Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Technical Developer (CA:GEN & Healthcare Claims)

Node.Digital

Overview Technical Developer (

CA:GEN

& Healthcare Claims) Location: Remote, USA Node.Digital is seeking a Technical Developer to support enhancements and ongoing development of the MetaVance healthcare platform. The role focuses on claims processing, benefits configuration, and pricing functionality within the MetaVance application environment. The resource will contribute to system design, development, and technical analysis while ensuring alignment with healthcare claims business processes. Responsibilities Design, develop, and enhance MetaVance application components across Claims, Benefits, and Pricing areas. Build and maintain application code using CA:GEN and related development tools. Perform technical analysis and produce process and technical specifications. Support MetaVance online and batch processing functionality. Conduct data analysis within the MetaVance data structure using Oracle SQL tools and MetaVance configuration tools. Maintain and enhance MetaVance BSI components. Collaborate with business stakeholders and present solution impacts and enhancement recommendations. Ensure solutions align with healthcare claims business requirements and technical standards. Mandatory Skills CA:GEN C Guardien Report Composer CA:GEN APIs MetaVance Oracle SQL Healthcare Claims Processing Mandatory Skills Description Strong hands-on experience with MetaVance application development, including Claims, Claims Payable, and Benefits modules. Proficiency in CA:GEN development, including APIs, Guardien, and Report Composer. Experience developing and enhancing MetaVance application code and supporting both online and batch processing. Ability to perform technical analysis and conduct data analytics within MetaVance using Oracle SQL Developer and MetaVance configuration tools. Solid understanding of healthcare claims processing and benefits configuration, with at least 5+ years of relevant experience. Experience in business consulting or business design within healthcare systems. Familiarity with pricing modules within MetaVance. Strong stakeholder communication skills and experience presenting system impacts and enhancement recommendations to business and technical teams. Nice to have Good communication skills. #J-18808-Ljbffr Node.Digital

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Technical Developer (CA:GEN & Healthcare Claims) in New York, NY vacancy
  • A healthcare technology company is seeking a Technical Developer to enhance the MetaVance healthcare platform, focusing on claims processing, benefits configuration, and pricing functionality. The...  ...application development and CA:GEN, requiring proficiency in related... 
    Claims
    Remote job

    Node.Digital

    New York, NY
    2 days ago
  • $35 per hour

    Telephonic Nurse Case Manager (1099 Remote - CA License Required) Pay: $35/hour Location: Remote (Must reside outside California...  ...for work-related injuries Coordinate with providers and claims adjusters Develop and monitor care plans Communicate with patients, providers... 
    Claims
    Remote job

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • $75k - $85k

     ...affected by work-related injuries. Work closely with physicians and claims adjusters to craft efficient and budget-friendly treatment...  .... Act as an essential liaison connecting patients with their healthcare providers. Qualifications Active California RN License (or compact... 
    Claims
    Remote job
    Flexible hours

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • $55k - $65k

     ...A healthcare revenue solutions company is seeking an Associate Attorney to represent healthcare providers in disputes regarding insurance claims. This unique position offers remote work flexibility and a competitive salary of $55,000–$65,000 per year, alongside a robust... 
    Claims
    Remote work

    Ternium Revenue Cycle Management

    New York, NY
    2 days ago
  •  ...Job Title: Senior Property Adjuster Department: EMA Loss Adjusting Reports to: Claims Manager Status: Regular, Full-Time, Exempt This is a field position in the Los Angeles, CA market. Summary The Senior Property Adjuster effectively determines and communicates the extent... 
    Claims
    Full time
    Work at office
    Night shift
    Weekend work
    Afternoon shift

    Engle Martin and Associates, LLC.

    New York, NY
    1 day ago
  •  ...Health, we're on a mission to revolutionize healthcare for women at midlife—to relieve their...  ...protocols: You’ll be trained in expert-developed clinical pathways that combine hormonal...  ...you receive any suspicious communication claiming to be from Midi Health, please report it... 
    Claims
    Part time
    Local area
    Immediate start
    Remote work
    Work from home
    Monday to Friday
    Shift work
    Weekend work
    3 days per week
    Weekday work

    Femtech Insider Ltd.

