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409 results (45 new)

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Healthcare NSA Analyst - Remote - Contract

Lorven Technologies, Inc.

Remote • Today

Easy Apply

Third Party, Contract

$65 - $70

Healthcare Claims Functional Analyst - (Citizen & Permanent Resident) - Contract- Onsite in Baltimore, MD

Elite Technical

Baltimore, Maryland • 26d ago

Easy Apply

Contract

30 - 33

Need candidates For Healthcare System analyst (Payers & Facets) at Mason OH/ WoodLand OH (Initial Remote )

Excelon Solutions LLC

Arkansas • Today

Easy Apply

Contract, Third Party

Data Analyst, Senior (Pending Contract Award) - SBG REMOTE

Document Storage Systems Inc

Remote or Alexandria, Virginia • Today

Full-time

USD 110,000.00 - 135,000.00 per year

Data Analyst, Sr. AI Research Systems Support (Pending Contract Award) - SBG REMOTE

Document Storage Systems Inc

Remote or Alexandria, Virginia • Today

Full-time

USD 140,000.00 - 160,000.00 per year

Facets Developer with Healthcare exp Remote

Tektree Systems Inc.

Remote • 21d ago

Easy Apply

Contract

Depends on Experience

Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity

UnivEdge Consulting LLC

Remote • 17d ago

Easy Apply

Contract

Depends on Experience

Sr. Healthcare Informatics Analyst

Strategic Staffing Solutions

Remote or Texas • Today

Easy Apply

Full-time, Contract

USD0 - USD0

IT Healthcare Analyst / Project Manager

Randstad Digital

Remote or Lebanon, Tennessee • Today

Contract

USD27 - USD29

Healthcare Solution Architect

Lumen Solutions Group Inc.

Remote • Today

Easy Apply

Contract

Depends on Experience

Healthcare IT EHR Business Analyst

Stellar Professionals LLC

Hybrid in Atlanta, Georgia • 11d ago

Easy Apply

Contract, Third Party

Depends on Experience

Business Analyst Healthcare Domain

Zealogics

New York, New York • 5d ago

Easy Apply

Contract

Depends on Experience

Salesforce Analyst with healthcare domain & Salesforce health cloud

Intellisoft Technologies

Hybrid in East Hartford, Connecticut • 26d ago

Easy Apply

Contract

Depends on Experience

FHIR CCDA Analyst - 12+ Months - 100% Remote

Avenues International, Inc.

Remote • Today

Easy Apply

Contract, Third Party

70 - 75

Senior Healthcare Data Analyst

Zettalogix INC

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

Senior Project Manager(Healthcare Claims Experience(Required))

eSystems, Inc.

Remote • 5d ago

Easy Apply

Third Party, Contract

55 - 65

Government Healthcare CMS Technical Writer & Reporting Support Analyst

Ignitec Inc.

Remote • 7d ago

Easy Apply

Contract

80000 - 115000

Healthcare / Clinical Data Analyst - Local to Texas

ComTec Information Systems

Remote • 5d ago

Easy Apply

Contract

Depends on Experience

EHR Security Support Analyst

Data Capital Inc

Hybrid in Richmond, Virginia • Today

Easy Apply

Full-time

50+

Power BI Architect (Healthcare Payer) - Remote /

MetaRPO

Remote • 6d ago

Easy Apply

Third Party, Contract

$60 - $80

Healthcare System Analyst /BA – Payer Systems (Facets)

Tanisha Systems, Inc.

Mason, Ohio • 21d ago

Easy Apply

Full-time, Third Party

$130000 - $150000

Senior Data Analyst, Healthcare Payer Side, Clinical Programs - Full Time, Direct Only

Stone Search

Remote • 11d ago

Easy Apply

Full-time

110,000 - 130,000

Clinical Application Systems Analyst Epic - Intermediate, IS Patient Services, Days, Fully Remote

Norton Healthcare

Remote or Louisville, Kentucky • 14d ago

Full-time

Senior QA Engineer (Generative AI, Agentic AI)(Healthcare)- Remote- 6 Months

Palni Inc

Remote • 5d ago

Easy Apply

Contract, Third Party

Depends on Experience

Senior Assistant Vice President, Healthcare Payer Account Management (SAVP)

