on Experience

Business Analyst (Pharmacy/Healthcare)

Florham Park, New Jersey

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20d ago

Job Summary: Job Scope and Major Responsibilities: Gather and translate business requirements into functional specifications which will be used to create new features within a new or existing system. Perform gap analysis between current system capabilities and new business needs using Confluence, flowcharts, and wireframes that demonstrate the end-to-end workflow. Create use cases for the developers and QA team to review as part of functional testing. Review requirements with the IT team to prov

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Full-time

$100,000+

Healthcare IT Business Analyst

Remote

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10d ago

VITL is seeking an experienced Business Analyst to be the bridge between our business stakeholders and our technology teams. We are seeking candidates who share our values and believe in VITLs mission, who will listen, synthesize and summarize stakeholders needs into cogent formats to support our systems development projects. This role will create clarity from ambiguity to drive project scoping and support execution and delivery through gathering, translating and documenting essential business

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Full-time, Third Party

100,000 - 110,000

Looking for Healthcare Payer Enterprise Architect || Newark, NJ || Fulltime

Newark, New Jersey

•

Today

Hi, Hope you are doing well. We do have a position for Healthcare Payer Enterprise Architect with our client. Please find the details below and if interested please send me your updated word format resume. Tittle: Healthcare Payer Enterprise Architect Location: Newark, NJ Duration: Fulltime Experience : 10-25 Years Must Have Technical/Functional Skills: 12+ years in IT with 5+ years in enterprise/solution architecture.Strong experience in U.S Healthcare Payer domain. Hands-on knowledge of:

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Full-time

$120,000 - $140,000

Data Modeler with Healthcare Payer Experience

Hybrid in New York, New York

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11d ago

Role: Data Modeler Location Midtown Manhattan, NYC- preferred at least 2 days onsite Duration approximately 6 months Position Summary We are seeking an experienced Data Modeler to design, develop, and maintain scalable enterprise data models that support analytics, reporting, and operational data needs. The ideal candidate possesses strong expertise in dimensional modeling, modern cloud data platforms (particularly Snowflake), and data warehousing best practices. This role requires close collabo

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Third Party, Contract

Depends on Experience

Business Systems Analyst (Healthcare)

Remote or Grand Rapids, Michigan

•

Today

Stefanini Group is hiring! Stefanini is looking for a Business Systems Analyst (Healthcare) - Remote For quick Apply, please reach out to Rahul Kumar: / W2 candidates Preferred! 100% Remote Expenses allowed: No Client Equipment to be Provided Specific Skillset Requirements: Detail oriented, efficient in data entry, organized Job Summary:Under minimal supervision, formulates and defines systems scope and objectives through research and fact-finding, combined with an understanding of applicable bu

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Contract

$25 - $27 /hr

UiPath Business Analyst — Healthcare (Epic)

Remote

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26d ago

UiPath Business Analyst Healthcare (Epic) Location: Remote Duration: 6+ months Must-Have Skills Hands-on Epic EHR workflows (clinical documentation, scheduling, revenue cycle, pharmacy, etc.) Healthcare provider operations knowledge (patient access, revenue cycle, clinical workflows) Experience writing PDDs, BRDs, use cases, AS-IS/TO-BE process maps UiPath RPA fundamentals (Orchestrator, attended vs. unattended bots) Process discovery workshop facilitation HIPAA/HITECH/PHI compliance underst

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Third Party, Contract

$45 - $50

Business Analyst (Healthcare / Provider Management / Provider Enrolment)

Dallas, Texas

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21d ago

Job Title: Business Analyst (Healthcare / Provider Management / Provider Enrolment) Location: Dallas, TX Duration: Long Term Job Description: Key Responsibilities: Gather, analyze, and document business requirements related to Provider Management and Provider Enrollment processes Work with stakeholders to understand provider lifecycle workflows including onboarding, credentialing, contracting, and enrollment Create BRDs, FRDs, user stories, process flows, and gap analysis documents Support

