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Remote

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Today

Healthcare Claims Finance Tester Location: Atlanta, GA or remote but with 25% travel whenever required Play the role of Finance Domain lead for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet custom

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Contract, Third Party

Depends on Experience

Healthcare Business Analyst (Claims,Jira - Need Locals)

Hybrid in Eagan, Minnesota

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Today

If you are interested in below position, please send your resume. Title: Healthcare Business Analyst ( Claims, Jira ) Location: Eagan, MN (Hybrid) Duration : 6 + months (long term) Role Summary The Impact You Will Have Assist with the development of a flagship AI tool aimed at reducing the administrative burden of Case Managers in documentation and research, to allow them to practice at the top of their license and remain focused on member care. Responsibilities Lead and facilitate cross-functio

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Contract

Depends on Experience

Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)

Remote

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7d ago

Job Title: Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)Location: [Remote]Employment Type: Full-Time Job DescriptionWe are seeking an experienced Senior Healthcare Business Analyst with extensive knowledge of the healthcare payer domain and strong expertise in commercial claims processing, Medicare, and Medicaid systems. The ideal candidate will serve as a liaison between business stakeholders and technical teams, driving requirements gathering, solution design, and su

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Full-time

$60,000 - $80,000

Project Manager (Healthcare Claims Domain)

East Hartford, Connecticut

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Today

Job Description Project Manager (Healthcare Claims Domain)Position: Project Manager (PM) Domain: Healthcare Claims Experience: 10+ Years Location: Hartford, CT Job SummaryWe are looking for an experienced Project Manager with strong Healthcare Claims domain expertise to lead and manage large-scale enterprise projects. The ideal candidate should have proven experience managing projects with budgets exceeding $3M and successfully delivering complex healthcare initiatives involving claims process

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Contract, Third Party

Depends on Experience

Delivery manager - (Insurance) Domain is required - insurance domains (Claims, Policy, Finance)

Raleigh, North Carolina

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2d ago

Job Title: Delivery manager (Insurance) Location: Raleigh, NC (Locals preferred as they need to go to office when required) Job Description : Overview Seeking an experienced Onshore Delivery Lead to drive execution of a data platform modernization and reporting transformation program within an insurance environment. The role will act as the primary onsite interface, ensuring alignment between business stakeholders and offshore delivery teams while driving high-quality, timely outcomes.

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Contract, Third Party

Depends on Experience

Healthcare Claims Operations Team Lead - Washington, DC (On-site)

Seattle, Washington

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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 Healthcare Claims Operations Team Lead at Gainwell, you will lead a team responsible for medical claims processing, resolut

Full-time

USD 50,000.00 - 55,000.00 per year

Business Analyst (Healthcare Claims)

Remote

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2d ago

Job title : Business Analyst Location : Remote Employment Type : Fulltime Senior Business Analyst Claims module: 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 entire life cycle. Responsible to meet customer expectations, troub

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Full-time

Depends on Experience

Advisor Batch Developer (C/Unix/Linux/Healthcare Financial Systems)

Louisville, Kentucky

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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 100,000.00 - 115,000.00 per year

Lead Healthcare Product Owner

Remote

•

Today

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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Third Party, Contract

$72.18

Claims Disputes Specialist - Healthcare Provider - Onsite/ Baton Rouge, LA - Contract Position

Baton Rouge, Louisiana

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2d ago

Healthcare Provider Disputes Specialist This position is 100% onsite at our client''s Baton Rouge Corporate office. Elite Technical is seeking a Healthcare Provider Dispute Specialist. The selected candidate will coordinate the review of all cases by recording and assigning all provider disputes. Prioritizes, organizes, distributes, and tracks incoming mail/case material. Records the flow of information and assigns it to the appropriate person/queues. - Reviews processed claims to identify val

