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Remote

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Today

Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited to

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Full-time, Part-time, Contract, Third Party

IT - Medicaid - Sr. Business Analyst

Montgomery, Alabama

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7d ago

IT - Medicaid - Sr. Business AnalystOnsite Montgomery, AL Position Description: Preparing for a major transition from a monolithic system with 14 different business functions to a modern system and platform. This multi-year "Modernization project will include working with multiple vendors and may include multiple project methodologies. The project must comply with the Federal standards and regulations such as: Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and Standar

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Third Party, Contract

Depends on Experience

Lead Business Analyst

Hybrid in Reston, Virginia

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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, EnterpriseTransformation. Role:Lead Business Analyst Location: Reston, VA-hybrid Job Type: Contract to Hire Job

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Contract

Depends on Experience

Senior Capture Manager (CMS Focused)

Hybrid in Tysons, Virginia

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2d ago

Join Sky Solutions, LLC - Pioneering Digital Transformation Excellence! About Sky Solutions Sky Solutions is a trusted partner in government contracting, empowering federal agencies with cutting-edge IT solutions. Our expertise spans AI-first enablement, delivering innovative solutions and advanced cybersecurity, fortifying digital ecosystems against emerging threats and digital transformation through low-code/no-code development, cloud solutions, and agile methodologies. We simplify complex pr

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Full-time

Depends on Experience

Project specialist - Healthcare | Onsite at MI

Wyoming, Michigan

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Yesterday

Amtex SystemsInc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 25 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. Need candidates

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Contract, Third Party

Depends on Experience

Healthcare Business Analyst

Remote

•

Today

Strong understanding of Healthcare Payer domain data, including claims, membership, provider, and eligibility datasets Experience in Source-to-Target Mapping (STM) and ETL design/documentation activities Ability to work as a Data Mapper within Health Plan data environments Hands-on SQL knowledge for data analysis, validation, and mapping activities Familiarity with day-to-day AI productivity tools and data analysis support tools Strong communication skills with the ability to interact with busin

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Contract

$50 - $52

Mainframe Programmer

Remote

•

Yesterday

Mainframe ProgrammerIntroduction:This position involves working collaboratively with the Medicaid Services MMIS and MEDS Teams to make coding changes to Cobol and Ads programs using an IDMS Network Database or IDMS Relational Database, Technical and design specifications. The Mainframe Programmer will be responsible for debugging, unit testing, and integration testing coding changes, as well as supporting Quality Assurance staff during QA, User Acceptance, and External Testing. Responsibilities:

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Contract, Third Party

Depends on Experience

QA Test Engineer with Medicaid and Claims - Remote

Remote

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2d ago

Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare.Should have hands-on experience on claims processing and Adjudication processes.Must have good experience in Reference code/data sets required in Claims adjudication.Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.In depth understanding of Claims and Claims lifecycleClaim System:Testing knowledge and E2E Testing:

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Contract, Third Party

$50 - $55

Senior Mainframe Developer

Remote

•

Yesterday

Job Title: Senior Mainframe DeveloperLocation: 100% Remote Duration: 9-month contract (With possible extension) Responsibilities: Work collaboratively with the Medicaid Services MMIS and MEDS Teams to make coding changes to Cobol and Ads programs using an IDMS Network Database or IDMS Relational Database, Technical and design specifications. Debug, unit test, and integration test coding changes. Support Quality Assurance staff during QA, User Acceptance, and External Testing by making needed co

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Contract

$70 - $78

Mainframe Programmer

Remote

•

Yesterday

Role: Mainframe Programmer Location: Clemson, SC (Remote) Duration: 12+ months Job Description: SCOPE OF THE PROJECT: This project includes backfill on production systems, potentially working on smaller short-term projects and includes working with customers, development staff, operational staff and QA staff. DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Services MMIS and MEDS Teams to make coding changes to Cobol and Ads programs using an IDMS Network Database or IDM

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Contract

Depends on Experience

Mainframe Programmer - Advanced

Remote

•

Today

Hi Good Morning, Hope you are doing well. Role:Mainframe Programmer - Advanced Location: Remote Required Skills 10+ years of experience with Mainframe 10+ years of experience with MVS COBOL 10+ years of experience with JCL 10+ years of experience with IDMS/Network 10+ years of experience with DB2 7+ years of experience with CA-ADS 5+ years of experience with Change man 5+ years of experience with CICS 5+ years of experience with VSAM Preferred Skills SAS File-Aid Medicaid or Med

