Remote EDI Claims Project Lead
Eliassen Group
- Remote job
A leading consulting firm is seeking a Project Manager to oversee claims processing and EDI initiatives. The role involves managing multiple vendors and ensuring the optimization of EDI workflows. Candidates must have proven experience with EDI 837 transactions and vendor management skills. This is a remote position with a competitive compensation package that includes comprehensive health benefits and a retirement plan. Ideal for individuals with a background in healthcare and strong project management abilities. #J-18808-Ljbffr Eliassen Group
- A consulting firm is seeking an experienced project manager specializing in EDI initiatives to lead claims processing modernization. The ideal candidate will have a proven track record with EDI 837 transactions and strong vendor management skills. Responsibilities include...Remote jobEDIClaims
- ...MedPOINT Management is seeking an EDI Claims Specialist to ensure accurate processing of electronic claims. This remote role requires over 2 years of EDI claims experience, strong knowledge of HIPAA regulations, and proficiency in relevant software. Key responsibilities...Remote workEDIClaims
- ...strategic consulting company in the healthcare sector is looking for a Project Manager specializing in EDI initiatives. This remote role involves leading project execution, managing vendors, and optimizing claims processing workflows. Candidates should have proven EDI 837...Remote workEDIClaimsHourly pay
- ...years of experience in health care experience especially in MMIS domain. In depth understanding of Claims and Claims lifecycle: Claim submission – Paper and EDI X12 Adjudication Payment Cycle (Finance) Reporting Encounters and Capitation EDI X12 formats...Remote workEDIClaims
- ...A strategic consulting firm is seeking a Project Manager to lead claims processing and EDI initiatives. The role requires proven experience with EDI 837 transactions... ...vendor coordination, and process improvements. This remote position offers a competitive hourly rate and a...Remote workEDIClaimsHourly pay
- ...Representative to manage client interactions and assist with electronic claims processing. Ideal candidates will have experience in medical... ...client queries, and identifying billing trends. The role is remote with 30-50% travel required. Applicants are expected to maintain...Remote workEDIClaims
- ...Job Title: EDI Claims Analyst Job Location: Remote Job Type: Contract Job Description: The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This...Remote workEDIClaimsContract work
$62 - $65 per hour
...Analyst Max Supplier Bill Rate: $62-65 Remote PST No OT Must Have's: 1.... ...exchange workflows. 3. Familiarity with EDI/X12 transactions (e.g., 270/271, 278).... ...middleware, or APIs. 9. Experience with claims, authorizations, or eligibility system...Remote workEDIClaims- ...of Medicaid and Medicare. Should have hands-on experience on claims processing and adjudication processes. Must have good experience... ..., payment details, find members/providers, Benefit Plan). EDI Tools: Validating X12 files. Interface Testing: Understanding...Remote workEDIClaims
- A strategic consulting company is seeking a Project Manager to lead claims processing and EDI initiatives. This remote role involves managing vendors and driving automated workflows to enhance accuracy across the claims lifecycle. Candidates should have proven experience...Remote jobEDIClaims
- A strategic consulting company is seeking a Project Manager to lead the modernization of claims processing. This remote position involves managing EDI workflows, coordinating with vendors, and implementing automation processes. The ideal candidate has proven experience...Remote jobEDIClaims
$34 per hour
...exceptional leadership, and well-supported claims teams. They are actively seeking an... ...litigated and lost-time claims in a fully remote, full-time contract role . This opportunity... ...work efforts Ensure timely state filings, EDI submissions, and full regulatory compliance...Remote workEDIClaimsFull timeContract workWork from home- ...consulting company in the healthcare sector is seeking a Project Manager to lead EDI initiatives and claims processing. The successful candidate will manage... ...and a comprehensive benefits package for W2 employees, with a remote work option. #J-18808-Ljbffr Eliassen GroupRemote jobEDIClaimsHourly pay
- ...Insight Global is seeking a fully remote Claims Management Analyst to join the team of one of... ...Claims Management Analyst is responsible for leading eBusiness initiatives and coordinating... ...manages Electronic Data Interchange (EDI) trading partners and a network of clearinghouses...Remote workEDIClaimsWork experience placement
