Remote Medicaid Data & Claims Researcher
Humana
- Remote job
Humana Inc. in Providence, Rhode Island is looking for an Encounter Data Management Medicaid Research Professional to enhance Medicare and Medicaid encounter submissions through data analysis. You will manage large datasets, conduct quality assurance, and support operational efficiency. The role requires minimum 1 year of experience in claims adjudication and a related bachelor's degree. Humana offers competitive benefits, including health insurance and retirement plans. #J-18808-Ljbffr Humana
$65k - $88.6k
Humana Inc. is seeking an Encounter Data Management Medicaid Research Professional responsible for ensuring accurate Medicare and Medicaid encounter... ...Ideal candidates should have over a year of experience in claims adjudication and strong analytical skills. This position...Remote jobDataClaims- Humana Inc in Atlanta, Georgia is seeking a Medicaid Research Professional to manage encounter data submissions. This role requires strong data analysis skills... ...'s degree, 1+ year of experience in medical claims, and proficiency in SQL or SAS. Humana offers competitive...Remote jobDataClaims
$96.1k - $128.1k
...Join AIR as a Researcher focused on Medicaid policy and programs with our Healthcare... ...team-including economists, data scientists, public health... ...has the flexibility to work remotely within the United States (U... ...administrative data, such as claims, encounters, enrollment,...Remote workDataClaimsFull timeFixed term contractH1bWork at officeLocal area$90 - $110 per hour
...as it relates to healthcare data interoperability. You will... ...paramedics, and the state Medicaid agency. Your research will show the Commonwealth... ...okay! This position is 100% remote. Our entire team is remote... ...archetype Map how clinical and claims data actually move across...Remote workDataClaimsHourly payContract workFor contractorsWork at office- ...Medicaid Subject Matter Expert This position is a Medicaid Subject Matter Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant... ...correct within the system, related to claims, provider, and recipient data....Remote workDataClaims
- ...organization is seeking a Health Care Data Analyst to provide high-level analysis related to Medicaid. This remote position requires a Master's... ...includes managing healthcare claims data, developing analytic systems, and supporting research activities. Strong skills in...Remote workDataClaims
- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid... ...matter expert (SME) for Medicaid data and processes while performing... ...program knowledge—eligibility, claims, encounters, provider enrollment...Remote workDataClaimsContract work
- ...experience and should have good knowledge of Medicaid and Medicare. ~2. Candidate should have hands-on experience on claims processing and Adjudication processes. ~... ...Must have good experience in Reference code/data sets required in Claims adjudication. ~4...Remote workDataClaims
$55 - $70 per hour
RGP is seeking an experienced Medicaid Analyst based in Secaucus, NJ,... ...conducting quality checks on claims, and resolving disputes. Candidates... ...school diploma, and strong data manipulation skills. The... ...hour, with the potential for remote work 2 to 3 days a week. #J-18...Remote workDataClaimsHourly pay2 days per week3 days per week$26.15 - $43.58 per hour
...Legal Conflicts Researcher Job Category: Ethics & Business Requisition... ...from potential malpractice claims, motions to disqualify, and the... ...librarian, paralegal, and/or data analytics backgrounds a plus.... ...office two (2) days per week and remote three (3) days per week....Remote workDataClaimsHourly payFull timePart timeWork at officeFlexible hoursAfternoon shift2 days per week3 days per week- Location Atlanta or Remote with 25% travel whenever required Duration 6+ months contract to Hire Skills MMIS, Medicaid, Claims Required Qualifications 10+ years of overall IT experience... ...have good experience in Reference code/data sets required in Claims adjudication including...Remote workDataClaimsContract work
- ...Role: EDW Medicaid Subject Matter Expert/Data Specialist (Federal Reporting Porject) Must be a US Citizen... ...relating to complex processes involving claims processing/adjudication, recipient/... ...distance (3 - 5 Hours) of Springfield, IL. This is a remote position....Remote workDataClaimsPermanent employment
$122k - $162.7k
US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US... ...-Austin Join AIR as a Senior Researcher with our Health Innovations... ...psychologists, economists, sociologists, data scientists, and public health... .... Experience analyzing claims and other large or complex...Remote jobDataClaimsFull timeContract workFixed term contractH1bWork at office$50 - $60 per hour
ML Postdoc Researcher - Healthcare AI Innovation Seattle, WA Truveta is... ...’s first health provider‑led data platform with a vision of Saving... ...we celebrate and embrace a remote culture. Participation in the... ...Experience with healthcare data (EHRs, claims, clinical notes) or biomedical...Remote workDataClaimsHourly payFull timeFor contractors- ...experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims... ...concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited...Remote jobDataClaimsFor contractors
$79k - $127.65k