Smart Caliber Technology

Remote • 4d ago

Easy Apply

Full-time, Third Party

139000 - 200000

Category Manager Healthcare Supply Chain

TalentFish LLC

Hybrid in Warrenville, Illinois • Today

Easy Apply

Full-time

$90,000 - $135,000

AI Lead / AI Architect(Healthcare | AWS Bedrock | Agentic AI)- Remote - 6 Months

Palni Inc

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

Healthcare Risk Adjustment Coder

Elite Technical

Remote • 3d ago

Easy Apply

Contract

Depends on Experience

Healthcare Administrative Specialist

Stellar Professionals LLC

Hybrid in Nashville, Tennessee • 4d ago

Easy Apply

Contract, Third Party

Depends on Experience

HEALTHCARE SALES SPECIALIST

Netsynk

Long Beach, California • 24d ago

Easy Apply

Full-time

75000+

Job Details

Skills

Claims Testing
Healthcare Domain
Blue Card
EDI 837
HealthRules Payer (HRP)
Healthcare Claims Processing

Summary

Title : Healthcare NSA Analyst

Remote

Job Type: Contract

Project description

You will be part of a team responsible for testing healthcare claims processing, benefits, pricing, and related workflows for a non-profit healthcare organization in the US.
The role is focused on validating local claims processing within HealthRules Payer (HRP), including EDI transactions, Blue Card claims, and HRP-to-TPA workflows.
You will collaborate closely with Product Owners, Business Analysts, Developers, and QA team members across the US, India and Mexico.

Responsibilities

Perform functional and end-to-end testing of healthcare claims processing within HealthRules Payer (HRP).
Validate local claims processing workflows, business rules, benefits, pricing, and claims adjudication.
Test and validate EDI 837 files and associated claims-processing workflows.
Perform testing for Blue Card claims and related business scenarios.
Validate HRP-to-TPA workflows, including upstream and downstream claims transactions.
Create and execute test cases and test scenarios based on business and functional requirements.
Analyze claims-processing results and identify inaccuracies or inconsistencies in business rules, configurations, pricing, and claim payments.
Document, track, retest, and support resolution of defects identified during testing.
Support investigation and resolution of production issues related to claims, benefits, and pricing configurations.
Participate in business requirements and solution-review sessions to identify testing requirements and potential gaps.
Collaborate with business and IT teams to validate system changes, enhancements, and configuration updates before production deployment.
Provide subject-matter expertise regarding healthcare claims processing and HRP workflows.
Maintain appropriate testing and system documentation.

Skills Must have

Mandatory Skills:

Healthcare Claims Processing
HealthRules Payer (HRP)
EDI 837
Blue Card
Healthcare Domain Knowledge
Claims Testing

Mandatory Skills Description:

4+ years of experience in healthcare claims processing, healthcare operations, or claims testing.
Strong hands-on knowledge of local claims processing within HealthRules Payer (HRP).
Hands-on experience working with and validating EDI 837 files.
Experience with Blue Card claims processing and/or strong understanding of HRP-to-TPA workflows.
Strong understanding of healthcare claims lifecycle, adjudication, benefits, pricing, and payment workflows.
Good knowledge of healthcare and health-plan terminology.
Understanding of relevant medical and industry-standard codes, including CPT, HCPCS, ICD-9/ICD-10, CDT, Revenue, and DRG codes.
Experience creating and executing functional, integration, and end-to-end claims test scenarios.
Ability to analyze claims-processing results, identify defects and configuration issues, and work with technical and business teams through resolution.
Experience working with business requirements and translating them into comprehensive test scenarios.
Working knowledge of Azure DevOps or similar test/defect management tools.
Strong communication skills and ability to collaborate with business and technical stakeholders.
Experience with BCBS Association requirements and Blue Card mandates.
Experience with benefits and package pricing configuration in HealthRules.
SQL knowledge for data validation and claims analysis.
Experience troubleshooting production issues related to claims or benefit configurations.
Previous experience supporting healthcare system migrations, integrations, or major HRP enhancements.
Experience working with Third-Party Administrator (TPA) integrations and workflows.

Education:

Bachelor's degree in Business Administration, Management Information Systems, Computer Science, or a related field, or equivalent relevant professional experience.

