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Remote

•

Today

As an BSA with EDI you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Responsibilities: - Understanding of key processes such as claims processing, eligibility/benefits, prior authorization, provider data management, appeals, and overall provider workflows. EDI Expertise Hands-on experience with major EDI transaction sets: o 837 (claims) o 835 (remits) o 270/271 (eligibility) o 278 (prior aut

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Third Party, Contract

SDET / Senior Test Analyst (EDI / Healthcare) @ DMV area

Hybrid in Washington, District of Columbia

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Today

Required Skills: 5+ years of experience in software testing (manual + automation). 2 3 years of hands-on experience in test automation / SDET role. Strong experience with Selenium or Playwright. Hands-on experience with BDD frameworks (Cucumber, feature files). Strong knowledge of EDI transactions (837 & 835) MUST HAVE. Proven experience in healthcare payer domain MUST HAVE. Strong database skills with Snowflake and Oracle MUST HAVE. Experience using Jira or similar defect tracking tools MUST HA

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Contract

Depends on Experience

Senior Java Microservices Developer – Healthcare Payer (EDI / Spring Boot) ,| Dayton, OH | In-Person Interview

Dayton, Ohio

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2d ago

Hi, Hope you are doing great! We have an immediate requirement with one of our clients. Kindly share your updated resume toJob Title: Senior Java Microservices Developer Healthcare Payer (EDI / Spring Boot) Location: Dayton, OH Interview Mode: Mandatory In-Person Interview Required (No Exceptions) Job Details: Must Have Skills (Top 3 technical skills only): Java, Spring Boot, REST API Development experience Healthcare Payer experience with strong knowledge of HIPAA EDI transactions

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Contract, Third Party

Depends on Experience

Healthcare EDI Developer

Hybrid in Okemos, Michigan

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11d ago

About Evolutyz Corp: Evolutyz Corp, a vibrant, award-winning, woman-owned IT consulting firm headquartered in Naperville, IL. We are passionate about innovation and committed to driving business transformation with our custom technical solutions. As a certified MBE enterprise, we promote a diverse and inclusive work environment where your ideas are valued. At Evolutyz, you ll find the perfect opportunity to grow your career, make an impact, and collaborate with a team that supports your professi

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Contract, Third Party

$40 - $50

Sr Healthcare Software Tester / QA Analyst

Hybrid in Washington, District of Columbia

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Yesterday

Job Title: Sr Healthcare Software Tester / QA Analyst Location: Washington, District of Columbia Type: Contract To Hire Compensation: $60/hour Contractor Work Model: Hybrid onsite 1-2 days per week Hours: 40.0 Overview -Must have automation with some manual testing working withSelenium or Playwright. -2-3+ yrs Automation experience -5+ yrs QA experienceandBachelors degree (or an additional 4 yrs experience for a total of 9 yrs exp) -Experience with Healthcare payer -Experience with Claims 837

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Contract

$80

Healthcare SDET (Software Development Engineer in Test)

Hybrid in Washington, District of Columbia

•

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. Job Title: Healthcare SDET (Software Development Engineer in Test) Location: Washin

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Contract

Depends on Experience

Solution Architect Integration

Remote

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3d ago

Solution Architect Integration / Interoperability Location: Remote Role Overview We are seeking an experienced Integration / Interoperability Solution Architect to design, implement, and support scalable healthcare integration solutions. This role focuses on building and governing interoperability architectures that enable seamless data exchange across healthcare platforms, clients, and partners. The architect will contribute to the evolution of enterprise interoperability platforms, including E

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Third Party, Contract

Depends on Experience

Solution Architect (Integration / Interoperability)

Remote

•

Yesterday

We are seeking an experienced Integration / Interoperability Solution Architect to design, implement, and support scalable healthcare integration solutions. This role focuses on building and governing interoperability architectures that enable seamless data exchange across healthcare platforms, clients, and partners. KEY RESPONSIBILITIES Lead the design and architecture of healthcare interoperability and integration solutions Translate business and technical requirements into scalable architec

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Full-time

Depends on Experience

Program Analyst Senior/Payer EDI Project Coordinator

Remote

•

Today

Program Analyst Senior - Payer EDI Project Coordinator Location:Remote Description: Seeking a highly motivated and self-directed Program Analyst Senior to serve as the Payer EDI Project Coordinator, providing strategic planning, coordination, and scheduling support to the Payer EDI product team. This role supports prioritization and sequencing of EDI (X12) work, maintains a rolling roadmap, coordinates across VA and OIT stakeholders, and ensures initiatives and milestones remain current and we

Full-time

IT Project Manager II Client Connectivity EDI/ EMR

Burlington, North Carolina

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Today

Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking an IT Project Manager II to join our team in a hybrid role in Burlington or Durham, North Carolina. Job Responsibilities: Coordinating and managing EMR (Electronic Medical Records) EDI Projects as well as LIS interface tasksDeveloping and

