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
- 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
- Senior Facets Developer Our client, an IT Services and Consultant company, is looking for a Senior Facets Developer for their remote location... ...activities in core Facets Applications within Membership and Claims Domain. Requirements: Facets Developer + SME/Lead SQL/...SeniorClaimsRemote work
$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...SeniorClaimsTemporary workFreelanceFlexible hours$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...SeniorClaimsTemporary workFlexible hours- ...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
- ...people. Headway’s mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that....SeniorClaims
- ...Senior Billing SpecialistAmperos 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 to appeals and medical records, so providers can resolve more denials, recover...SeniorClaimsPermanent employmentWork 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- 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...SeniorRemote job
- CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit. The role focuses on complex national healthcare fraud investigations across multiple lines of business... ..., perform data mining, analyze claims data for aberrancies, and collaborate...SeniorClaims
$130k - $150k
...chance for you to join a thriving Healthcare IT company with established... ...you! Position Overview The Senior Data Analyst will be a key... ...schedule HSA for eligible employees enrolled in the HDHP, with a generous... ...encounter any communications claiming to be from DrFirst that seem...SeniorClaimsTemporary workRemote workFlexible hours- ...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
$175k - $185k
...Future of Oral Health Care as a Senior Staff DentistAre you an... ...appropriate adjudication of dental claims and prospective service... ...AbilitiesDemonstrated success managing oral healthcare costs and utilization... ...cost for eligible dependents enrolled in the plan.100% employer-...SeniorClaimsRemote jobWork at officeImmediate startRelocationVisa sponsorshipFlexible hours- DescriptionThe Provider Enrollment Analyst (I) is responsible for coordinating the provider... ...related to enrollment, and follow-up on claims until resolved.Participates in CBO rebilling... ....QualificationsTwo years minimum of healthcare experience including Medicare or Medicaid...ClaimsHourly payTraineeshipLocal area
- Leading complex, high-impact technical projects, the full-time Senior Healthcare IT Project Manager will oversee the implementation of enhanced care management data exchange processes for Medicaid claims while working remotely. Key responsibilities: Manage vendor implementation...SeniorClaimsFull timeRemote work
- To support a growing healthcare organization, the full-time remote Senior EPIC Configuration Analyst will manage the design, build, testing, and maintenance... ...certification required; preferred certifications include Professional Claims and Charge Router Virtual Vocations IncSeniorClaimsFull timeRemote work
- ...outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the... ...and interoperability, clinical and claims application implementation, revenue cycle... ...holders.NTT DATA Services currently seeks a Senior Encounter Data Business Analystto join...SeniorClaimsFor contractorsFlexible hours
- ...is to fix this by building a new mental healthcare system everyone can access. We started by... .... The admin work - credentialing, claims, payment reconciliation - is a nightmare... ...change mental healthcare for the better. As Senior Counsel, Product, you will be a key strategic...SeniorClaimsFixed term contract
$180k - $220k
...00/yr Direct message the job poster from FutureX. Senior Software Engineer (Backend) - Series A AI HealthTech Startup... ...to build a product (that will revolutionize the Healthcare sector by lowering claim costs) from the ground up that will cut through insurance...SeniorClaimsFull time- ...Claims Representative MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a... ...care provider. Achieves predetermined monthly enrollments based on regularly updated goals and...ClaimsFull timeShift work
$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...SeniorClaims$200k - $240k
Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable... ...the role: We are seeking an exceptional Senior Data Product Manager to join Garner.... ...spanning provider quality signals, healthcare claims, and member outcomes. This role will...SeniorClaimsWork at officeFlexible hours3 days per week$150k - $175k
...Garner is on a mission to transform the U.S. healthcare system - and we're the only proven... ...role: We are seeking an exceptional Senior Product Marketing Manager to lead go-to-... .... If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager...SeniorClaimsWork at officeFlexible hours3 days per week- ...re building the AI Operating System for healthcare, the foundation that defines how care is... ...and autonomous RCM processing billions in claims, all on a single AI-native platform... ...transformation. About the Role We're hiring a Senior Software Engineer on the Infrastructure...SeniorClaimsWork at officeLocal areaImmediate start
- ...Overview:Blink Health is the fastest growing healthcare technology company that builds products... ...innovation. Join us!OverviewThe Senior Analyst, Client Analytics develops insights... ...patient-level, prescription, pharmacy, claims, or patient services data preferred.Experience...SeniorClaims
- Leading complex fraud investigations in healthcare billing, coding, and claims, the full-time remote Senior Fraud Investigator will analyze large data sets to identify patterns of fraud, prepare detailed reports, and collaborate with clients and internal teams while mentoring...SeniorClaimsFull timeRemote work
- ...Senior Vice President, Claims Strategy, Operations & Alternative Risk About the Company Globally-recognized specialty insurance & reinsurance... ...casualty personal accident renewable energy and healthcare About the Role The Company is seeking a Senior Vice...SeniorClaimsFor contractors
$100k - $125k
...reputation as a leader in multifamily and healthcare finance, with $13 billion in loan... ...nationally as a top affordable housing, seniors housing, and small balance loan lender.... ...apps. If you are contacted by someone claiming to represent Greystone and suspect the communication...SeniorClaimsWork at officeFlexible hours$128k - $252.5k
...organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial, strategic, and analytical... ...benefit changes, network changes, or other detailed claims analytics Review Medicare Advantage and Part D bid...SeniorClaimsWork at officeLocal areaVisa sponsorship
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