...a Translational Post Doctoral Researcher — Agentic AI for Neurodegeneration... ...; or Cambridge, MA. No fully remote option. The next frontier in... ...insights across the data we already have at scale with... ...logical gaps, and unsupported claims across data modalities Establish...Remote workDataClaimsTemporary workFixed term contractLocal area$17 per hour
...Representative (Managed Care Medicaid Claims) Join Our Team at Select Medical... ...PA 15317 On-site with Hybrid/Remote Potential after 3 Months of... ...puzzles and conducting research? Are you a results-oriented professional... ...match Additional Data Select Medical is...Remote workDataClaimsHourly payFull timeCasual workWork at officeMonday to FridayFlexible hoursShift workDay shift$16 - $17 per hour
...Benefits! Interested in supporting Medicaid Providers in Montana? Conduent... ...and the medical eligibility and claims process! About the Role Location – REMOTE US Only $16-$17 per hour based... ...flexible hours. As a Medicaid Claims Data Entry Associate on the claims...Remote workDataClaimsHourly payMinimum wageFull timeCurrently hiringLocal areaImmediate startMonday to FridayFlexible hours$18 - $22 per hour
...Inpatient Medicare & Medicaid Biller - Full Time Remote Job Category: IKS Requisition Number: INPAT001762... ...Responsibilities Generate and submit claims, both electronic and paper claims (UB... ...basis. Ability to analyze claims data and identify discrepancies or errors...Remote workDataClaimsHourly payFull timeWork experience placementInterim roleLocal area$70k - $90k
...expertise at the intersection of data, methods, policy, and practice... ...data Develop expertise in Medicaid data, policy, and programmatic... ...in Medicaid enrollment, claims, financial, or program data... ...their appropriate use in policy research and data analysis environments...Remote workDataClaimsContract workLocal areaWork from home- ...ourselves on our ability to make data access as easy as possible for... ...% of the EMR, including some claims) Unstructured text (e.g.,... ...Role You are a data scientist or researcher with a background in Health... ...quarterly basis. Team Benefits Remote work and flexible hours....Remote workDataClaimsWork experience placementFlexible hours
$90k - $120k
...Delivery Manager (Healthcare - Medicaid & Medicare) Join to apply for... ...successful delivery of technology and data solutions across the U.S.... ...eligibility & enrollment, and claims administration. Proven... ...Flexible working hours in a remote environment. Health insurance...Remote workDataClaimsFull timeFlexible hours$45 - $60 per hour
...Filters Careers Added Jun 30, 2026 UX Researcher (46227) Remote, Remote | Full-time Apply ( For... ...information on how we handle your data, see What to do if you suspect fraud... ...receive a suspicious offer or communication claiming to be from us, do not share any...Remote workDataClaimsHourly payFull timeContract workInternship$65k - $88.6k
## Encounter Data Management Medicaid Research ProfessionalApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-412036#... ...Professional supports encounter data integrity by managing claims and encounter data errors. You will work...Remote workDataClaimsWeekly payFull timeTemporary workFor contractorsWork at officeWork from homeHome office$20 - $25 per hour
...applicable law. Position: Medicaid Billing and... ...reviewing, and submitting claims in compliance with payer... ...arrangement of up to two remote workdays per week following... ...rosters. Research and resolve billing and... ...detail and accuracy in data entry and documentation...Remote workDataClaimsFull timeWork at officeImmediate startFlexible hours$67.9k - $199.14k
...role, you will lead and execute complex data analyses to drive health plan‑level risk... ...initiatives while ensuring alignment with state Medicaid and CMS regulatory requirements.... ...analyses leveraging medical and pharmacy claims, encounter, provider, and membership data...Remote jobDataClaimsHourly payFull timeTemporary workWork experience placementLocal area$81.1k - $115.9k
...capabilities. Summary As a Medicaid Drug Rebate Product Advisor , you... ...but not limited to Point of Sale, Claims, Encounter, and Finance teams, data integration and conversion teams, reporting... ...expect in this role Fully remote opportunity with the option to work...Remote workDataClaimsFull timeFlexible hours- ...Assurance Analyst II - Medicaid Fee For ServiceApplyremote... ...test plans, data sets, test scenarios, expected... ...special projects.* Analyze claims adjudication results to... .... Ability to research, assess, audit, and apply... ...company location (or from a remote location with management...Remote workDataClaimsFull timeWork at officeLocal areaMonday to FridayNight shiftWeekend work
$91.26k - $211.25k
...Req ID: 379635 NTT DATA strives to hire exceptional, innovative... ...seeking a Senior MMIS/Medicaid Senior Business Analyst to join... ...Montgomery Alabama. This can be a remote position with limited travel... ...The focus will be the Medicaid Claims Processing System. The Senior...Remote workDataClaimsFull timeTemporary workFor contractorsWork experience placementFlexible hours$71.1k - $97.8k
...Fraud and Waste Professional, Medicaid conducts investigations of allegations... ...the analysis of situations or data requires an in-depth... ...skills to make an impact LOCATION: Remote IL HOURS: 40 hours per week, 5... ...of healthcare industry, claims processing and investigative process...Remote workDataClaimsBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to Friday
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