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Full-time, Part-time, Contract, Third Party

Software Trainer (SaaS / mCase Platform)

Hybrid in Santa Clara, New Mexico

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2d ago

2 WEEKS REMOTE THEN TRAVEL BUT EVERYTHING WILL BE PAYED BY CLIENT INSTEAD INTERVIEW AND OFFER BY JUNE 1ST WEEK ONLY MEXICO CANDIDATE Software Trainer (SaaS / mCase Platform) Client: RedMane Technology Job Title: Software Trainer Openings: 14 Location: New Mexico (Extensive statewide travel required) Key coverage areas include: Las Cruces (Dona Ana County) Santa Fe Albuquerque Taos Carlsbad Las Vegas / Hot Springs (San Miguel County) Colfax County (Raton, Cimarron, Springer) Duration: Long-Term

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Contract

$30 - $40

(In Person Only interview Only) Database Administrator 1 - Decatur, GA - $38/Hr

Decatur, Georgia

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10d ago

Associate's or Bachelor's degree in Health Information Technology, Computer Science, Healthcare Administration, or a related field. Minimum of 2 years of experience working with EHR systems, preferably Mylnsight by Nets mart. Prof1c1ent ,n SQC"for data querying ana report generation. Strong analytical and problem-solving skills. Experience with data cleanup and auditing workflows in a healthcare setting Experience working in a public health or clinical environmentFamiliarity with healthcare bill

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Third Party, Contract

$30 - $38

Agile Portfolio Manager

Remote

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Today

Medicare Management Information Systems (MMIS) Experience 14+ years exp mustJobSummary:The Agile Portfolio Manager oversees the intake, prioritization, and delivery of a diverse portfolio of initiatives supporting 100+ team members within theMedicaid Management Information System (MMIS) domain. DetailedJobDescriptionKey ResponsibilitiesManage portfolio intake, prioritization, and resource allocation through Agile demand management, specifically forMMISMedicaid projects and enhancements.Implement

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Third Party, Contract

Depends on Experience

Mainframe COBOL Programmer

Remote

•

Today

Programmer - AdvancedWhy is this position open: A new position to assist with knowledge transfer and responsible for Mainframe code changes as well as documenting the inputs and outputs of the code.Interview Process: 2 rounds, virtualDuration of the Contract: 9 monthsPossibility for Extension: YesWork Location: Role is 100% remoteCandidate location: No SC residency required. Candidate must reside in lower 48 states (Continental US) and comfortable working EST time zone hours.Required Skills: 10+

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Contract

Depends on Experience

COBOL Developer

Remote

•

Yesterday

Job ID: SC-11021 Remote (EST) COBOL Developer with MVS, JCL, IDMS/Network, CA-ADS, Changeman, File-aid, CICS, VSAM, Sas, MMIS/Medicaid/Medicare Claims processing, MQ, Endevor, Xpeditor experience Location: Location: Columbia, SC (Clemson University)Duration: 9 MonthsWork Location: Role is 100% remoteCandidate location: No SC residency required. Candidate must reside in lower 48 states (Continental US) and comfortable working EST time zone hours. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 10+

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Contract

Depends on Experience

Sr. Project Specialist

Hybrid in Grand Rapids, Michigan

•

Yesterday

Job Title: Sr. Project Specialist Job ID: 26-02226 Location: Grand Rapids, MI (hybrid) Duration: 03 months of contract with possibility of extension TECHNICAL SKILLS Must Have Ability to adapt easily.CommunicationLeadershipProject Management Nice To Have CMSIndividual ACA and/or Medicaid business knowledge.MedicareProject Management Job Summary: Under general supervision, is responsible for the assessment, analysis, planning, implementation and evaluation of major programs and / or projects.

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Contract

$100 - $110

Sr. Epic Tapestry Analyst

Remote

•

Today

Epic Tapestry Medical Management Analyst Title: Epic Tapestry Medical Management Analyst Location: Remote Contract Length: 6+ months (extension likely) Client: National Health Plan Start Date: Immediate Position Overview A national health plan is implementing Epic Tapestry and related Epic care management modules to replace an internal care management and utilization management platform. We are seeking Epic Tapestry Medical Management Analysts with strong implementation experience to supp

Contract

$70.00 - $95.00

Senior Business Analyst

Virginia Beach, Virginia

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clie

Full-time

USD 69,400.00 - 99,200.00 per year

Senior Business Analyst

Jackson, Mississippi

•

Today

Full-time

USD 69,400.00 - 99,200.00 per year

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