Senior Facets Tester - Healthcare Claims & Enrollment
Tekgence inc
Tekgence inc is seeking a candidate in New York for a healthcare testing role. Applicants should have at least 7-8 years of healthcare experience, specifically in Facets testing various modules including Member Enrollment and Eligibility, as well as Claim Processing. The ideal candidate must also be able to create comprehensive test strategies and plans, while being well-versed in Health Care regulations such as HIPPA, EDI, and x12 data formats. Note: USC, GC, GC_EAD, L2EAD, and H1B can apply for this role. #J-18808-Ljbffr Tekgence inc
- Job Description At least 7-8 years healthcare experience Experienced in Facets testing different modules Member Enrollment and Eligibility, Claim Processing Good testing concept and able to create test strategy, test plan, test cases and test case execution Well versed...ClaimsH1b
- Job Title: Senior Healthcare Business Analyst / Behavioral Health SME Location: USA... ...lifecycle, including: Eligibility & Enrollment Benefits Configuration Claims Processing & Adjudication Prior... ...with payer platforms such as Facets, QNXT, HealthRules, GuidingCare,...SeniorClaimsContract workRemote work
$70k - $85k
..., we're dedicated to helping healthcare providers thrive through expert... ...Position Summary The Senior Billing Associate – Enterprise... ...operations for high-volume, multi-faceted enterprise clients. This role... ...Manage full-cycle claim intake through charge release...SeniorClaimsTemporary workFlexible hours$150k - $210k
...about precision medicine and advancing the healthcare industry?Recent advancements in... ...fast with clinics all over the US. Clinics enroll their patients, and we connect to their... ...outreach, device connections, data sync, claims documentation and more. When they all run...SeniorClaimsFull timeRemote workFlexible hours- ...products for the automotive and healthcare industries.Together with DIC,... ...Position Summary The Senior Manager of US Benefits will lead... ...actuaries to analyze monthly claims data, evaluate stop-loss coverage... ...for life events and open enrollment. Compliance, Leave & Risk Mitigation...SeniorClaimsContract workTemporary workWorldwide
$90k - $110k
...access to exceptional mental healthcare can co-exist. About the Role We're hiring a Senior Associate to join our Business... ...credentialed, and ready to bill; claims submitted; payer readiness by... ...credentialing status, enrollment timelines, contracting gaps, and...SeniorClaimsTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work$195k - $255k
...Health, we're on a mission to revolutionize healthcare by solving one of its most complex and... ...approach that simplifies billing, enhances claims processing, and eliminates administrative... ...allow us to leverage AI across every facet of our product. Structure and format our...SeniorClaims- ...women nationwide, Allara makes expert healthcare accessible by connecting patients... ...everything that comes next: credentialing, enrollment, provider data integrity, compliance... ...can see patients and whether a claim gets paid. As our Senior Manager of Credentialing and Payer...SeniorClaimsContract workLocal areaRemote workDay shift
- Senior Salesforce Product Manager Healthcare 6-month Contract-to-Hire | 100% Remote | Virtual Interview Location requirement: Candidate must be in the EST... ...payer experience, specifically health insurance claims. Hands-on product experience with Salesforce Health Cloud...SeniorClaimsRemote jobContract work
- ...people. Headway’s mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that....SeniorClaims
- ...LLC is a nationally recognized healthcare management consulting firm... ...capture, coding coordination, claims submission, payment posting,... ...forecasts, and recommendations for senior leadership. Develop policies,... ...payer contracting, provider enrollment, credentialing, and revenue...SeniorClaimsContract work
- ...Prime Healthcare seeks an Assistant General Counsel of Clinical Operations & Risk Management to advise hospital operators on patient care... ...You will supervise outside counsel, shape strategy to reduce claims, and work with the Legal Department's teams to manage matters from...SeniorClaims
- ...a New York City presence, seeks a seasoned Drafting Lawyer for Healthcare and Financial Lines. The role centers on managing medical malpractice... ...while advising clients and coordinating with underwriters and claims teams. The ideal candidate brings a JD with at least 10 years...SeniorClaims
$65k - $95k
Healthcare Accounts Receivable Senior Associate About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue... ...the insurance payer mix, and familiarity with the full claims lifecycle. Key Responsibilities Follow up with insurance...SeniorClaimsTemporary workWork at officeFlexible hours$134.5k - $190.5k
...Liability portfolio across a diverse range of healthcare segments, including Dentists, Nurses,... ...closely with business partners and senior actuarial leaders, you will develop analyses... ...Proactively monitors profitability/reserving and claim trends for Healthcare Pricing and shares...SeniorClaimsFull timeWork experience placementFlexible hours$200k - $240k
...Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable... ...the role: We are seeking an exceptional Senior Data Product Manager to join Garner.... ...spanning provider quality signals, healthcare claims, and member outcomes. This role will...SeniorClaimsWork at officeFlexible hours3 days per week- ...seeks a seasoned Drafting Lawyer in New York City to advise on Healthcare and Financial Lines insurance policies, draft endorsements, and... ...complex coverage terms. You will collaborate with underwriters, claims, and compliance to ensure compliant products and precise policy...SeniorClaims
- Inovalon is seeking a Product Owner to lead end-to-end claims processing, EDI integrations, and HIPAA-compliant workflows within a SAAS environment. You will partner with product managers, engineers, and stakeholders to translate roadmaps into prioritized backlogs and...SeniorClaimsRemote jobWork at office
- Cotiviti is seeking a Senior Product Manager to serve as the liaison between business stakeholders and engineering. This role involves owning the product development lifecycle for healthcare enrollment, from requirements gathering to post-launch maintenance. The ideal candidate...SeniorRemote job
$102.55k - $115.37k
...Position: Senior Financial Data Analyst - Healthcare Location: Hybrid (Must Reside in NY/NJ/CT) Work Schedule: Monday - Friday, 9:00am - 5:00pm... ...include supporting the monthly close process, conducting claim reserve analysis, and creating member economics reports...SeniorClaimsFull timeWork experience placementWork from homeMonday to Friday$149k - $170k
...families on a mission to make healthcare work for all of us. Through... ...rigorous and commercially savvy Senior Actuary, Outcomes to bring... ...actuarial modeling, healthcare claims analytics, and client-facing... ...arrangement modeling, and spend and enrollment projections across Maven's...SeniorClaimsRemote jobFull timeContract workWork at officeImmediate start- VillageCare in New York, NY is hiring a Senior Financial Data Analyst - Healthcare to develop, document, and maintain reports and analytics that empower... ...create dashboards for Finance, support monthly close, claims reserves and IBNR estimation, while ensuring regulatory...SeniorClaimsRemote job
$175k - $185k
...Future of Oral Health Care as a Senior Staff DentistAre you an... ...appropriate adjudication of dental claims and prospective service... ...AbilitiesDemonstrated success managing oral healthcare costs and utilization... ...cost for eligible dependents enrolled in the plan.100% employer-...SeniorClaimsRemote jobWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$210k - $230k
...Garner is on a mission to transform the U.S. healthcare system — and we're the only proven... ...role We are looking for an exceptional Senior Commercial Counsel to join our team.... .... If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager...SeniorClaimsContract workFlexible hours$200k - $250k
...Proven track record growing and scaling a healthcare organization, with behavioral health... ...Management (RCM): payer credentialing, claims submission, denial management, cash collection... ...P&L accountability ~5+ years in senior executive roles (VP, SVP, or C-suite) with...SeniorClaimsFull timeLocal area- DescriptionThe Provider Enrollment Analyst (I) is responsible for coordinating the provider... ...related to enrollment, and follow-up on claims until resolved.Participates in CBO rebilling... ....QualificationsTwo years minimum of healthcare experience including Medicare or Medicaid...ClaimsHourly payTraineeshipLocal area
- We are seeking a Senior Associate to join our Morgan Health team! Morgan Health is focused... ...data—including medical and pharmacy claims, survey data, and biometrics. In this role... ...content knowledge of U.S. healthcare system, including understanding common business...SeniorClaimsVisa sponsorship
- ...outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the... ...and interoperability, clinical and claims application implementation, revenue cycle... ...holders.NTT DATA Services currently seeks a Senior Encounter Data Business Analystto join...SeniorClaimsFor contractorsFlexible hours
$165k - $210k
...Our client is a rapidly growing healthcare technology company transforming how health benefits... ...and serve as a trusted legal advisor to senior leadership and business stakeholders.... ...related requirements, including the False Claims Act, Anti-Kickback Statute, and Stark...SeniorClaimsFull timeWork at office3 days per week$175.5k - $180k
...Clients / Tech & AISkill group: N/AFunctions: TechnologyIndustries: Healthcare Systems & Services, High TechRegion: North AmericaLocations:... ...will work with rich, multi-modal clinical datasets (EHR/EMR, claims, clinical notes, imaging, device feeds) using advanced NLP, generative...SeniorClaimsApprenticeshipEasy work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Facets Tester - Healthcare Claims & Enrollment. Be the first to apply!
- remote website tester New York, NY
- remote tester New York, NY
- tester New York, NY
- functional tester New York, NY
- senior performance tester New York, NY
- hotel tester New York, NY
- senior business development New York, NY
- senior research specialist New York, NY
- american senior communities New York, NY
- senior content manager New York, NY




