Senior MMIS Testing Lead - Healthcare Claims
GlobalPoint
A technology consulting firm in Richmond, VA is seeking a skilled Manual Tester for a long-term contract. The ideal candidate will have extensive experience in healthcare claims processing, particularly with MMIS systems. Key responsibilities include conducting impact analysis, overseeing system testing activities, and developing test strategies. The position requires proven leadership in Agile testing and the ability to work within a multi-vendor environment. Locals only will be considered for this role. #J-18808-Ljbffr
$100k - $110k
...A Healthcare Solutions Company seeks a highly skilled Systems Analyst... ...deep experience in healthcare claims processing and Medicaid Management Information System (MMIS). The role involves conducting impact analysis, leading advanced testing analysis, and ensuring...SeniorClaims- ...employer. Responsibilities Executive / Senior Underwriter – Allied Healthcare Excess Are you a seasoned... ...pricing, and underwriting strategy Lead underwriting activities including new... ...performance Collaborate cross-functionally (claims, product, leadership) to inform decisions...SeniorClaimsFull time
- ...Associates of Richmond is seeking a full-time AR Billing Specialist Senior to join our team in Richmond, VA. The ideal candidate will perform all aspects of the revenue cycle and manage medical billing claims. Responsibilities include resolving claim denials, posting...SeniorClaimsFull time
$84.48k - $126.72k
...Group Underwriter Senior Location: This role requires associates... ...sales, administration and claims to assess the rating and administrative... ...and communities – and making healthcare simpler. We are a Fortune 25... ...our strategy but will also lead to personal and professional growth...SeniorClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...purpose of this position is to help lead and implement the strategy for the retail and wholesale healthcare portfolio. Provides leadership... ...with actuarial, claims, product developments, IT, operations... ...refusal to submit to genetic tests or make genetic test results available...SeniorClaimsFull timeLocal areaWork from home
$86.96k - $150.01k
...Account Service Manager Senior Virtual : This role enables associates... ...accounts and serves as a lead for assigned accounts and unit... ...written inquiries, resolving claims, benefit and enrollment issues... ...and communities - and making healthcare simpler. We are a Fortune 25 company...SeniorClaimsFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...6-30 Position Title: Senior Healthcare Analyst Job Description:... ...program to clients Build, test, and validates value quantification... .... Specifically healthcare claims analyses and population... ...advance our strategy but will also lead to personal and professional...SeniorClaimsTemporary workWork at officeLocal area2 days per week1 day per week
$74.7k - $187k
...Manager to drive the expansion of Oracle's healthcare claims adjudication platform for the United... ...health mandates, and/or drug testing requirements. Range and benefit information... .... Discover your potential at a company leading the way in AI and cloud solutions that...SeniorClaimsTemporary workFlexible hours$91.4k - $187k
...Oracle Health is transforming healthcare through intelligent,... ...seeking a highly motivated Senior Product Manager to lead product strategy, roadmap,... ...with prior authorization, claims management, eligibility verification... ...mandates, and/or drug testing requirements. Range and...SeniorClaimsTemporary workWorldwideFlexible hours$25.48 - $60.63 per hour
...mission? To create a human-centric healthcare experience powered by unified... ..., company procedures, and leading practices while working... ...ensure the system is designed and tested effectively and collaborate... ...tracking, healthplan design, and claims resolution. Career Level -...SeniorClaimsHourly payTemporary workWork experience placementLocal areaRelocationFlexible hours$124k - $280k
...experiences you need to lead and deliver value at... ...and health plans. As a Senior Manager, you will drive... ...translating ambiguous healthcare challenges into production... ...processing clinical notes, claims data, ADT feeds, and... ...-based development, testing, communication of results...SeniorClaimsFull timeH1b$178.3k - $407k
...Analytics – Health Sector – Senior Manager - Consulting We are helping... .... Your key responsibilities Leading large‑scale client... ...for success Deep knowledge in healthcare to include understanding of critical... ...unstructured data (e.g. EHR, claims, ERP, financial, RWE, supply...SeniorClaimsWork experience placementSummer holidayFlexible hours$83.75k - $137.59k
...Assists in problem solving with providers, claims, or service issues. Assists with... ...improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with... ...designed to advance our strategy but will also lead to personal and professional growth for...SeniorClaimsTemporary workWork experience placementWork at officeLocal areaVisa sponsorship1 day per week$100k - $140k
