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

Senior Facets Tester - Healthcare Claims & Enrollment

Tekgence

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

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Facets Tester - Healthcare Claims & Enrollment in New York, NY vacancy
  • 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... 
    Claims
    H1b

    Tekgence

    New York, NY
    4 days ago
  • $106.78k - $153.41k

     ...takes on the biggest moments in healthcare, raises the standard of...  ...love to meet you!OverviewThe Senior Medical Director is an emerging...  ...review accountability: defending claims, annotation and claims...  ...celebrate all identities, across all facets of intersectionality, and it... 
    Senior
    Claims
    Temporary work
    Freelance
    Flexible hours

    Publicis Media

    New York, NY
    3 hours ago
  • $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... 
    Senior
    Claims
    Temporary work
    Flexible hours

    Alteva RCM

    New York, NY
    2 days ago
  • $230k - $285k

     ...Senior Software Engineer New York City, New York What You'...  ...mission to transform the U.S. healthcare system — and we're the only proven...  ...embrace AI in every facet of our operations and norms....  ...have been contacted by someone claiming to be a Garner recruiter or a... 
    Senior
    Claims
    Work at office
    Flexible hours
    3 days per week

    Garner Health

    New York, NY
    2 days ago
  • 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... 
    Senior
    Claims

    Infinite Computer Solutions

    New York, NY
    5 days ago
  • $230k - $285k

     ...mission to transform the U.S. healthcare system — and we’re the only...  ...We 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... 
    Senior
    Claims
    Work at office
    Flexible hours
    3 days per week

    Garner Health Technology, Inc.

    New York, NY
    4 days ago
  • $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... 
    Senior
    Claims
    Work at office
    Flexible hours
    3 days per week

    Garner Health

    New York, NY
    5 days ago
  •  ...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... 
    Senior
    Claims
    Contract work
    Temporary work
    Worldwide

    Sun Chemical

    New York, NY
    4 days ago
  •  ...Senior Staff Dentist, Utilization Management (Remote) NY Fully...  ...appropriate adjudication of dental claims and prospective service...  ...Demonstrated success managing oral healthcare costs and utilization...  ...cost for eligible dependents enrolled in the plan. ~100% employer... 
    Senior
    Claims
    Remote job
    Work at office
    Immediate start
    Flexible hours

    Liberty Dental Plan

    New York, NY
    3 days ago
  • 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... 
    Senior
    Claims
    Remote job

    Meduit

    New York, NY
    3 days ago
  • 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.... 
    Senior
    Claims

    Hispanic Alliance for Career Enhancement

    New York, NY
    3 days ago
  •  ...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... 
    Senior
    Claims
    Permanent employment
    Full time
    Work at office
    Immediate start
    Flexible hours

    Amperos

    New York, NY
    1 day ago
  • 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.... 
    Senior
    Claims

    Progyny Inc.

    New York, NY
    1 day ago
  • 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... 
    Senior
    Claims

    Infinite Computer Solutions

    New York, NY
    5 days ago
  • $65k - $85k

     ...Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue...  ...oriented Medical Billing Accounts Receivable Senior Associate to join our Revenue Cycle...  ...mix, and familiarity with the full claims lifecycle. Key Responsibilities Follow... 
    Senior
    Claims
    Temporary work
    Work at office
    Flexible hours

    Alteva RCM

    New York, NY
    12 days ago
  • 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... 
    Senior
    Claims
    Remote job

    Dataspace

    New York, NY
    1 day ago
  • $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... 
    Senior
    Claims
    Full time
    Work experience placement
    Flexible hours

    CNA Financial

    New York, NY
    3 days ago
  •  ...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... 
    Senior
    Claims
    Work at office

    M&D Capital Premier Billing, LLC

    New York, NY
    5 days ago
  • $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... 
    Senior
    Claims
    Hourly pay

    Cedent

    New York, NY
    5 days ago
  • 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... 
    Senior
    Claims
    Work at office

    MetroPlus

    New York, NY
    3 days ago
  •  ...Department of Operational Support. The role supports the Division of Healthcare Management and Occupational Safety and Health (DHMOSH), Office...  ...Operations (OSO), and the Advisory Board on Compensation Claims (ABCC) by reviewing and preparing medical evaluations and expert... 
    Senior
    Claims
    Work at office

    United Nations

    New York, NY
    2 days ago
  • $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... 
    Senior
    Claims
    Full time

    Candid Health

    New York, NY
    1 day ago
  •  ...Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in...  ...About The Role We're looking for a Senior Backend Engineer to help define the future...  ...process. If you receive suspicious outreach claiming to be from Counsel Health, please... 
    Senior
    Claims
    Full time
    Remote work

    Counsel Health

    New York, NY
    1 day ago
  • 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... 
    Senior
    Remote job

    Cotiviti

    New York, NY
    1 day ago
  • Pivotal Health in New York, NY is seeking a Senior Software Engineer for the Case Execution team. You will own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration. This role focuses on data-heavy decision logic and workflow... 
    Senior
    Claims

    Pivotal Health

    New York, NY
    4 days ago
  • $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... 
    Senior
    Claims

    Prosper Ai

    New York, NY
    2 days ago
  •  ...is building the AI Operating System for healthcare, delivering autonomous AI to streamline...  ...workflows and documentation. We seek a Senior Backend Engineer to own end-to-end AI feature...  ...agents and copilots that automate claims and document extraction with compliance... 
    Senior
    Claims

    Commure

    New York, NY
    2 days ago
  • VillageCare in New York, NY is seeking a Senior Financial Data Analyst to build, document, and maintain reports and analytics that empower...  ...has at least five years of actuarial-like experience in claims reserves and IBNR estimation, with advanced Excel, #J-18808-Ljbffr... 
    Senior
    Claims

    VillageCare

    New York, NY
    1 day ago
  • VillageCare seeks a HealthCare Claims Analyst to join our team in a full-time hybrid role, based in NY/CT. You will leverage SQL analytics, Excel, and BI tools to report on Medicaid/Medicare claims, identify gaps, and drive reimbursement insights. Strong communication and... 
    Senior
    Claims
    Full time

    VillageCare

    New York, NY
    1 day ago
  •  ...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... 
    Senior
    Claims
    Apprenticeship
    Easy work

    McKinsey & Company

    New York, NY
    3 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Facets Tester - Healthcare Claims & Enrollment. Be the first to apply!