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Yesterday

Title: Senior Technical Lead FINEOS Claims Location: Windsor, CT (Remote) Type : Contract Role Overview The Senior Technical Lead FINEOS Claims is responsible for leading the design, development, customization, and integration of FINEOS Claims Management solutions for insurance enterprises. This role combines deep technical expertise in FINEOS, strong understanding of insurance claims domain, and handson leadership of onshore/offshore delivery teams. The role works closely with bu

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Third Party, Contract

Depends on Experience

Senior Technical Lead (FINEOS Claims) in Windsor, CT (Remote)

Remote or Windsor, Connecticut

•

Yesterday

Title: Senior Technical Lead FINEOS Claims Location: Windsor, CT (Onsite or Remote both works here) Duration: Long Term Role Overview The Senior Technical Lead FINEOS Claims is responsible for leading the design, development, customization, and integration of FINEOS Claims Management solutions for insurance enterprises. This role combines deep technical expertise in FINEOS, strong understanding of insurance claims domain, and handson leadership of onshore/offshore delivery teams. The role work

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Contract

Senior Claims Platform SME – Advisory & Strategy

Remote

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14d ago

Key ResponsibilitiesProvide strategic advisory on claims platform transformation and modernization initiativesLead platform assessments, gap analysis, and optimization roadmapsDrive end-to-end claims lifecycle improvements (Enrollment, Benefits, Claims, Provider, Payment)Define enterprise architecture and integration strategy across claims ecosystemGuide platform migrations and upgrades (Facets/QNXT/HealthEdge/Diamond/Xcelys/ika)Partner with business leadership to align IT capabilities with paye

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Contract

60 - 70

Senior Risk & Claims Manager - Onsite

York, Pennsylvania

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Yesterday

Maxonic maintains a close and long-term relationship with our direct client. In support of their needs, we are looking for a Senior Risk & Claims Manager Job Description: Job Title: Senior Risk & Claims Manager Job Location: York, Pennsylvania Work Schedule: Onsite Pay Rate: $93/hr, Based on experience. Job Description: General Summary Provides risk management services to System entities. Evaluates the risk of financial or property losses and arranges for appropriate insurance coverage for su

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Contract

Depends on Experience

Business Analyst - Medicaid Claims Processing

Springfield, Illinois

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20d ago

Business Analyst Medicaid Claims Processing Location: Springfield, IL About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Why S2Tech?: Stable, privately-owned company with a strong reputation for

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Full-time

Depends on Experience

IT Healthcare Delivery Lead (Payer & Claims experience is must)

Detroit, Michigan

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2d ago

OpTech is seeking for strong IT Delivery Lead for their Direct Healthcare Client. Location - Detroit, MI (onsite) Candidates should reside within 1 hour of Metro Detroit Duration - 1 year. QUALIFICATIONS: Top Three Skills/Experience Manage project execution and IT delivery of healthcare payer projects, providing day-to-day project leadershipManage multiple work streams of IT project delivery including financial management via close coordination/cooperation with Business Leads and IT Technical L

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Contract

Depends on Experience

Claims Domain Test Lead

Remote

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8d ago

Job: Claims Domain Test Lead Location: Remote(USA) Claims Domain Test Lead: Play the role of Claims Domain lead for MMIS health care projects. Drive the test strategy and process, domain knowledge, performs 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 customer expectations, troublesho

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Contract, Third Party

$70 - $75

P&C Claims Operations

New York, New York

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Today

P&C Claims Operations New York City, NY (Hybrid 3 Days Onsite per Week) Long Term Contract Job Description: We are seeking an experienced Claims Operations professional with strong expertise in Property & Casualty (P&C) insurance to manage end-to-end claims processes and oversee operational teams. Key Responsibilities: Manage the end-to-end claims lifecycle, including FNOL, adjudication, settlement, and closure. Oversee and coordinate with claims vendors and offshore teams, ensuri

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Contract, Third Party

$55 - $60

Claims Adjudication Tester/Validator

Hybrid in Elkridge, Maryland

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8d ago

Elite Technical is seeking a Claims Adjudication System Tester/Validator to join our clients Testing Department as an FTE employee. This position is responsible for developing system test plans, automated and manual test scripts, and test cases for functional and regression testing for health insurance claims processing systems and other support applications. Although this position is primarily remote, our client may request the selected candidate to come onsite, in the BWI Maryland area, when n

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Full-time

85000 - 93000

Project Manager - PBM - PMP - Claims Adjudication

Remote

•

Yesterday

PBM is a must. Pharmacy or Health PlansClient PortalsProvider Network Management and/or Clinical Programs. Claims Adjudication is always a plus.