    New York, NY
    2 days ago
  •  ...A healthcare analytics company is seeking a Healthcare Collections Analyst to handle medical insurance claim overpayments. Responsibilities include processing overpayments, conducting outreach to healthcare providers for collections, and ensuring compliance with policies... 
    Claims

    Lyric

    New York, NY
    2 days ago
  •  ...Job Description Job Description Healthcare Claims Specialist with ADVANCED EXCEL (Hybrid) Hybrid Schedule: Onsite Monday–Thursday | Remote Friday ⏰ Immediate Opening We are seeking a detail-oriented Healthcare Claims Specialist with advanced EXCEL to join... 
    Claims
    Immediate start
    Remote work
    Monday to Friday

    Phaxis - Support Services

    New York, NY
    8 days ago
  • A healthcare organization in New Jersey is seeking a detail-oriented Billing Clerk to manage medical billing processes and ensure compliance...  ...coding standards. The ideal candidate will prepare insurance claims, handle medical records, and follow up on unpaid claims. This... 
    Claims

    Grace Community Care and Homes Inc.

    New York, NY
    2 days ago
  • $110k - $150k

    Remote Jobs is looking for an Insurance Claims Specialist to manage healthcare-related claims. The ideal candidate will have a valid P&C Brokers' license or adjuster license, along with 7-10 years of experience in the field. Responsibilities include researching policy... 
    Claims
    Remote work

    Remote Jobs

    New York, NY
    2 days ago
  •  ...A healthcare technology company is seeking an Accounts Receivable Specialist - Medical Claims for a fully remote position in the U.S. This role requires ensuring accurate, compliant billing and timely reimbursement for medical services. The ideal candidate will have a... 
    Claims
    Work at office
    Remote work

    Raintree

    New York, NY
    2 days ago
  • A local healthcare provider in Idaho is seeking an experienced claims processor to manage and ensure the accuracy of insurance claims. The ideal candidate should have a high school diploma and at least two years of experience in healthcare billing. You will be responsible... 
    Claims
    Local area

    Outreach Community Health Centers

    New York, NY
    2 days ago
  • $21 per hour

     ...perm position involves managing electronic claims submissions, resolving billing errors,...  ...in EDI transaction workflows and healthcare claims processing. Responsibilities as...  ...processing, or healthcare EDI required. Technical Skills: Proficient in medical billing systems... 
    Claims
    Permanent employment
    Temporary work
    Monday to Friday

    Tag Medstaffing

    New York, NY
    4 days ago
  •  ...New York. The successful candidate will handle hospital billing, claims analysis, financial assistance, and customer service. Ideal...  ...hold a Bachelor's or Associate's degree and have experience in healthcare billing. Proficiency in Microsoft Office and excellent communication... 
    Claims
    Work at office

    6AM City, LLC

    New York, NY
    3 days ago
  •  ...About the Company Red Sky Health Red Sky Health is building an AI platform that helps healthcare providers recover revenue lost to insurance claim denials, one of the largest hidden financial drains in U.S. healthcare. Our AI analyzes denied claims, identifies root causes... 
    Claims
    Part time
    Flexible hours

    Red Sky Health

    New York, NY
    3 days ago
  • $18 - $22 per hour

    Firstsource Healthcare is seeking a Revenue Cycle Billing Specialist to work remotely. The role involves collecting on aging medical insurance claims, filing claims, and handling outbound calls among various software systems. Qualifications include a high school diploma... 
    Claims
    Remote job
    Hourly pay

    Firstsource Healthcare

    New York, NY
    1 day ago
  • $65k - $95k

     ...Description About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management,...  ...understanding of the insurance payer mix, and familiarity with the full claims lifecycle. Key Responsibilities Follow up with insurance... 
    Claims
    Temporary work
    Work at office
    Flexible hours