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Contract

20 - 22

AWS Data Engineer - Healthcare/Rx Claims - REMOTE - FTE

Hybrid in Almont, Colorado

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Today

Job Title: AWS Data Engineer - Healthcare/Rx Claims - REMOTE - FTE Work Location: Remote in the US Position Type: Full Time Employment - Direct Hire Position Level: Mid-Senior level (8-10 + years) Compensation Range: $125,00 - $140,000 / year + Bonus, Benefit ABOUT OUR CLIENT / ABOUT THE ROLE Medix is currently seeking an AWS Data Engineer with Healthcare or Pharmacy expertise for a full-time employment opportunity. Our client is an innovative Pharmacy Tech startup organization. Their data

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Full-time

$125000 - $140000 per annum

D365 F&O Technical Architect (Finance & SCM – Healthcare)

Remote

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8d ago

Job Title: D365 F&O Technical Architect (Finance & SCM Healthcare)Location: RemoteExperience: 12+ YearsMust Have SkillsSkill 1 D365 F&O Development (X++, Extensions, Customization)Skill 2 D365 Technical Architecture & Solution DesignSkill 3 Azure Integration (Logic Apps, Functions, OData, APIs)Skill 4 DevOps & Deployment (LCS, Azure DevOps, CI/CD)Skill 5 Data Migration & Data Management Framework (DMF, Data Entities)Skill 6 Performance Optimization & SQL TuningSkill 7 Security & Complian

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Contract

Depends on Experience

Technical Architect Data Platform

Santa Clara, California

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4d 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

D365 F&O Technical Architect (Finance & SCM – Healthcare)

Remote

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13d ago

Job Title: D365 F&O Technical Architect (Finance & SCM Healthcare) Location: USA (OnsiteOffshore Model) Experience: 812 Years Job Summary: We are looking for an experienced D365 Finance & Operations (F&O) Technical Architect to lead architecture, development, and performance optimization initiatives across enterprise implementations. The role will focus on designing scalable, secure, and compliant solutions for Finance and Supply Chain Management, particularly within regulated healthcare

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Third Party, Contract

Depends on Experience

HYbrid - Backend QA Tester ( Healthcare – Data Focus )

Hybrid in New York, New York

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Today

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. Hybrid, must be

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Third Party, Contract

Depends on Experience

Revenue Cycle Shared-Service Implementation Lead, Design Integration (Senior Consultant)

Remote

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2d ago

Who we are: Tria Federal delivers digital services and technology solutions that support the health and safety of veterans, service members and civilians. For two decades, federal agencies have relied on Tria companies to advance their critical missions and modernize their systems, so that they can uphold their commitment to the American people. Today, we are pushing the boundaries of possibility through partnerships and investments in artificial intelligence and emerging technologies, developin

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Full-time

Depends on Experience

Data Governance & Quality Consultant - Healthcare Payer Data

Hybrid in Philadelphia, Pennsylvania

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2d ago

We are seeking an experienced Data Governance & Quality Consultant to lead enterprise-wide data governance initiatives and drive data quality excellence. This role requires a strong blend of technical expertise, governance leadership, and stakeholder engagement to ensure the integrity, consistency, and usability of critical business data assets. The ideal candidate will have deep experience with Collibra, healthcare data management, and modern cloud-based data platforms. You will play a key role

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Full-time

145000 - 150000

D365 F&O Technical Architect (Finance & SCM – Healthcare)- Remote

Dallas, Texas

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9d ago

Easy Apply

Contract, Third Party

Depends on Experience

QA Architect - Healthcare

Remote

•

Today

Hello Everyone, Hope you are doing good My name is Pavan and I work with SPAR Information System., I have a great opportunity for you, please find the job details below, if you are interested in applying please send me your updated resume and best time for you to discuss about this opportunity in details. Job title: QE Architect / Automation Lead (B2/B3) Location: Atlanta. GA Duration: Long term contract Key Responsibilities: Own the end-to-end automation setup from designing the framework t

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

QA Analyst

Phoenix, Arizona

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4d ago

Employment type Full Time Job Title QA Analyst Job Location Phoenix, AZ Duration- Full Time Experience level 5+ years Mandatory Skills QA, Functional, Claims Job Description a) Functional Testing Key Activities Document and update test cases, including detailed execution steps and expected results. Create test data by leveraging data-generation tools. Execute test cases and record results in Azure DevOps or similar. Perform exploratory testing to ensure comprehe

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Full-time

Depends on Experience

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