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Contract

$60+

Business Analyst - PBM - claims adjudicator - Healthcare - Medicaid

Remote

•

Yesterday

PBM experience Healthcare Government programs, compliance, or Medicare. NCPDP 4 year degree is required (must be achieved) claims adjudicator integration understanding with strong business and technical acumen

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Contract

$50+

Edifecs Business Analyst (Healthcare EDI / Claims) | Richardson, TX |

Richardson, Texas

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5d ago

Hi Hope you are doing great We have an immediate requirement mentioned below with one of our client. Kindly please share your updated resumes to Job title: Edifecs Business Analyst (Healthcare EDI / Claims) Location: Richardson, TX Job Details: Must Have Skills BA experience in Encounters, Claims management and very strong in SQL is a must. Understanding of EDIFECS Product platform tools like Spec Builder, defining TP, Application manager, Transaction manager etc..

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Third Party, Contract

Depends on Experience

Data Analytic - Healthcare/Claims

Hybrid in Quincy, Massachusetts

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20d ago

Winner of the Best and Brightest Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year Payer Expertise, Analytics Depth, and Pipeline Responsibility Are you passionate about using data to drive real change in healthcare? Were looking for aHealthcare Data Analyst / Engineer to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this role, you

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Full-time

80,000 - 110,000

Subcontracts and Claims Manager - Heavy Civil Construction

Elizabethtown, Kentucky

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Today

Description: Company Description: BAUER Foundation Corp. (BFC) is a Florida corporation and the U.S. subsidiary of the world-wide operating BAUER Group based in Schrobenhausen, Germany. The BAUER Group is a world-renowned foundation contractor, designer, and builder of the world's finest foundation equipment. BAUER Foundation Corp. as part of the BAUER construction division, is a leader in the execution of complex excavation pits, ground improvement, deep foundations and vertical seals, utili

Full-time

Subcontracts and Claims Manager - Heavy Civil Construction

Elizabethtown, Kentucky

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Today

Full-time

Workers Compensation Claims Adjuster

Birmingham, Alabama

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17d ago

Workers Compensation Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Gregory Uditis Compensation: $72,000 - $82,000 / year Description Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America , we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part

Full-time

USD 72,000.00 - 82,000.00 per year

Senior Claims Manager

Seattle, Washington

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Today

Join Grange Insurance Association, a well-established leader in the insurance sector for over 130 years! Headquartered in the city of Seattle, with a footprint stretching across six Western states, we've been protecting families, farms, and businesses with unwavering commitment. As you embark on a fulfilling career with Grange, discover why our average employee tenure surpasses a decade. Make your mark with an organization that values quality, service, and the lasting impact you can bring! Posi

Full-time

USD 79,276.00 - 147,228.00 per year

Claims Operations Manager (Helena, MT)

Helena, Montana

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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 73,900.00 - 105,500.00 per year

Claims and Finance Lead Onsite Washington, DC

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 The Senior Claims Resolution & Finance Team Lead is a key leadership role responsible for overseeing end?to?end claims manageme

Full-time

USD 35,900.00 - 51,300.00 per year

Sr. Claims Adjuster

Dallas, Texas

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Today

DatamanUSA is looking for a Sr. Claims Adjuster for our direct client based in TX. This is a great opportunity for someone who is a quick learner with excellent people skills. Job Details: Job Title: Sr. Claims Adjuster Location: Dallas, TX Duration: 6 months Roles & Responsibilities: *) Manages complex, high exposure claims and lawsuits arising out of DART operations to obtain the most cost effective and beneficial outcome. Minimum Qualification: *) Five (5) years related experience in in

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

USD 30-35

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