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Remote

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Today

The Data Engineer is responsible for data acquisition strategies and integration, scripting and tools, data migrations, conversions, purging, and back-ups. The incumbent works with product, financial control, analysts, users, and other stakeholders to understand business requirements and support data architecture to build data acquisition strategies. The Data Engineer authors artifacts defining standards and definitions for storing, processing, and moving data including associated processes and

Full-time

USD 108,300.00 - 156,485.00 per year

Claims Business Consultant – Healthcare

Remote

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10d ago

About VLink: Started in 2006 and headquartered in Connecticut, VLink is one of the fastest growing digital technology services and consulting companies. Since its inception, our innovative team members have been solving the most complex business, and IT challenges of our global clients. Job Title: Claims Business Consultant Healthcare Duration: 3 Months (Contract) Expected extension possible but not guaranteed. Required: 512+ years overall (Minimum 5 years of relevant experience in healthcare

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Contract

Depends on Experience

Healthcare Claims Analyst- ONSITE

Baltimore, Maryland

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Yesterday

VEGA IS HIRING! Actively searching for Healthcare, Functional, Business Analysts for a 6 month + contract to hire opportunity with our direct client, located in Baltimore, MD. This is an onsite W2 based position based out of Baltimore, MD. Only candidates with current healthcare experience will be considered for this position. The Functional Business Analyst will provide Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and do

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Contract

Depends on Experience

Healthcare Claims Integration Consultant (Dual Claims Aetna / Medicare / Medicaid)

Remote

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17d ago

Overview Engagement Type: Remote High-priority, immediate start Start Timeline: ASAP (Target onboarding: Early-July) We are seeking a highly experienced Healthcare Claims Integration Consultant to support a strategic healthcare initiative focused on dual claims processing, payer integration, and cost optimization in collaboration with Aetna and related healthcare programs. This role is critical to supporting a large-scale healthcare transformation involving Medicare and Medicaid coordination, du

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Contract

$150,000 - $160,000

Project Manager - Healthcare Payer Data Migration

Hybrid in New York, New York

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Yesterday

Project Manager -- Healthcare Payer Data Migration Location: NYC area preferred Work from Office- at least 3 Days work from Office in NYC Industry: Healthcare- Payer is highly preferred Experience: 10 to 15 years Were seeking an experienced Project Manager to lead a major data migration initiative for a Healthcare client within the payor industry. The PM will oversee daytoday coordination across internal teams and external partners, ensuring smooth execution of multistream data extraction, file

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Third Party, Contract

55 - 65

Principal Data ArchitectMicrosoft Fabric & Insurance Claims Modernization

Remote

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11d ago

Job Title: Principal Data Architect Microsoft Fabric & Insurance Claims ModernizationDuration: FTE/Contract Educational Qualification*Any Bachelor's DegreeExperience Range12 16 yearsTagline/Tech Stack Snapshot - Platform Architecture | Microsoft Fabric | AI-Accelerated Delivery | Insurance Claims ModernizationRole Summary - (To be filled by Practice /DO) We are looking for a seasoned Technical Architect to own end-to-end solution architecture for a specialty medical stop loss insurance enterpris

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Third Party, Contract

$0 - $0

Senior Healthcare Data Analyst (CDP & Healthcare Analytics)

Remote

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3d ago

Hi Professionals, Title:Senior Healthcare Data Analyst (CDP & Healthcare Analytics) Duration: Long Term Contract JD: Accelerate onboarding of groups to CDP with analytics support. Lead data ingestion and foundational onboarding of data assets. Partner with teams to standardize enterprise views/tables (Alteryx, Talend, dbt). Strong SQL skills with an analytics focus. Experience with source-to-target mapping and data dictionary creation. Create and maintain product documentation and user

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Third Party, Contract

Depends on Experience

Sr Business analyst with healthcare claims(SME) MMIS

Remote

•

Yesterday

1. Role: Senior Business Analyst Medicaid/MMIS SME (D04) Key Responsibilities Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modulesLead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)Translate complex business needs into clear functional and technical requirementsCollaborate with stakeholders, product owners, and development teamsEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regulationsSupport

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Full-time

$60,000 - $100,000

Business Data Analyst (Healthcare Insurance, Data Warehousing & Analytics)

Remote

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25d ago

We are looking to hire someone with Health insurance experience with eligibility and claims, data warehousing, analytics and data analysis. A preferable would be if they have experience with Kimball data models. Health insurance experience with eligibility and claims, data warehousing, analytics and data analysis. Experience with Kimball data models. Here is the job desc: The Business Data Analyst will be responsible for identifying a problem statement, gathering requirements, identifying the pr

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Contract

Sr. Process Engineer – Healthcare Production Support (EDI)

Hybrid in Columbia, Maryland

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Yesterday

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. Role: Sr. Process Engineer Healthcare Production Support (EDI) Location: Columbia,