    Alteva RCM

    New York, NY
    3 days ago
  • A healthcare service provider is seeking a Revenue Recovery Specialist to handle resolution of motor vehicle and health insurance claims. This remote role involves managing accounts, identifying issues with multiple payers, and maintaining professional communication with... 
    Claims
    Remote job
    Work at office

    RSource

    New York, NY
    2 days ago
  •  ...CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative...  ...: · Communicate with insurance carriers regarding claim denials, overdue accounts, incorrect payments, and pending verification... 
    Claims

    CitiMed

    Rego Park, NY
    26 days ago
  •  ...The Healthcare Collections Analyst is responsible for processing medical insurance claim overpayments that were identified through Lyric’s data mining efforts, including but not limited to posting recoveries, processing adjustments and offsets, and conducting collection... 
    Claims

    Lyric

    New York, NY
    2 days ago
  • $65k - $90k

     ...your expertise in long‑term disability claims to review and ensure the accuracy and completeness...  .... Read and apply policy guidelines and healthcare terminology, determining when criteria...  ...and computer work. Work From Home Technical Requirements Supply and support their own... 
    Claims
    Temporary work
    Work from home

    Dane Street

    New York, NY
    4 days ago
  • $65k - $95k

     ...Description About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management,...  ...growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum... 
    Claims
    Temporary work
    Work at office
    Flexible hours

    Alteva RCM

    Middle Village, NY
    20 days ago
  • $42.5k - $55k

     ...'s Mental Health Services Division. This position assists with claims management, insurance verification, provider credentialing, authorization...  ...: Minimum of 1–2 years of experience in medical billing, healthcare administration, credentialing, or related administrative work... 
    Claims
    Full time
    Work at office

    Commonpoint Queens

    Flushing, NY
    4 days ago
  • $22 - $28 per hour

     ...for $55/month, work distraction-free. Sana’s vision is to make healthcare easy. All of us can agree healthcare is simply too hard in the...  ...experience and affordable benefits, join us! We’re currently seeking a Claims Processor who will be responsible for processing insurance... 
    Claims
    Hourly pay
    Remote work

    ActiveCampaign

    New York, NY
    1 day ago
  •  ...important thing in life, and the American healthcare system is completely broken - poor...  ...resolving patient billing tickets, managing claim workflows, and building and optimizing RCM...  ...and new service line expansions. Develop and maintain SOPs for RCM workflows, flagging... 
    Claims
    Full time
    Remote work

    Nourish

    New York, NY
    2 days ago
  •  ...payable, accounts receivable, and expense tracking. Monitor claim submissions, denials, and payment trends to ensure timely reimbursement...  ..., as assigned. Qualifications Prior experience in a healthcare or behavioral health administrative role required; experience... 
    Claims
    Full time
    Work at office

    Hands on Health Associates LLC

    New York, NY
    3 days ago
  • $105k - $125k

     ...compliance reviews to identify potential risk/s. Develop solutions to mitigate and prevent ACPNY...  ...initiatives. Triage complaints and claims related to professional and general...  ...(ARM) Certified Professional in Healthcare Risk Management (CPHRM) Certified Professional... 
    Claims
    Work experience placement
    Work at office

    EmblemHealth

    New York, NY
    1 day ago
  • $80k - $90k

     ...Remote - US Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value...  ...(IBR Analyst), responsible for reviewing facility insurance claims to determine true and accurate charges. This role requires the... 
    Claims
    Work at office
    Remote work
    Flexible hours

    Machinify, Inc.

    New York, NY
    2 hours ago
  • $28 - $32 per hour

     ...Specialist to join our team and help manage insurance collections, claim follow-up, and revenue recovery from a variety of commercial...  ...of insurance reimbursement and a passion for helping healthcare practices succeed, we would love to hear from you. Requirements... 
    Claims
    Hourly pay
    Full time
    Monday to Friday

    High End Hiring

    New York, NY
    2 days ago
  •  ...matched appropriately to the codes and if not, obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes... 
    Claims
    Extra income
    Freelance
    Work at office
    Remote work

    Dane Street, LLC

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Technical Developer (CA:GEN & Healthcare Claims). Be the first to apply!