...Senior Claims Specialist The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion, brought against a wide variety of insureds, with...SeniorClaims- ...Capital One National Association is seeking a Compliance Testing Manager to perform critical compliance testing roles. You will oversee... ...based compliance transaction testing. The successful candidate will lead a team of compliance testers or manage complex testing...Senior
- ...Argonaut Management Services, Inc is seeking a Senior Technical Garage Bodily Injury Claims Specialist to work from their Richmond, VA office. This role involves adjudicating complex claims, conducting thorough investigations, and negotiating settlements to achieve the...SeniorClaimsWork at office
- ...Clearbrook Group Services Inc. is looking for a Senior Shared Services Specialist to join our Claims team in Richmond. This role requires a strong customer focus and advanced knowledge of salvage processes, managing vendor relationships effectively. The ideal candidate...SeniorClaims
$97.52k - $134.09k
...Markel is looking for an Executive Claims Examiner in Richmond, Virginia, to confirm coverage and handle negotiations on claims. The ideal candidate will bring over 10 years of claims handling experience and expertise in casualty lines. This role offers a competitive...SeniorClaims- ...MBP is seeking a full-time Claims Analyst/Lead Claims Analyst/Senior Claims Analyst in Richmond, VA, to conduct detailed reviews and analyses of construction claims. The candidate must have significant experience in the field, particularly with Oracle P6, and a degree...SeniorClaimsFull time
- ...A leading insurance provider seeks a Senior Technical General Liability Bodily Injury Claims Specialist in Richmond, VA. This role involves adjudicating complex General Liability claims while managing negotiations and investigations. With a requirement of at least seven...SeniorClaimsFull timeWork at office
$130k - $170k
...per year Job Description We are seeking a Senior Resident Engineer to serve in a... ...engineering decision‑making and compliance Lead construction oversight efforts for bridge... ...teams Identify and mitigate project risks, claims, and field issues Qualifications Active Professional...SeniorClaimsFor contractors- ...A construction consulting firm is seeking Claims Analysts to perform analysis on construction claims in various locations including Virginia. The successful candidates will require significant experience in reviewing claims, especially regarding delays and cost impacts...SeniorClaimsFull time
- ...DMAS - Systems Analyst 4/Testing We are seeking a... ...analytical expertise in healthcare claims processing and comprehensive... ...Information System (MMIS) or a similar large-... ...within MMIS/MES. Lead advanced analysis across... ...validation. Serve as a senior technical liaison with...ClaimsLong term contractLocal area
- ...Hanover Insurance Company is seeking a Senior Litigation Claims Consultant with expertise in Commercial General Liability and litigation management. This full-time role supports a hybrid work environment and requires a minimum of 5 years of experience. Responsibilities...SeniorClaimsFull timeRemote work
- ...Mmis Systems Analyst Location: Richmond, VA (Hybrid) Interview... ...and analytical expertise in healthcare claims processing and comprehensive... ...experience proven agile testing experience, with the ability... ...: strong experience leading uat and defect triage across...Claims
$249.97k - $388.13k
...is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD... ...key role in shaping the clinical strategy, leading cross-functional study teams, and... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...SeniorClaimsTemporary workLocal areaFlexible hours$150k - $180k
...Senior Commercial Auto/General Liability Adjuster Job Description Our client is looking for a Senior Commercial Auto/General Liability claims Adjuster with 7+ years of experience handling Complex Commercial Casualty claims as a Staff Adjuster. This is a full time staff...SeniorClaimsFull timeWork at officeLocal area$90k - $110k
...Description Job Title: Commercial Lines Account Executive | Team Lead | Independent Retail Agency Salary: $90,000 - $110,000 plus... ...Address client inquiries and resolve issues related to benefits and claims. Contract Management: Review and verify accuracy in client...SeniorClaimsContract workWork at office$83.75k - $137.59k
...development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims, or service issues. Assists with development of utilization/care management policies and procedures, chairs, and schedules meetings...SeniorClaimsWork at officeLocal areaVisa sponsorship- ...functions including payment posting, denial management, insurance claim appeals, patient collections, etc. This position works closely... ...and your child experience continuity and consistency in your healthcare. To better accommodate the needs of our patients and improve...ClaimsFull timeWork at officeFlexible hoursWeekend workDay shiftAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior MMIS Testing Lead - Healthcare Claims. Be the first to apply!
- senior accounts payable Richmond, VA
- senior brand designer Richmond, VA
- senior underwriter Richmond, VA
- senior cost analyst Richmond, VA
- senior business analyst contract Richmond, VA
- senior app developer Richmond, VA
- senior digital account manager Richmond, VA
- senior specialist Richmond, VA
- senior account executive Richmond, VA
- senior water resources engineer Richmond, VA


