Senior EDI & Facets QA Lead - Healthcare Payer
Envision Technology Solutions
Envision Technology Solutions in Seattle seeks a seasoned Quality Engineering leader to drive testing programs for Healthcare Payer initiatives. You will lead discovery, due diligence, transition assessments and establish testing operating models for Facets, Claims, Enrollment, Membership, Billing and Provider domains. Responsibilities include workforce planning, stakeholder management, and delivering modern QA practices using Jira, qTest and Azure DevOps. #J-18808-Ljbffr Envision Technology Solutions
- UST is seeking a seasoned Delivery Manager with deep Healthcare Payer expertise and strong TriZetto FACETS experience to lead large-scale delivery portfolios across development, production support, maintenance, modernization, and managed services. You will own end-to-end...Senior
- ...Position: Senior EDI Support Specialist with Healthcare Payer, Facets Location: Seattle, WA (Day 1 On-Site) Long Term Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Mandatory Skills Healthcare Payer...EDISenior
- ...Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Location - Seattle, WA-Onsite Mandatory Skills Healthcare Payer Domain 5+ Years EDI Development 5+ Years Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years TriZetto HIPAA...EDISenior
- ...Leadership, 5+ years • Skill 3 – Facets Healthcare System, 5+ years • Skill 4 – Healthcare Payer Domain: Claims, Enrollment,... ...Authorization, Care Management & EDI Transactions • Skill 6 – Functional... ...Quality Engineering. 5+ years leading testing programs or managed...EDIFull time
$55 - $60 per hour
...Program Manager / QE Transformation Lead to lead Client, transition, and... ...planning activities for a large healthcare transformation program. This role... .... ~ Experience with Healthcare Payer platforms and processes, including Facets, EDI transactions (834, 835, 837), Claims...EDISeniorTemporary workLocal areaFlexible hours- ...Position: Senior EDI Support Specialist with Healthcare Payer, Facets Location: Seattle, WA (Day 1 On-Site) Long Term Increase your chances of an interview by reading the following overview of this role before making an application. Experience: 8+ Years IT...EDISenior
- ...Leadership, 5+ years • Skill 3 – Facets Healthcare System, 5+ years • Skill 4 – Healthcare Payer Domain: Claims, Enrollment,... ...Authorization, Care Management & EDI Transactions • Skill 6 – Functional... ...Quality Engineering. 5+ years leading testing programs or managed...EDI
- ...Leadership, 5+ years \n • Skill 3 – Facets Healthcare System, 5+ years \n • Skill 4 – Healthcare Payer Domain: Claims, Enrollment,... ..., Care Management & EDI Transactions \n • Skill 6 – Functional... ...Engineering. \n 5+ years leading testing programs or managed services...EDI
- ...Job Title: E2E Test Lead Seattle WA $54/hr... ...business, development, and QA teams. Manage test... ...of experience with the Facets healthcare system. Experience managing... ...with Healthcare Payer platforms and processes... ...Prior Authorization EDI Transactions Experience...EDIShift work
- ...Manager / QE Transformation Lead to drive discovery,... ...for a large-scale healthcare transformation program.... ...management, and healthcare payer platforms. This role... ...experience, including: ~ Facets platform ~ Claims... ...provider management ~ EDI transactions: 834, 835,...EDIFull time
$50 - $55 per hour
...will serve as an E2E Test Lead with 10+ years of overall... ...programs and 5+ years of Facets experience within the Healthcare Payer domain. Key Responsibilities... ..., development, and QA teams. Manage test planning... ...Prior Authorization, and EDI Transactions. ~ Experience...EDISeniorTemporary workLocal areaShift work- ...major line of business. It also requires expertise in areas such as EDI, health plan repricing, or HPR. The position emphasizes teamwork, patient-centered care culture, and the opportunity to contribute to a national healthcare network. #J-18808-Ljbffr Hbcu Connect, LlcEDISenior
- Pacific Medical Centers is seeking a Senior Claims Specialist for the USFHP program in Renton, WA. The role is Full Time with a Hybrid... ...supporting workflow and acting as a go-to expert in areas like EDI, health plan repricing, or HPR. The position requires a Bachelor...EDISeniorFull time
- ...are looking for an experienced Senior EDI Developer with strong hands-on expertise in the Healthcare Payer domain, Facets Claims, HIPAA X12 transactions, Edifecs... ...Facets teams, business analysts, QA, trading partners, and technical leads to deliver reliable integrations....EDISeniorFull timeWork experience placement
- Milliman MedInsight is seeking a Senior Product Strategist to lead payer product strategy and commercialization, translating market needs into 12-24... ..., and guide investments across product lifecycle to deliver measurable healthcare value. #J-18808-Ljbffr Milliman, IncSeniorRemote job
