Remote Senior Medicaid Claims & Eligibility Analyst
Gainwell Technologies LLC
- Remote job
Gainwell Technologies LLC is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to drive requirements, process improvements, and successful delivery on IT projects. The role emphasizes bridging clients, PMs, and technical teams and mentoring teammates. Qualifications emphasize 6+ years as a BA with Medicaid experience, strong analytics, and proficiency with Excel/SQL and ALM tools. This is a fully remote position across the U.S., with competitive benefits and opportunities for #J-18808-Ljbffr Gainwell Technologies LLC
- Gainwell Technologies is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to apply expertise in Medicaid programs, business analysis, and process improvement on critical healthcare initiatives for clients and their members. The role includes coordinating...Remote jobSenior
$190k - $240k
...withexperience leading research and/or operating the Medicaid and or CHIP programat the state or... ...Medicaid and CHIPprograms. The senior fellow may represent Mathematica externally... ...in severaldomains which might include: Eligibility and enrollment policy and account transfers...Remote jobSeniorContract workLocal areaWork from home$18.83 - $23.04 per hour
...motor vehicle accident claims workers compensation... ...and out of state Medicaid we take on the work that... ...Were looking for a Senior Claims Analyst to submit electronic... ...demographics insurance eligibility and benefits. Enter... ...confidentiality obligations US remote-based colleagues are...Remote workSeniorHourly payPermanent employmentFull timeWork at office$85.47k - $111k
...and valued every day. Claims Module Senior Business Analyst About the Role... ...should have good knowledge of Medicaid and Medicare. Candidate... ...working conditions: Remote work: Enjoy the... ...on business need, may be eligible for a bonus or incentive....Remote workSeniorFull timeWork from homeFlexible hours- Gainwell Technologies is hiring a Senior Business Operations Analyst for CEV, Medicaid, and SNAP programs. The role... ...You will act as a SME on Medicaid eligibility verification and SNAP workflows,... ...ensure program compliance. Fully remote with emphasis on US locations. #J...Remote jobSenior
$98k - $163k
...foundational experience in healthcare claims data, including exposure to... ...payer types (e.g., Medicare, Medicaid, VA, Commercial). This role... ...While this role is available remotely, strong preference will be... ...Paid HolidaysPosition may be eligible for a discretionary variable...Remote workSeniorFull timeWork at officeLocal areaFlexible hours2 days per week3 days per week- ...General Brigham Health Plan is seeking a Senior Pharmacy Operations Specialist to lead... ...pharmacy benefit for Commercial and Medicaid members across lines of business. The... ...within a premier integrated health system. Remote work eligible for US locations. #J-18808-Ljbffr...Remote jobSenior
$100k - $115k
...Senior Consultant, Medicaid Practice Group BerryDunn is seeking a Senior Consultant to join our Medicaid... ...lifecycle. You will be either remotely based or out of one of our several... ...our employees and help them thrive. Eligible employees have access to benefits that...Remote workSeniorWork at office- ...Job Description Senior Medicaid Consultants – Policy, Waivers... ...\n \n United States (Remote) | Contract & Contract-to... ...Program integrity and claims \n Benefits, eligibility and coverage policy \n... ...Senior Medicaid Policy Analyst \n Medicaid Waiver Specialist...Remote workSeniorFull timeContract work
- ## Senior Claims AnalystApply: Remote - Massachusetts: Full time: Posted Today: R26\\_0000003143Built on... ...Intermediaries** is seeking a **Senior Claims Analyst**to join our growing team.As we... .... Enrollment waiting periods or eligibility criteria may apply to certain...Remote workSeniorHourly payFull timeFor contractorsWork experience placementWorldwide
- ...Professional, Our client is looking for Senior QA Engineer Facets & Medicaid Regulatory Solutions project in Remote below is the detailed requirements.... ...changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and...Remote workSenior
$32k - $42k
Position: Senior Healthcare Claims Processor | Location: Remote, Eastern Standard Time (EST) based in... ...lead, trainer, mentor, analyst, or subject matter... ...coverage is tied to defined eligibility and covered conditions.... ...with Medicare, Medicaid, commercial payer, Federal...Remote workSeniorContract work$101.7k - $145.3k
...Application Architect serves as the senior technology leader responsible... ...modernization vision for a Medicaid account, ensuring alignment... ...expect in this roleFully Remote Opportunity - Work from anywhere... ..., full-time candidates are eligible for our generous, flexible vacation...Remote workSeniorFull timeFlexible hours- ...Job Description EDW Senior Medicaid SME (Federal Reporting... ...& Data Strategy) Remote (Must Reside in the Continental... ..., FMAP calculations, claiming categories, and... ...strategies Mentor analysts, developers, and... ...of Medicaid claims, eligibility, provider, encounter,...Remote workSeniorPermanent employmentContract work
$67k - $126k
