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

Remote

•

Today

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

Easy Apply

Contract

$140,000 - $150,000

Healthcare Claims Integration Consultant

Remote

•

Today

Healthcare Claims Integration Consultant (Dual Claims Aetna / Medicare / Medicaid) Location Remote (USA) Overview 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, dua

Easy Apply

Contract

Depends on Experience

Healthcare Claims Integration Consultant

Remote

•

Today

Healthcare Claims Integration Consultant (Dual Claims Aetna / Medicare / Medicaid) Location: Remote (USA) Overview 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

Easy Apply

Full-time

80 - 90

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

Remote

•

6d 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

Easy Apply

Full-time

Depends on Experience

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

Remote

•

11d 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

Easy Apply

Full-time

$60,000 - $80,000

Project Manager (Healthcare Claims Domain)

East Hartford, Connecticut

•

Yesterday

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

Easy Apply

Contract, Third Party

Depends on Experience

Senior C/Unix Batch Developer (Healthcare Claims)

Houston, Texas

•

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 75,000.00 - 95,000.00 per year

Senior C/Unix Batch Developer (Healthcare Claims)

Austin, Texas

•

Today

Full-time

USD 75,000.00 - 95,000.00 per year

Senior C/Unix Batch Developer (Healthcare Claims)

Dallas, Texas

•

Today

Full-time

USD 75,000.00 - 95,000.00 per year

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

Oracle Integration Cloud Service - Integration Consultant

Remote

•

Today

Job Title: Oracle Integration Cloud Service - Integration Consultant Location: Remote Position Overview: We are seeking a highly skilled Oracle Integration Cloud Service (OIC) consultant to build and support integrations for a U.S. Government Department. This is a mid-level individual contributor role focused on bridging the gap between project management excellence (Primavera P6) and enterprise resource planning. You will be responsible for the seamless flow of data between schedule and financ

Easy Apply

Contract, Third Party

Integration Architect ? Healthcare

Remote

•

Today

Client is seeking a motivated and experienced Solution Architect to join our Technology team. In this role, you will contribute to the architecture, design, and scaling of client Electronic Health Record (EHR) platform, Baby Trax, and related interoperability solutions. You will be responsible for shaping and governing technical solutions that enable client platforms and service offerings to integrate effectively with clients and partners. This role works within a cross-functional team of Produc

Contract

USD60.0/HOURLY - USD70.0/HOURLY

Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)

Dallas, Texas

•

Today

Full-time

USD 95,000.00 - 120,000.00 per year

Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)

Austin, Texas

•

Today

Full-time

USD 95,000.00 - 120,000.00 per year

Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)

Houston, Texas

•

Today

Full-time

USD 95,000.00 - 120,000.00 per year

Lead Healthcare Product Owner

Remote

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5d ago

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

Easy Apply

Contract, Third Party

$72.18

Project / Program Manager - Healthcare Software Integration

Hanover, New Hampshire

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Today

Project / Program Manager Healthcare Software Integration Location: Hanover, NH Duration: 12 Months Key Responsibilities Lead end-to-end software platform delivery using Agile/Scrum methodologies. Manage project plans, schedules, risks, dependencies, and stakeholder communications. Coordinate cloud platform development, real-time data pipelines, API integrations, and clinician-facing applications. Drive integration efforts across hardware, software, and third-party technology partners. Oversee

Easy Apply

Contract

$$35 - $40

Business Analyst (Healthcare Claims)

Remote

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6d 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

Easy Apply

Full-time

Depends on Experience

Sr Strategy Consultant (Healthcare Transformation)

Reno, Nevada

•

Today

RESPONSIBILITIES: Kforce's client is seeking a Senior Strategy Consultant (Healthcare Transformation) for a remote role - however, candidates must reside in NV, CO or WA. This is a contract role, running through December 2026 (potential extension/conversion). Travel up to 25% as needed for project milestones and go-lives. Position Overview: We are seeking an experienced Senior Strategy Consultants to lead healthcare transformation initiatives focused on care delivery optimization, operational i

Contract

$50 - $50 hourly

Revenue Cycle Program Analyst (Staff Consultant II)

Remote

•

6d ago

Easy Apply

Full-time

Depends on Experience

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