$77k - $202k
...Description & SummaryThe OpportunityAs a Health Actuary Consultant- Payer/Provider- Senior Associate you will contribute to strategic, analytic, and... ...payer and provider clients as they respond to a changing healthcare market and work to maintain margin and manage cost...SeniorFull timeH1b- ...Job Title : Functional Test Lead Location : Seattle, WA Duration : 03 months... ...Details : Domain Experience (If any) – Healthcare Payer / Facets Onsite Requirement – Must be onsite... ...Authorization, Care Management, and EDI. ~ Experience in testing assessments,...EDIShift work
- ...Manager / QE Transformation Lead to lead discovery, due... ...for a large-scale healthcare transformation program.... ...testing for healthcare payer processes, including claims... ...domain experience; Facets platform experience is... ...provider management, and EDI transactions (834, 835,...EDIFull time
$40 - $45 per hour
...will serve as a Functional Test Lead, driving quality engineering... ...leadership within the Healthcare Payer domain. This role involves leading... ...leveraging deep expertise in the Facets Healthcare System. Key... ...Authorization, Care Management, and EDI Transactions. ~ Proven...EDISeniorTemporary workLocal area- mpathic is seeking a Senior Clinical QA Lead to oversee clinical quality across AI safety evaluations, data annotation, labeling, and red-teaming projects. You’ll work with clinical experts, reviewers, researchers, and engineering teams to ensure human data is accurate,...SeniorFull timeRemote work
- ...Test Program Manager / QE Transformation Lead Key Responsibilities Lead... ...teams. Preferred Experience Healthcare Payer domain expertise. Managed Services transition... ...Transformation Healthcare Payer & Facets EDI 834/835/837, Claims, Enrollment, Billing...EDI
- ...Description Job Title : Functional Test Lead \n Location : Seattle, WA \n... ...Details : \n Domain Experience (If any) – Healthcare Payer / Facets \n Onsite Requirement – Must be... ...Authorization, Care Management, and EDI. \n ~ Experience in testing assessments...EDIShift work
$117.5k - $222.99k
...the future. Company Overview Leading with our core values of... ...Opportunity, MedInsight is one of the healthcare industry’s most trusted... ...Milliman MedInsight is seeking a Senior Product Strategy Manager to... ...commercialization for assigned payer products and offerings. This...SeniorFull timeTemporary workWork experience placementRemote workFlexible hours$185k - $220k
...startup revolutionizing the healthcare industry through... ...healthcare management, leading with RCM solutions for... ...with APIs, HL7, FHIR, X12/EDI, and other healthcare data... .... Familiarity with payer/provider workflows, claims... ...off and holidays. Seniority level Mid‑Senior level...EDIFull timeH1b- Ask IT Consulting Inc. seeks a Test/QA Lead to design and execute test strategies, plans and scripts for complex IT projects. You will analyze design specifications, requirements and drive defect triage while engaging with customers and stakeholders. The ideal candidate...Senior
- Globenet Consulting Corp in Portland, OR is seeking an experienced EDI & Supplier Enablement Coordinator to support a large-scale supplier integration environment within a supply chain digitalization team. The role requires hands-on EDI and API integration expertise, supplier...EDISeniorFlexible hours
- Amazon.com LLC is hiring a Senior Solution Architect to lead enterprise launches and drive complex integrations for high-volume shippers. You will work... ...delivery, deep-dive troubleshooting of WMS/TMS, API, and EDI flows, and building reusable integration patterns for across...EDISenior
- Providence is seeking a Senior Claims Specialist for the USFHP program in Renton, WA. This full-time, hybrid... ...workflow for the line of business, and serve as a leading resource in at least one specialty area such as EDI, health plan repricing, or HPR. Our team champions...EDISeniorFull time
$77k - $202k
...AssociateJob Description & SummaryThe OpportunityAs an Epic Payer Platform, Senior Associate, you will engage with clients to deliver... ...Responsibilities- Analyzing complex operational challenges within the healthcare sector to develop strategic solutions- Managing client...SeniorFull timeH1b- ...professional services company with leading capabilities in digital, cloud... ...You Are: An experienced Epic Payer Platform Lead who has... ...Capabilities in a production healthcare environment The Work: Depending... ...integration standards (FHIR R4, EDI X12, CDA/CCDA) as applied to EPP...EDIFull timeWork experience placementLive inWork at officeLocal area
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