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W2 ONLY - REMOTE- NeedPega Healthcare Claims System Analyst

Digitive LLC

Remote • Today

Easy Apply

Third Party, Contract

$55 - $56

Pega Healthcare Claims System Analyst

Ztek Consulting

Remote • Today

Easy Apply

Contract

Depends on Experience

ONLY W2/1099 CANDIDATES CONSIDERED: Systems Analyst (Medicaid Claims/Eligibility/Enrollment/COBOL/EDI/Healthcare MF/MMIS MF): 1+Yr Hybrid Project Columbia SC: Non-local MUST relocate to SC: $ 92/hr on 1099: $ 85/hr W2.

Beechwood Computing Ltd

Hybrid in Columbia, South Carolina • Yesterday

Easy Apply

Contract

85 - 92

Pega Healthcare Claims System Analyst

TechDigital Corporation

Remote • Today

Easy Apply

Contract

Depends on Experience

Manager, Full Stack Development Python / Go / Java, AWS (Healthcare Claims)

Bramkas Inc.

Remote • 8d ago

Easy Apply

Full-time

Depends on Experience

Claims Adjuster (W2)

Voto Consulting LLC

Hybrid in Phoenix, Arizona • 10d ago

Easy Apply

Contract

$37

Data Systems Analyst (Medical Claims or Pharmacy claims)

KE Staffing

Remote • 22d ago

Easy Apply

Contract

$50+

Claims Processing Expertise with Healthcare Domain Expert

Talent Groups

Hybrid in Minneapolis, Minnesota • 2d ago

Easy Apply

Contract

Depends on Experience

(W2 Only) IT - Columbia, SC - Systems Analyst - No C2C

Information Resource Group, Inc.

Columbia, South Carolina • 2d ago

Easy Apply

Contract

Depends on Experience

Hiring Configuration Analyst / Tester -- Remote

Cyber Space Technologies LLC

No location provided • Today

Easy Apply

Third Party, Contract

Healthcare Data Analyst

Codeforce 360

Remote • 8d ago

Easy Apply

Third Party, Contract

$50 - $55

Senior Automation QA Engineer – Healthcare Insurance Claims

iTek People, Inc.

Remote • 2d ago

Easy Apply

Third Party, Contract

$50 - $55

Healthcare Claims Processor (Fully Insured)-Fully Remote

Elite Technical

Remote • 24d ago

Easy Apply

Contract

Clinical Systems Analyst II (LAB)

St. John's Episcopal Hospital

New York, New York • Today

Full-time

USD 110,000.00 - 125,000.00 per year

Clinical Systems Analyst II (Ambulatory)

St. John's Episcopal Hospital

New York, New York • Today

Full-time

USD 110,000.00 - 125,000.00 per year

Clinical Systems Analyst II (PHA)

St. John's Episcopal Hospital

New York, New York • Today

Full-time

USD 110,000.00 - 125,000.00 per year

Service Desk Analyst II - IntelliScript (Remote)

Milliman IntelliScript

Remote or Brookfield, Wisconsin • Today

Full-time

USD 54,900.00 - 97,865.00 per year

IT Integration Analyst (Healthcare)- Remote on East Coast

Calance

Remote • Today

Contract

Senior Medicaid MMIS Mainframe Technical Analyst - HYBRID (SC resident/willing to relocate to SC) - W2 ONLY

Chandra Technologies, Inc.

Hybrid in Columbia, South Carolina • Yesterday

Easy Apply

Contract

Depends on Experience

Only W2- Remote Pega Tester

Digitive LLC

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

QNXT Configuration Analyst - Remote

Computer Merchant, Ltd., The

Remote or Washington, District of Columbia • Today

Full-time

USD 45.00 per hour

Database Online Analyst / Database Technician (Looking For W2 Candidate Only Remote Position)

Ruri Software Technologies LLC

Tallahassee, Florida • 3d ago

Easy Apply

Contract

Depends on Experience

Senior Analyst, Provider and Claim Data & Analytics (Remote)

Molina Healthcare

Remote • Today

Full-time

USD 63,133.00 - 129,589.00 per year

Epic?Certified EHR Systems Analyst II (ClinDoc)

Adventist Health

Roseville, California • Today

Full-time

USD 94,083.00 - 141,125.00 per year

Direct Client :: W2 position :: Looking for Sr. Java Backend Developers & Sr. Fullstack Java Developers with Health Insurance Exp.:: Remote

Synergy Technologies, LLC

Remote • 15d ago

Easy Apply

Contract

Depends on Experience

Business Systems Analyst(healthcare and claims)

eTeam, Inc.

Seattle, Washington • 3d ago

Easy Apply

Contract

50 - 55

Epic Clin Doc Analyst (815942) – 100% Remote

Avenues International, Inc.

