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
$230k - $285k
...mission to transform the U.S. healthcare system — and we're the only... ...are seeking an exceptional Senior Software Engineer to join our... ...aggressively embrace AI in every facet of our operations and norms.... ...been contacted by someone claiming to be a Garner recruiter or a...SeniorClaimsWork at officeFlexible hours3 days per week- Senior Business Analyst - Healthcare Payer (Claims & Benefits Systems) Role Summary: The Senior Business Analyst is responsible for driving requirement analysis... ...for healthcare payer systems across claims, enrollment, and care management modules Collaborate with clients...SeniorClaims
$90k - $130k
...Description Iterative Health is a healthcare technology and services... ...employees world-wide. The Senior People Operations Specialist... .... Manage benefit enrollments, qualifying life events, terminations... ...EEO-1 reporting, unemployment claims, workers' compensation,...SeniorClaimsTemporary workWork at office2 days per week$190k - $240k
...mission is to transform the healthcare economy, delivering high-quality... ...are seeking an exceptional Senior Software Engineer to join our... ...aggressively embrace AI in every facet of our operations and norms.... ...been contacted by someone claiming to be a Garner recruiter or a...SeniorClaimsWork at officeFlexible hours3 days per week- ...About Amperos Amperos is healthcare's first AI-native denial management and revenue recovery platform. Our agentic AI works claims end-to-end, from portal follow-ups and payor calls... ...About the Role We're looking for a Senior Accounts Receivable Specialist to join...SeniorClaimsPermanent employmentFull timeWork at officeImmediate startFlexible hours
$100k - $190.5k
...Consider an actuarial opportunity on CNA's Healthcare Reserving team. In this position, you... ...business partners at all levels and Actuarial senior leaders. You will serve as a trusted... ...needed.Proactively monitors reserving and claim trends for Healthcare & Surety and shares...SeniorClaimsFull timeWork experience placementWork at office$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- Meduit is seeking a Senior Insurance Specialist to resolve insurance processing errors and denials, focusing on patient billing, claims submission, and payer guidelines for Medicare, Medicaid, and commercial payors. This remote role serves colleagues in Mountain or Pacific...SeniorClaimsRemote job
- Progyny is seeking a Senior Client Onboarding Manager in New York to lead end-to-end client implementations... ...carrier and vendor integrations and claims processing. Ideal candidates have 6+ years in a similar role, healthcare/benefits experience, and a Bachelor's degree....SeniorClaims
- CVS Health is seeking a Healthcare Encounter Analyst - Senior for claim reconciliation in the State Medicaid Encounters department. The role focuses on researching and correcting Medicaid encounters generated by Pharmacy, with clear communication to clients and cross-functional...SeniorClaims
- CVS Health is seeking a Healthcare Encounter Analyst - Senior for claim reconciliation in the State Medicaid Encounters department. The role focuses on researching and correcting Pharmacy generated Medicaid encounters, examining configurations, and producing client reports...SeniorClaims
- CVS Health is seeking a Healthcare Encounter Analyst - Senior to handle Medicaid encounter reconciliation within the State Medicaid Encounters team. You will investigate and correct rejected Medicaid encounters, examine configurations, and deliver client-facing metrics....SeniorClaims
- Veeva seeks a Senior Healthcare Data Informaticist to design, manage, and maintain the Terminology Reference Library (TRL), including clinical and claims coding standards. You will collaborate with data engineering, analytics, and product teams to deliver scalable, interoperable...SeniorClaims
$195k - $250k
...Health, we're on a mission to revolutionize healthcare by solving one of its most complex and... ...that simplifies billing, enhances claims processing, and eliminates administrative... ...re looking for a passionate and skilled Senior Software Engineer to join our fast growing...SeniorClaimsFull time- Arch Insurance Group Inc. seeks a Senior Claims Examiner to join the Healthcare Claims Team. You will actively manage a caseload of complex healthcare-related claims for hospitals and providers across the U.S. The role involves strategy development, coverage analysis, and...SeniorClaims
- Infinite Computer Solutions is looking for a Senior Business Analyst to drive requirement analysis and functional design for healthcare payer systems. This role requires deep expertise in claims processing and benefits configuration, collaborating with clients and development...SeniorClaims
- Dataspace Incorporated is a leading healthcare management consulting firm in New York that is expanding its analytics team with a strong healthcare data analyst who can dive into claims data and drive actionable insights. The role involves cross-team collaboration, mentoring...SeniorClaimsRemote job
$180k - $200k
Neara in New York, New York is seeking a Senior Data Engineer to join the team at a healthtech startup. This hybrid role focuses on building AI-driven products and revolutionizing healthcare data management. Ideal candidates should have 5-10 years of experience in data...SeniorClaims$111.6k - $139.4k
DescriptionThe Senior Consultant will work with cross-functional teams in a centralized... ...developing, maintaining, and executing healthcare analytics and reporting solutions that enable... ...intelligence tools.Analyze healthcare claims, EMR, and operational datasets to...SeniorClaimsFull timeWork at office$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$125k - $150k
...Senior Account Executive At Prosper AI, we're pioneering the most advanced conversational AI agents tailored for the healthcare industry. Since our founding, we've successfully onboarded dozens... ...eligibility checks, prior authorizations, claim status follow-ups, and patient...SeniorClaims- ...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
$128k - $145k
...families on a mission to make healthcare work for all of us. Through... ...commercially-minded and strategic Senior Client Success Manager to... ...our larger accounts - driving enrollment and engagement while taking... ...persona — cost containment and claims data for CFOs, utilization...SeniorClaimsFull timeContract workWork at officeLocal areaImmediate startRemote workFlexible hours3 days per week- ...New York is seeking an Accounts Receivable Senior Associate to join its Revenue Cycle... ...a minimum of 2-3 years of experience in healthcare accounts receivable, proficiency in Microsoft... ...detail. Responsibilities include managing claim follow-ups, resolving denials, and preparing...SeniorClaimsWork at office
$40 - $60 per hour
A healthcare solutions provider is seeking an experienced individual with strong QNXT configuration skills. The role requires at least 3... ...years of experience in QNXT functionalities such as Membership and Claim Processing. The ideal candidate will work independently, have...SeniorClaimsHourly pay- MetroPlus is seeking a detail-oriented candidate to manage healthcare claims processing in New York. The ideal applicant will have a bachelor's degree and at least three years of experience in a managed care or hospital setting. Responsibilities include processing complex...SeniorClaimsWork at office
- A healthcare organization is seeking a Senior Provider Configuration Analyst to ensure the proper configuration of their systems for claims processing. This role requires 6+ years of experience in data processing within a healthcare or claims environment and focuses on...SeniorClaims
- ...that be you?About the RoleWe're building a Healthcare Vertical Solutions team that turns AI-... ...management, prior authorization, claims submissions, referral management, and more... ...works for them, and represents UiPath with senior client leadership. You'll sit on the same...SeniorClaimsWork at officeLocal areaImmediate startRemote work
- ...research, engineering, computer science) or a healthcare discipline4+ years of professional... ...colleaguesAbility to synthesize complex issues, engage senior leaders, and drive consensusExposure to... ...learningStrong analytical skills in claims, productivity, access, and volume data...SeniorClaimsApprenticeshipEasy work
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