...67000.00 - $126000.00 Job Category: Claims Description Are you looking for an... ...offers an exciting opening for a Senior Workers Compensation Claims Specialist... ...considered in all locations and may be eligible for 100% remote work. Please note that this policy is...Remote workSeniorFull timeWork experience placementLocal area$130.87k - $197.72k
...recruiter directly. We are looking for a Senior Complex Claims Analyst - Management Liability - Private D&O... ...programs, employees are also eligible for annual performance-based cash incentive... ...between in-person collaboration and remote working. Please feel free to discuss...Remote workSeniorPermanent employmentFull timeContract workWork at officeLocal areaWorldwideFlexible hours- Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to support clients in a fully remote capacity nationwide. You will analyze, design and document business processes, bridge between clients and technical teams, and help ensure requirements are delivered...Remote job
- Gainwell Technologies LLC is seeking a Business Analyst - Medicaid Claims to join our team and help improve health outcomes through technology.... ...changes are implemented effectively. This role offers fully remote options from Contiguous US locations and a competitive benefits...Remote job
- ...Information Job Title S enior Claims Representative Analyst Home Department: C laims – Work... ...: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN, IA... ...Insurance is seeking an experienced Senior Claims Representative Analyst to...Remote workSeniorFull timeWork at officeLocal areaHome officeFlexible hours
$99.86k - $110.95k
...considering opportunities with us! Job Title Homeowner Claims Quality Assurance Senior Analyst - Remote Requisition Number R7978 Homeowner Claims Quality... ...We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so...Remote jobSeniorHourly payTemporary workWork experience placementH1bWork at officeWork from homeFlexible hours- ...Processing corrected claims in QNXT, the temporary Senior Claims Analyst will review original claims for adjustments and ensure accurate documentation while working remotely. Key responsibilities Process corrected claims in QNXT according to established policies and...Remote workSeniorTemporary work
$50k - $56k
...HealthProof is looking for a Senior Enrollment Specialist, reporting... ...and maintain all applicable eligibility requirements Be responsible... ...Be responsible to review Medicaid eligibility and complete verification... ...Geographic Responsibility: Remote, US Type of Employment: Full...Remote workSeniorPermanent employmentFull timeFor contractorsWork at office$140k - $170k
...underwriting, loss control, and claims practices, to provide superior... .... Responsibilities The Senior Claims Consultant - Private D&... ...in our Chicago office, or remote locations for highly qualified... ...conditions of employment.This role is eligible to participate in the annual...Remote workSeniorFull timeWork at officeLocal area- ...diverse caseload of long-term disability claims, the full-time Senior Long Term Disability Claims... ...to enhance the claims experience in a remote environment. Key responsibilities Oversee... ...to-work strategies and assess benefit eligibility Serve as a subject matter expert on...Remote workSeniorFull timeWork experience placement
- Primer is seeking a Senior Product Marketing Manager (remote eligible) to drive the go-to-market strategy and enhance product positioning. The ideal candidate will have over 5 years of product marketing experience, strong communication skills, and a background in AI or...Remote jobSeniorContract work
$69.4k - $99.2k
...capabilities. Summary As a Senior Business Operations Analyst - CEV/Medicaid/SNAP at Gainwell supports... ...improvement initiatives within Customer Eligibility Verification (CEV), Medicaid, and... ...in this role Fully remote options from most US locations and...Remote workSeniorFull timeWork experience placementFlexible hours$64.9k - $92.7k
...career development. Summary As a Senior Business Analyst - Medicaid at Gainwell, you can contribute... ...should expect in this role Fully remote options from most U.S. locations and... ...salaried, full-time candidates are eligible for our generous, flexible vacation...Remote workSeniorFull timeFlexible hours$69.4k - $99.2k
...enhances the way we work and grow. As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you will... ...supporting Medicaid claims and eligibility operations , combined with strong... ...process tools as needed. Fully remote options from most US locations and...Remote workSeniorFull timeFlexible hours$175k - $225k
...and improves ecosystems. If you're passionate about this, we want to hear from you!About the RoleMWH is seeking a remote Senior Construction Claims Analyst. The Analyst will be responsible for evaluating, analyzing, and resolving construction-related claims and disputes...Remote workSeniorTemporary workFor contractorsFor subcontractorLocal area$69.4k - $99.2k
Gainwell Technologies is seeking a Senior Medicaid Business Analyst to translate state and federal Medicaid policy into product features, system configuration... ...delivery, and collaboration with client teams; fully remote options available and compensation range $69,400-$99,200...Remote jobSenior
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