Remote • Today

Easy Apply

Contract, Third Party

90 - 100

UKG Time and Attendance Systems Analyst (100% REMOTE)

Amerit Consulting

Remote • Today

Easy Apply

Contract

60 - 66

Systems Analyst Advisor - Claims Platform Modernization

Neumeric Technologies Corporation

Baltimore, Maryland • Yesterday

Easy Apply

Contract

$Open

Looking For____ITOPS Analyst (W2 Position)

Anveta Inc

New York, New York • 4d ago

Easy Apply

Contract

Depends on Experience

Job Details

Skills

pega
claim
claims
facets
EDI

Summary

Pega Healthcare Claims System Analyst
Location: Remote

Required Skills:

Healthcare Claims Processing
Pega
Facets (Claims, Membership, Billing, Provider)
EDI 837/835
Business Analysis

Job Description:

Gather, analyze, and document business and system requirements for healthcare claims processing initiatives.
Work closely with business stakeholders, product owners, developers, and QA teams to ensure requirements are accurately defined and implemented.
Analyze healthcare claims workflows including claims intake, adjudication, adjustments, provider reimbursement, and payment processing.
Work with Facets modules including Claims, Membership, Billing, and Provider to support end-to-end claims lifecycle management.
Translate business requirements into functional specifications, user stories, process flows, and acceptance criteria.
Analyze member, provider, claims, benefits, and authorization data to support operational and system enhancement initiatives.
Support Agile development activities including backlog grooming, sprint planning, testing, defect triage, and release activities.
Participate in requirements workshops, stakeholder discussions, and solution design reviews.
Support User Acceptance Testing (UAT), validate business requirements, and assist with production issue analysis.
Ensure healthcare claims requirements and workflows align with HIPAA and EDI 837/835 transaction standards.

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: 91159525
Position Id: 9897-5611-1794586454
Posted 49 minutes ago

Fitment

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Similar Jobs

Pega Healthcare Claims System Analyst

Remote

•

Today

Required Skills: 1. Healthcare Claims Processing 2. Pega 3. Facets (Claims, Membership, Billing, Provider) 4. EDI 837/835 5. Business Analysis Job Description: Gather, analyze, and document business and system requirements for healthcare claims processing initiatives. Work closely with business stakeholders, product owners, developers, and QA teams to ensure requirements are accurately defined and implemented. Analyze healthcare claims workflows including claims intake, adjudication, adjustm

Easy Apply

Contract

Depends on Experience

Pega Healthcare Claims System Analyst

Remote

•

Today

Easy Apply

Contract

Depends on Experience

Only W2- Remote Pega Tester

Remote

•

Today

Pega Tester Location: Remote Job Description: Pega Tester with experience in testing Pega application to ensure quality, functionality and compliance with business requirements. Skilled in functional, integration, regression, system, and user acceptance testing of Pega applications. Experienced in creating test plans, designing test cases, executing manual testing, tracking defects and collaborating with developers, business analysts and stakeholders. Required Skills: Design and execute

Easy Apply

Third Party, Contract

Depends on Experience

Pega Tester

Remote

•

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. Pega Tester Re

Easy Apply

Third Party, Contract

Depends on Experience

Job Details

Skills

pega
claim
claims
facets
EDI

Summary

Pega Healthcare Claims System Analyst
Location: Remote

Required Skills:

Healthcare Claims Processing
Pega
Facets (Claims, Membership, Billing, Provider)
EDI 837/835
Business Analysis

Job Description:

Gather, analyze, and document business and system requirements for healthcare claims processing initiatives.
Work closely with business stakeholders, product owners, developers, and QA teams to ensure requirements are accurately defined and implemented.
Analyze healthcare claims workflows including claims intake, adjudication, adjustments, provider reimbursement, and payment processing.
Work with Facets modules including Claims, Membership, Billing, and Provider to support end-to-end claims lifecycle management.
Translate business requirements into functional specifications, user stories, process flows, and acceptance criteria.
Analyze member, provider, claims, benefits, and authorization data to support operational and system enhancement initiatives.
Support Agile development activities including backlog grooming, sprint planning, testing, defect triage, and release activities.
Participate in requirements workshops, stakeholder discussions, and solution design reviews.
Support User Acceptance Testing (UAT), validate business requirements, and assist with production issue analysis.
Ensure healthcare claims requirements and workflows align with HIPAA and EDI 837/835 transaction standards.

Dice Id: 91159525
Position Id: 9897-5611-1794586454
Posted 49 minutes 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.

Similar Jobs

Pega Healthcare Claims System Analyst

Remote

•

Today

Easy Apply

Contract

Depends on Experience

Pega Healthcare Claims System Analyst

Remote

•

Today

Easy Apply

Contract

Depends on Experience

Only W2- Remote Pega Tester

Remote

•

Today

Easy Apply

Third Party, Contract

Depends on Experience

Pega Tester

Remote

•

Today

Easy Apply

Third Party, Contract

Depends on Experience