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Required experience (must-have) 8+ years in healthcare insurance (payer) across at least one of: Commercial, Medicare Advantage, MedicaidDemonstrated work on core payer functions such as:Claims (professional/institutional), EDIs, payments, adjustments, COBUtilization management (prior auth), care management, provider network, member enrollment/eligibilityGrievances/Appeals, fraud/waste/abuse (SIU)3 5+ years delivering data/AI/ML projects end-to-end in production (not just POCs).Proven ability to
Easy Apply
Contract, Third Party
Depends on Experience


