- A consulting firm is seeking a Project Manager to lead the implementation of EDI 837 workflows in Sacramento, CA. The... ...will manage end-to-end projects in claims processing, coordinate with multiple... ...employees. The position is fully remote, allowing flexibility for...Remote jobEDIClaims
- ...between CareFirst locations may be required. 100% Remote until buildings reopen. Then a hybrid model after... ...the healthcare insurance industry. Knowledge of claims systems a plus, specifically FEP claims Knowledge of EDI specifically ANSI X.12 transactions, e.g. 834, 83...Remote workEDIClaimsImmediate start
- ...Claims Analyst (Enrollment & EDI) We are seeking a detail-oriented Functional Analyst to support enrollment operations within a healthcare insurance environment. This role will focus on onboarding vendors and brokers, managing enrollment processes, and supporting data...Remote workEDIClaims
- ...Job Title TESTING LEAD - REMOTE Job Summary ROLE: Test Lead Resource will be working as Facets QA lead and work directly with... ...Experience 4 to 6 Yrs minimum Required Skills Facets - Claims, Provider, Membership EDI/SQL Test strategy and test plans experience Agile Nice...Remote workEDIClaimsShift work
- ...Authorization (PA). The ideal candidate will lead enterprise healthcare initiatives focused... ...workflows, payer integrations, and claims processing while collaborating closely with... ...requires deep knowledge of GuidingCare, Facets, EDI 278 transactions, and Agile product...Remote workEDIClaimsContract work
- A healthcare services company is seeking an EDI Claims Analyst to analyze and process electronic data interchange (EDI) transactions. This remote role involves reviewing claims rejections and ensuring accurate data submission for efficient claims processing. The ideal candidate...Remote jobEDIClaims
- A healthcare organization is seeking a Revenue Cycle EDI Systems Analyst to optimize billing and claims management processes. The candidate should have at least... ...regulations and enhancing revenue cycle performance. Remote work is available with occasional travel, and the...Remote jobEDIClaims
- ...Account Representative (Medical EDI Software) Job Category: Acct Management Requisition... ...Apply now Posted : March 4, 2026 Full-Time Remote Locations TX-Work From Home 211 E 7th St Austin... ...clients, who bill medical insurance claims electronically, and Quadax. The Account Representative...Remote workEDIClaimsFull timeWork from home
- ...Business Analyst Claims (Remote) Location: Boston, MA Contract Duration: 04-06-2026 to 10-... ...experienced Business Analyst with expertise in EDI and healthcare claims. Focus on... ...performance. Key Responsibilities Lead implementation of EDI 837 and proprietary...Remote workEDIClaimsContract work
$113k - $132k
Cognizant is seeking a Senior Healthcare Claims Integration Analyst to support healthcare claims... ...with claims processing and HIPAA EDI transactions. The position offers competitive... ...along with extensive benefits. This role is remote and allows you to work on significant...Remote jobEDIClaims- ...Key Responsibilities # Lead end-to-end testing strategy, planning... ...scenarios across modules (claims, eligibility, enrollment,... ...management skills ~ Experience with EDI transactions (X12-837, 834,... ...in MMIS implementations or modernization projects (Preferred)...Remote workEDIClaims
- ...Specialist - HealthRules Payor Location: Remote Employment Type: Contract... ...HealthRules Payor (HRP) configuration and claims testing. The ideal candidate will have hands... ...test management tools. Knowledge of EDI transactions (e.g., 837, 835) and claims...Remote workEDIClaimsContract workFlexible hours
- A strategic consulting firm is seeking a Project Manager to lead EDI initiatives and claims processing projects in a remote setting. The ideal candidate will have proven experience with EDI 837 transactions and strong vendor management skills. Responsibilities include...Remote jobEDIClaims
$95k - $125k
...Compensation: $95,000 - $125,000 Location: Remote About the Role OI Infusion is seeking a... ...billers and a setup specialist, ensuring clean claims, accurate EMR maintenance, and seamless... ...of charge codes, modifiers, and payors Lead EDI, ERA, and EFT enrollments and...Remote workEDIClaimsWork at office$96.8k - $121k
...exchange of healthcare data with partners. Key responsibilities include data mapping, validation, and monitoring of data feeds for claims. The ideal candidate will have a Bachelor's degree in a relevant field and at least 2 years of experience in data analysis within the...Remote jobEDIClaims- ...Group in Eden Prairie is seeking a Sr. EDI Solutions Analyst to lead trading partner integrations in the... ...Medical Management systems and various Claims systems using EDI 278 transactions.... ...position offers flexibility to work remotely within the U.S. #J-18808-Ljbffr UnitedHealth...Remote jobEDIClaims
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