CMS EDGE Server Product Lead | Healthcare Payer Data
Huron Consulting Group Inc.
Huron Consulting Group Inc. is seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to manage CMS EDGE Server implementations and provide strategic advisory support to healthcare payer clients. This full-time remote position ensures accurate and compliant data submissions to CMS. The ideal candidate should have over 7 years of healthcare payer experience and deep expertise in CMS EDGE Server, driving operational support and quality improvements. #J-18808-Ljbffr Huron Consulting Group Inc.
- ...transformation partner helping leading Healthcare and Life Sciences... ...their businesses through data, AI, and digital product innovation . Our Consulting... ...has partnered with PBMs or payer pharmacy divisions to build... ...and regulatory frameworks (CMS, ERISA, state pharmacy mandates...CmsDataFull time
- ...Meet knownwell, weight-inclusive healthcare for all. Join a dynamic... ...ambitious goals, we're looking for a Payer Credentialing Specialist to... ...Ensure compliance with NCQA, CMS, state, and payer-specific regulations... ...information about how your data is processed, please contact...CmsDataLocal areaRemote workWork from home
- ...need to get an edge in an industry... ...not just another Healthcare Technology... ...patient care. As the leading healthcare... ...are seeking a Product Manager with expertise... ...reviews, and payer-provider... ...solutions that meet CMS mandates and industry... ...in analyzing data and finding...CmsDataRemote jobHourly payCasual workWork at officeLocal area
- ...Resolution platform in healthcare. We help out-of-network... ...proprietary benchmark data, automation, and expert... ...claims, EOBs, remits, payer responses, and supporting... ...judgment calls, catching edge cases, and filing... ...disputes Experience with CMS IDR portals, payer...CmsDataRemote work
$75k - $110k
...Manager (RN or LPN) to lead and optimize our... ...and commercial payer programs. This is a... ...Ensure the team meets CMS compliance and documentation... ...patient adherence data to drive... ...degree in Nursing, Healthcare Administration, or... ...environment with cutting-edge healthcare...CmsDataWork at officeRemote work2 days per week$110k - $120k
...possible in digital healthcare. Our mission is... ...for an exceptional Product Manager to own the... ...health journey. You’ll lead product vision, roadmap... ...with cutting‑edge digital health technologies... ...informed by data, research, and cross... ...regulations (HIPAA, CMS, etc.) throughout...CmsDataWork at officeFlexible hours$94.4k - $293.8k
...Join the Accenture Healthcare Team as a Clinical... ...variation reduction. Lead quality management... ...at the cutting edge of healthcare innovation... ...provider and/or payer clients. Minimum of... ...programs (Stars, HEDIS, CMS, state regulatory... ...we process your data during the Recruiting...CmsDataLive inWork at officeLocal areaWorldwide$250k
...leveraging our cutting‑edge technologies to... ...such as Healthcare, Oil & Gas, and... ...health systems: payers, pharmacy benefit... ...agencies. You’ll lead consultative, value... ...(HIPAA, CMS, prior authorization... ...GTM Engineers, Product, Engineering, and... ...technical SaaS, AI, data, or cloud...CmsDataContract work- ...dedication toward innovating a better healthcare delivery system. Essen has... ...to federal, state and payer regulations. This role conducts... ...BI reporting tools to analyze data, measure compliance trends and... .... Working knowledge of HIPAA, CMS regulations, state regulations...CmsDataWork at office
- ...to work with both patients and payers to ensure timely and correct... ...and verify accuracy of billing data within EHR/EMR systems prior to... ...regulations (HIPAA, CMS, etc.). Collaborate with clinical... ...required; Associate’s degree in Healthcare Administration, Billing & Coding...CmsDataContract workRemote work
- ...factories, ensure that we get healthcare service, and provide us with... ...problems and making them more productive? Zinier is a company on a... ..., and Bangalore, India, with leading investors that include Accel,... ...feedback, support trends, usage data, and competitive intelligence...DataRemote workWorldwide
$130k - $160k
...industries that matter most: housing and healthcare. Everyone needs a place to live and... ...matter. That's not this job. As a Product Solutions Lead, you own a vertical: its health, its... ...Strong analytical skills and a bias toward data-driven decision-making ~ Experience...DataWork at officeLocal areaRelocation- Newrez is seeking a Senior Product Manager - Digital Experience to drive... ...experiences. You will own the enterprise CMS platform, partner with Digital... ..., and ensure scalable, data-driven experiences that grow borrower engagement and leads. #J-18808-Ljbffr Dormont Manufacturing...CmsData
- ...Skilled Nursing Facility (SNF) with a 5-Star CMS Quality Rating, located in Manhattan's... .... Gouverneur offers enhanced, cutting edge healthcare services in a state-of-the-art space. It... ...services. 5. Analyzes and evaluates data to determine appropriate actions and refers...CmsDataFull timeTemporary workLocal areaShift work
$25 per hour