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Contract

Depends on Experience

Healthcare Senior Business Analyst

Remote

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7d ago

Healthcare Senior Business Analyst Claims module: Remote Position Type-Full-time / W2 - with Infinite Computer Solutions Must have the MMIS domain. Medicaid, Healthcare, Payer 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 entir

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Full-time

$60,000 - $80,000

Healthcare Payer AI Decision Science Manager

Boylston, Massachusetts

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Today

Accenture helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed for organizations across industries. Our strategy is to be the reinvention partner of choice for our clients and lead in the safe, widespread adoption of AI, and to be the most client-focused, AI-enabled, great place to work in the world. We bring together the talent of our approximately 799,000 people with proprietary assets and platforms, deep process

Full-time

USD 94,400.00 per year

Healthcare Analyst Payer Systems (Facets, Java & React Platforms)

Woodland, California

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Today

Job Description : 1 A technical system analyst with good understanding of the healthcare process flow Eligibility & Enrollment Provider contract pricing Claims adjudication Billing Appeals and Grievances 2 Technical understanding of Sql and Dot net full stack preferable 3 knowledge of Facets platform from a developer point of view ie data models, architecture and process flow 4 Good experience in working with Business and technical teams to prepare system requirements and Technical an

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Contract, Third Party

55 - 60

Sr. Healthcare Project Manager/Business Analyst

Fort Myers, Florida

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Today

Job Title: Senior Healthcare IT Project Manager / Business Analyst Overview / Summary HTC Global Services is seeking a Senior Project Manager / Business Analyst to lead the delivery of a high-visibility clinical laboratory automation platform for a key healthcare client. This customer-facing role serves as the primary point of contact for client stakeholders, owns delivery execution, and bridges business requirements with an offshore engineering team. The engagement involves a digital platform

Full-time

Sr Business Systems Analyst - Healthcare Operations

Virginia Beach, Virginia

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Today

Senior Business Systems Analyst (Healthcare Operations) Location: 100% Remote (Must reside in an approved state) Employment Type: Contract-to-Hire Work Hours: Eastern Time (EST) About the Opportunity We are seeking a Senior Business Analyst to support critical healthcare operations and serve as the liaison between business operations, IT, claims, and testing teams. This is a highly visible role focused on production support, operational analysis, business validation, and technology solution ali

Full-time

USD 50.00 - 55.00 per hour

Sr Business Systems Analyst - Healthcare Operations

Atlanta, Georgia

•

Today

Senior Business Systems Analyst (Healthcare Operations) Location: 100% Remote (Must reside in an approved state; Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming.) Employment Type: Contract-to-Hire Work Hours: Eastern Time (EST) About th

Full-time

USD 50.00 - 55.00 per hour

Business Analyst - Healthcare

Indianapolis, Indiana

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 55,600.00 - 79,400.00 per year

Business Analyst - Healthcare

Indianapolis, Indiana

•

Today

Full-time

USD 55,600.00 - 79,400.00 per year

Business Systems Analyst - Health Plan

Baton Rouge, Louisiana

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28d ago

Req ID: 375261 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. We are currently seeking a Business Systems Analyst - Health Plan to join our team in Baton Rouge, Louisiana (US-LA), United States (US). Job Description: Senior Business Analyst Health Plan Sr. BA for US healthcare project to assist assigned clients with development of initial and/

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Contract, Third Party

$56.88

Healthcare Interoperability Business Analyst

Remote

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5d ago

Infinite Solutions Inc. is a California-based Information Technology Solution provider specializing in delivering enterprise technology and digital transformation solutions for public-sector clients since 1997. With deep expertise in systems integration, ERP implementations, data analytics, and modernization, we support mission-critical initiatives for State and local agencies. Our team is known for combining technical excellence with a practical, results-driven approach to solving complex busin

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Third Party, Contract

Depends on Experience

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