Full-time

EDI Lead 100% Remote

Remote

•

Today

EDI Lead 100% Remote The primary responsibilities of the EDI Manager include leading the strategy, design, implementation, and support of Electronic Data Interchange (EDI) solutions that enable reliable, secure exchange of business transactions with customers, vendors, and trading partners. This role oversees day-to-day EDI operations, ensures compliance with required standards (e.g., X12/EDIFACT), manages integrations with internal systems, and drives continuous improvement through monitoring

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Contract

$44 - $444

Senior EDI Developer in Indianapolis IN

Hybrid in Indianapolis, Indiana

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30+d ago

Our client is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business a

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Contract

Depends on Experience

EDI Systems Analyst Sr MMM

Almont, Colorado

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Today

Job Title: EDI Systems Analyst Sr Location: Virtual (City, State) - primarily work from home; on-site twice per month for onboarding, training, or as required by Managers Duration: Contract - 7 months Pay Range: $45/hr $50/hr (W2) Job ID: 372350 About BCforward BCforward is a leading global IT consulting and workforce solutions firm providing services and support to Fortune 500 and government clients. Founded in 1998, BCforward has grown with our customers needs into a full-service busine

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Contract

Compensation information provided in the description

Technical Analyst / Integration Specialist

Remote

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3d ago

Hi Professionals, Job Title: Technical Analyst / Integration Specialist Location: Remote Duration: Long Term Contract JD: < data-end="1308" data-start="1267">Required Skills & Qualifications Strong hands-on experience with Facets (healthcare platform preferred). Solid understanding of workflow automation tools and concepts. Experience working with EDI standards (e.g., X12 transactions). Proficiency in API development and integration (REST/SOAP). Advanced knowledge of SQL and relational da

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Contract, Third Party

Depends on Experience

MMIS Finance Module - Test Lead

Remote

•

Yesterday

Role : Test Lead MMIS Finance Module Location: Remote Duration: Long Term Contract Key Responsibilities Min 8+ years of QA experience Develop the overall test strategy for the MMIS Finance module (Claims Payment, Financial Management, GL, AR/AP, CMS reporting).Hands-on testing experience on claims adjudication, provider payment rules, federal claiming/CMS reporting, AP/AR, GL/ERP integrations, and EDI/EFT financial flows.End-to-end testing activities for the MMIS Finance module, ensuring that fi

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Contract, Third Party

Depends on Experience

Java EDI Developer

Dayton, Ohio

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2d ago

Position: Java EDI Developer Location: Dayton, OH 45402 Contract duration: Long term Job Details: Must Have Skills (Top 3 technical skills only) * Java, Spring Boot, REST API Development experienceHealthCare Payor experience with working knowledge of HIPAA EDI transactions 278, 834, 837, 270, 271Strong understanding of healthcare payer workflows Claims processing Enrollment & eligibility Provider data Payments & remittanceNice to have skills (Top only) Azure Cloud Development experience Detailed

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Contract

$50 - $55

IBM Sterling EDI Developer

Franklin, Tennessee

•

Today

Primary skills EDI Development experience for at 5 years Highly Experienced on RealTime processes setup and setting up required configuration end to end Demonstrate proficiency with IBM B2B tool set Strong Relational DB understanding Expert in SQL design development and automation Conceptual Logical and Physical data modelling Experience handling large data files and datasets Task Design custom B2B solutions to support multiple customer engagements while supporting new growth and existing custo

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Third Party, Contract

Healthcare Test Analyst

Hybrid in Elkridge, Maryland

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14d ago

Healthcare Test AnalystElite Technical is seeking a Healthcare Claims Analyst to join our clients manual testing team as an FTE employee. This position is onsite (Elkridge MD) for training purposes for the first few weeks, then will become primarily a remote position with occasional onsite meetings when necessary. We are seeking a Healthcare focused Claims Analyst who will perform end-to-end manual validation of healthcare claims processing and insurance data. You will ensure that QNXT configur

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Full-time

80000 - 93000

Senior ETL Engineer (Healthcare)

Atlanta, Georgia

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Today

We are seeking a Senior ETL Engineer with strong healthcare domain experience to design, build, and maintain large-scale data pipelines on AWS. This role focuses on processing healthcare claims data and ensuring secure, reliable, and high-quality data delivery for analytics and reporting. Key Responsibilities: Design and develop ETL/ELT pipelines using AWS Glue, PySpark, and SQLProcess and validate healthcare claims data (EDI 837, 835, 270/271, 276/277)Build and optimize data models in Amazon Re

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Contract, Third Party

Depends on Experience

Lead Engineer - EDI & Clearinghouse Technology

Louisville, Kentucky

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Today

Become a part of our caring community The Lead Software Engineer is responsible for advancing and optimizing the Batch, EDI, and Clearinghouse technology ecosystem supporting the eHub and HIT teams. This role leads complex engineering work, enhances system performance and reliability, and enables strategic capabilities that improve provider experience, operational efficiency, and compliance. The position blends hands-on engineering with technical leadership, driving innovation through automation

Full-time

USD 129,300.00 - 177,800.00 per year

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