...and interpretation of data using computer based disease... .../RM) functions as the lead manager, coordinator,... ...the delivery of healthcare services and improving... ...closely with leadership and payers on data analysts in the... ...internal reports and required CMS reports related to...CmsData- ...healthtech company transforming how healthcare organizations deliver care... ...is trusted by providers and payers to improve efficiency, lower... ...claim submission or coding production, but requires the ability to... ...to translate RCM performance data into executive-level insights...CmsDataWork at officeRemote work
$100k - $102.5k
...accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity... ...payment in accordance with CMS and payer-specific guidelines. This role supports... ...patterns. Collaborate with clinical, data analytics, and payment integrity...CmsDataRemote work- A leading mental healthcare company is looking for an experienced Data Analyst to enhance decision-making in their Partnership Product area. The role involves collaborating with various teams to derive insights that drive product strategy. Required qualifications include...DataRemote job
- CVS Health is seeking a Backend Capability Product Specialist to own the backend platform, APIs, and data capabilities for our SaaS product suite. You will define... ...intelligence to build a differentiating backend. You will lead third‑party integrations, evaluate...Data
$70k - $85k
...Brooklyn’s largest healthcare system, serving over... .... Overview The Data Manager maintains and... ...reporting; synthesizes payer claims and... ...internal customers. When leading a project team... ...eligibility data, Healthix, CMS, NYS Department of... ...reports using SQL server, Microsoft Access;...CmsDataContract work- ...Prior Authorization, Bulk Data, and DocumentReference... ...Collaborate with product, compliance, and infrastructure... ...API development in healthcare Strong understanding of... ...Familiarity with CMS Interoperability & Prior... ...regulations Desired Skills Payer‑side interoperability...CmsDataFull timeTemporary workImmediate startRemote work
$170k - $200k
...a rapidly growing healthcare technology and actuarial... ...scale. We enable payers and providers to... ..., the two biggest data companies of the... ...and other leading investors. In our... ...We are seeking a Product Manager, Data Platform... ...eligibility, attribution, CMS/ACO files), and...CmsDataContract workFlexible hours- Product Lead, Enterprise Where Medicine Meets Intelligence... ...health systems, payers, and strategic partners... ...payers, and strategic healthcare partners Build embedded... ..., or other healthcare data standards Previous experience... ...and work with cutting-edge AI that's transforming...DataRemote jobTemporary workImmediate startWork from homeFlexible hours
$135k - $140k
...is a rapidly growing healthcare technology and clinical... ...). We combine cutting edge data science, machine learning... ...to care. Backed by leading healthcare investors and... ...a part of building a product that helps clinicians... ...with quality measures (CMS, PQA, HEDIS)...CmsDataLive inLocal areaRemote work$130k - $160k
...that matter most: housing and healthcare. Everyone needs a place to live... ...The Role EliseAI's End User Product Solutions team are subject matter... ...End User Product Solutions Lead, you will set the standard for... ...CSAT, escalation rates—and use data to continuously refine prioritization...DataWork experience placementWork at officeLocal areaRelocationMonday to FridayShift workWeekend work$185k - $240k
...Our Mission Healthcare should work for patients... ..., we've built the leading healthcare... ...clean and unified data ecosystem, and serving... ...Growth, Brand, and Product Marketing teams to... ...analytics platforms, and CMS administration Working... ...with cutting-edge GenAI tools and technology...CmsDataFlexible hours$108k
...requirements of third-party payers. Ensures final audits/... ...staff relative to data tracking for performance... ...experience, preferred. CMS PDGM billing knowledge... ...personal wellness and smart healthcare decisions for you and... ...stability, industry-leading benefits, and opportunities...CmsDataFull timeTemporary workApprenticeshipWork at officeImmediate startRelocation packageFlexible hoursNight shiftAfternoon shift- ...provider documentation, claims and clinical data to ensure accuracy of all reported... ...on documentation requirements in various healthcare settings, reimbursement and regulatory changes... ...of mortality (ROM) Familiarity with payer policies, medical necessity criteria, and...CmsDataWork from home
$79.72k - $119.58k
...analysis with a strong hospital healthcare revenue cycle background to... ...regulatory updates. Audit and Data Integrity Perform regular prospective... ...to ensure they align with payer regulations, Medicare/Medicaid... ...care contract terms, and CMS fee schedules. Support compliance...CmsDataFull timeContract workTraineeship$161.25k - $268.75k
...people and supporting healthcare systems. Our diverse portfolio... ...customer insights and data to prioritize actions,... ...therapies or complex product handling. Familiarity... ...specialty pharmacy, payer engagement, or account‑... ...and Medicaid Services (CMS) website at #J-18808-...CmsDataLocal areaRelocation packageNight shift
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