Nice to have

Experience in Agile methodology and framework.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10120137
Position Id: 71622-10367-1790015169
Posted 4 hours ago

Fitment

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Position Title -Healthcare NSA Analyst (Claims Testing)Location - RemoteMandatory Skills:Healthcare Claims ProcessingHealth Rules Payer (HRP)EDI 837Blue CardHealthcare Domain KnowledgeClaims TestingMandatory Skills Description:4+ years of experience in healthcare claims processing, healthcare operations, or claims testing.Strong hands-on knowledge of local claims processing within HealthRules Payer (HRP).Hands-on experience working with and validating EDI 837 files.Experience with Blue Card clai

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Pega Tester

Remote or Hybrid in Norfolk, Virginia

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6d ago

Pega Tester Remote/Norfork VA Need to be onsite when Client Expects Analyze requirements and design comprehensive manual test cases and test scenarios for claims workflows within the Pega platform Develop test cases covering end-to-end claims workflows (enrollment, verification, adjudication, denial management, appeals, payment posting); ensure test cases align with business requirements and claims processing rules; document expected results with attention to benefit facet application Execute ma

Easy Apply

Contract

Depends on Experience

Job Details

Skills

Claims Testing
Healthcare Domain
Blue Card
EDI 837
HealthRules Payer (HRP)
Healthcare Claims Processing

Summary

Title : Healthcare NSA Analyst

Remote

Job Type: Contract

Project description

You will be part of a team responsible for testing healthcare claims processing, benefits, pricing, and related workflows for a non-profit healthcare organization in the US.
The role is focused on validating local claims processing within HealthRules Payer (HRP), including EDI transactions, Blue Card claims, and HRP-to-TPA workflows.
You will collaborate closely with Product Owners, Business Analysts, Developers, and QA team members across the US, India and Mexico.

Responsibilities

Perform functional and end-to-end testing of healthcare claims processing within HealthRules Payer (HRP).
Validate local claims processing workflows, business rules, benefits, pricing, and claims adjudication.
Test and validate EDI 837 files and associated claims-processing workflows.
Perform testing for Blue Card claims and related business scenarios.
Validate HRP-to-TPA workflows, including upstream and downstream claims transactions.
Create and execute test cases and test scenarios based on business and functional requirements.
Analyze claims-processing results and identify inaccuracies or inconsistencies in business rules, configurations, pricing, and claim payments.
Document, track, retest, and support resolution of defects identified during testing.
Support investigation and resolution of production issues related to claims, benefits, and pricing configurations.
Participate in business requirements and solution-review sessions to identify testing requirements and potential gaps.
Collaborate with business and IT teams to validate system changes, enhancements, and configuration updates before production deployment.
Provide subject-matter expertise regarding healthcare claims processing and HRP workflows.
Maintain appropriate testing and system documentation.

Skills Must have

Mandatory Skills:

Healthcare Claims Processing
HealthRules Payer (HRP)
EDI 837
Blue Card
Healthcare Domain Knowledge
Claims Testing

Mandatory Skills Description:

4+ years of experience in healthcare claims processing, healthcare operations, or claims testing.
Strong hands-on knowledge of local claims processing within HealthRules Payer (HRP).
Hands-on experience working with and validating EDI 837 files.
Experience with Blue Card claims processing and/or strong understanding of HRP-to-TPA workflows.
Strong understanding of healthcare claims lifecycle, adjudication, benefits, pricing, and payment workflows.
Good knowledge of healthcare and health-plan terminology.
Understanding of relevant medical and industry-standard codes, including CPT, HCPCS, ICD-9/ICD-10, CDT, Revenue, and DRG codes.
Experience creating and executing functional, integration, and end-to-end claims test scenarios.
Ability to analyze claims-processing results, identify defects and configuration issues, and work with technical and business teams through resolution.
Experience working with business requirements and translating them into comprehensive test scenarios.
Working knowledge of Azure DevOps or similar test/defect management tools.
Strong communication skills and ability to collaborate with business and technical stakeholders.
Experience with BCBS Association requirements and Blue Card mandates.
Experience with benefits and package pricing configuration in HealthRules.
SQL knowledge for data validation and claims analysis.
Experience troubleshooting production issues related to claims or benefit configurations.
Previous experience supporting healthcare system migrations, integrations, or major HRP enhancements.
Experience working with Third-Party Administrator (TPA) integrations and workflows.

Education:

Bachelor's degree in Business Administration, Management Information Systems, Computer Science, or a related field, or equivalent relevant professional experience.

Nice to have

Experience in Agile methodology and framework.

Dice Id: 10120137
Position Id: 71622-10367-1790015169
Posted 4 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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