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Contract

Depends on Experience

Resolution Specialist

Remote

•

Yesterday

Company Overview Our client is a leading healthcare services organization dedicated to helping providers navigate complex reimbursement processes and improve financial outcomes. By leveraging deep industry expertise and a commitment to accuracy, they partner with healthcare systems to ensure claims are managed efficiently and thoroughly. Their team-focused environment emphasizes collaboration, accountability, and delivering measurable results for their clients. Role Summary The Insurance Follow-

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Contract

Depends on Experience

Technical Architect Data Platform

Santa Clara, California

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26d ago

Technical Architect Data Platform REMOTE / Work from Home Salary Market- Negotiable for right candidate Start: Immediate We are hiring Technical Architect to own end-to-end solution architecture for a specialty medical stop loss insurance enterprise''s CEO-prioritized claims data platform modernization. You will design and govern a production-ready Microsoft Fabric Lakehouse covering the full medallion stack from ingestion through curated Gold layer views while serving as the primary techni

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Full-time, Third Party

$150000 - $170000

Resolutions Analyst

Remote

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2d ago

Company Overview Our client is a healthcare services organization focused on optimizing revenue cycle performance for hospitals and provider networks. They partner with healthcare systems to navigate complex payer requirements, reduce denials, and improve reimbursement outcomes. With a strong emphasis on accuracy, compliance, and operational excellence, they foster a collaborative environment dedicated to continuous improvement and measurable financial impact. Role Summary The Denials Appeals Sp

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Contract

Depends on Experience

Director, Claims Administration

Los Angeles, California

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Yesterday

Title: Director, Claims Administration Location: Los Angeles, CA Employment Type: Full Time (Onsite) Compensation: Pay Range: $135,136-$175,676 Per Year Job Summary: This role in Los Angeles, CA is a full-time, onsite position responsible for managing the claims administration process. The position involves leading a team, ensuring compliance with regulations, and utilizing general office software for reporting and data analysis. Key Responsibilities: Lead and manage the claims administra

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Full-time, Third Party

$135136 - $175676

Sr Process Engineer – IT Production Support

Hybrid in Columbia, Maryland

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Yesterday

Job Title: Sr Process Engineer IT Production Support Location: Columbia, Maryland Type: Contract To Hire Compensation: $53/hr W-2 Work Model: Hybrid onsite 2 to 3 times a month Hours: 40.0 Responsibilities Monitor daily production processes across platforms including Mainframe (z/OS), CA7, and Jenkins. Monitor applications using tools like Dynatrace and Jenkins for system health and performance. Ensure successful execution of batch jobs and workflows; respond to alerts and system issues

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Contract

$52.96

Appeals Creation Specialist

Remote

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2d ago

ROLE SUMMARY The Intersect Group is seeking an Appeals Creation Specialist to support a high performing Denials Management team. This role is responsible for researching denied claims, developing compelling payer appeals, and ensuring submissions meet payer requirements, regulatory standards, and filing deadlines. The ideal candidate combines strong analytical capabilities with exceptional written communication skills to create effective appeal strategies and documentation. By identifying reimbu

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Contract

Depends on Experience

Data Analytics Consultant - Claims

Chicago, Illinois

•

Today

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Join the Claims RMIS & TPA Data Services team within the Property & Casualty Claims organization, composed of customer facing RMIS Consultants and data professionals focused on bringing Claims data to life throug

Full-time

USD 54,000.00 - 103,000.00 per year

Lead Healthcare Product Owner

Remote

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Yesterday

Lead Product Owner / Business Integration Lead (Prior Authorization) Location/Work model:100% Remote (must workEastern Time core hours) Type:Contract (~7 months, Possible extension) Compensation: $72/HRAbout the role Were looking for aLead Product Owner / Business Integration Leadto stabilize and improveend-to-end Prior Authorization (PA)operations and the supporting technology/process integrations. This is atrue hybrid role(Product Owner + Business Integration Lead) focused on fixing real break

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Contract, Third Party

$72.18

AI Engineer

Hybrid in Jacksonville, Florida

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Yesterday

Core Qualifications Strong C# / ASP.NET Core engineer (4+ years) with experience building AI-enabled features inside a service-oriented architecture using modern design patterns (Dependency Injection, Repository pattern, DTOs, typed HTTP clients). Hands-on experience integrating LLMs and AI services into .NET applications, preferably Azure OpenAI / Azure AI Services, including: Prompt design and optimization Function calling / tool calling via .NET SDKs Experience automating real business workf

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Full-time

$165000

AVP, Claims Data Solutions & Insights

Lebanon, Pennsylvania

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13d ago

Job Description We are seeking a highly skilled and detail-oriented Assistant Vice President (AVP) to support the Claims Data Solutions and Insights team. The ideal candidate will possess strong technical and business acumen, working closely with the VP and other senior leaders to advance strategic Claims Transformation and Claims Data initiatives. This role is focused on hands-on execution, collaboration, and delivering actionable insights to promote a data-driven decision-making culture. The A

Full-time

USD 130,000.00 - 160,000.00 per year

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