Healthcare Test Analyst: Rx Claims, PBM, Manual Testing
TechDigital Group
An established industry player is seeking a dedicated professional with a strong background in healthcare. This role requires excellent communication and project management skills, along with the ability to work collaboratively in a team environment. The ideal candidate will have experience with RX claims and a solid understanding of healthcare legislation. Join a dynamic team where your contributions will directly impact healthcare operations and improve patient outcomes. This is an exciting opportunity to grow your career in a supportive and innovative environment. #J-18808-Ljbffr TechDigital Group
- ...Responsibilities: 4 years' experience in healthcare. Prioritize, manage multiple... ...valid conclusions. Required Skills: RX claims Preferred Skills: Knowledge and experience... ...the top 3 Must Haves for this role? PBM Rxclaims Manual Testing #J-18808-Ljbffr TechDigital GroupClaims
- ...Contract Responsibilities 6+ years of experience in AS400 + Synon + Rx Claim. Experience in Rx CLAIM PBM application (Adjudication) is STRONGLY PREFERRED. Must have real work experience in Healthcare domain. Should be able to read COBOL/400 code for analysis and debugging...ClaimsLong term contractContract workWork experience placementRemote work
- The Healthcare Collections Analyst is responsible for processing medical insurance claim overpayments that were identified through Lyric’s data mining efforts, including but... ...policies related to claim payments, provider manual and member benefits. Maintain legal...Claims
$25 - $30 per hour
...One of our Direct Client looking for Payments Operations (Healthcare) Analyst Job Details: Job Title: Payments Operations (Healthcare) Analyst... ...to ensure accuracy. Meet daily quotas for number of claims keyed. The Company offers the following benefits for this position...ClaimsTemporary work- ...the pharmacy review process, supporting PBM clients by ensuring the accuracy, completeness... ..., managed care, pharmacy operations, or healthcare setting required Experience with prior... ...professionals. We process over 200,000 insurance claims annually for leading national and...ClaimsRemote jobTemporary workWork at officeWork from home
$65.29k - $72.28k
...Job Description Job Description Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. With a competitive salary range of $65,294.40 - $72,277, this position offers great financial...ClaimsFull timeContract workFlexible hours- ...context, BEHS is looking to recruit an analyst to perform a variety of policy analyses... ...innovations necessary to improve equity in healthcare access, outcomes, and healthcare... ...limited to preparing projected analyses on claims and utilization, including underlying trends...ClaimsTemporary workWork at officeRemote workMonday to FridayFlexible hours
- Compunnel, Inc. seeks an experienced Business Analyst in Kentucky to analyze business and... ...will have expertise in enterprise healthcare systems and quality assurance processes,... ...collaborating with stakeholders and managing testing strategies. Strong skills in Agile methodologies...
- ...Healthcare Business Analyst Arete Technologies, Inc. offers a set of innovative consulting and outsourcing services, bridging the gap between... ...experience as a business analyst 3+ years of healthcare data claim content experience. Must be familiar with claim structure data...ClaimsLocal areaWorldwide
- ...navtechusa.com Role: Business Analyst Location: Remote... ...Responsibilities: Healthcare experience must,... ...project sponsors to determine claim adjudication project enhancement... ...standards Create and execute test plans to ensure system enhancement...ClaimsRemote work
- A healthcare intelligence company is seeking a Senior Analyst to lead the development of reimbursement and payment integrity concepts. In this role, you will analyze claims data, collaborate with technical teams, and ensure payments align with contracts. Candidates should...ClaimsRemote job
$96.8k - $121k
Transformcap is seeking a Data Exchange Analyst as part of their Data Operations team. This... ...for ensuring accurate exchange of healthcare data with partners. Key responsibilities... ...validation, and monitoring of data feeds for claims. The ideal candidate will have a...ClaimsRemote job$80k - $100k
...Account Manager, PBM Charlotte, North Carolina... ...including: Capital Rx, a public benefit... ...which consolidates all claim administration-related... ...re rebuilding trust in healthcare in the U.S. and deploying... ...quality assurance and testing to validate coding accuracy...ClaimsWork at officeLocal areaRemote workFlexible hoursShift work- Progyny, Inc in New York seeks a Carrier Revenue Analyst to perform detailed reviews of claims lifecycle and conduct root-cause analysis for claim issues... ...ideal candidate has a Bachelor's degree, 1+ years in healthcare RCM, and strong analytical skills. A familiarity with...Claims
- Remote Jobs is looking for a Senior Business Analyst to lead its claims transformation efforts. This fully remote position requires a strong background in Medicaid/MMIS and healthcare claims, as well as experience with TriZetto Facets. The ideal candidate will have excellent...ClaimsRemote job
- ...the department. Implement automation of manual reporting and analysis of business... ...in Mathematics, Statistics, Economics, Healthcare or related discipline required; Master'... ...healthcare data including but not limited to claims, testing results and pharmacy data required...Claims
- Trend Health Partners, Inc. is seeking a Claims Analyst to identify, analyze, and recover claim overpayments for commercial health insurance... ...collaborating with clients and team members to improve healthcare access while maintaining strong analytical and communication...Claims
- A leading staffing and recruiting firm is looking for a Healthcare Claim Analyst (Provider Side) for a 5-6 month remote contract role. You will be responsible for handling inbound and outbound calls from healthcare providers and members, focusing on claims support, eligibility...ClaimsRemote jobContract work
$95k - $105k
...they have always dreamed. About the role We are seeking a Healthcare Business Analyst with a strong foundation in data analysis and a proven... ...process documentation Solid understanding of healthcare data (claims, clinical, operational, or similar), including Medicare...ClaimsWork experience placement- ...driven environment, we’d love to meet you! About the Role The Healthcare Data analyst will perform a variety of healthcare data analyses to... ...conduct and manage high quality, rigorous analyses of healthcare claims and health record data. You will communicate clearly in...ClaimsWork experience placement
$20 per hour
...more. Base pay range $20.00/hr - $20.00/hr Direct message the job poster from HireTalent - Staffing & Recruiting Firm Healthcare Claim Analyst (Provider Side) Location: 100% Remote (U.S. only) Duration: 5-6 Month Contract (High chance of extension) Shift: Late shift...ClaimsContract workRemote workShift workAfternoon shift$65.29k - $72.28k
Village Center for Care, Inc. is seeking a Full-Time HealthCare Claims Analyst to work remotely with a competitive salary of $65,294.40 to $72,277. The role emphasizes healthcare claims reporting, policy development, and team collaboration in a mission-driven environment...ClaimsFull timeRemote work- A global technology company in New York seeks a Business Analyst - Project Lead to support consulting services aimed at improving Medicaid... ...candidates will have excellent communication skills and a solid understanding of healthcare regulations. #J-18808-Ljbffr ITProFoundClaims
- A healthcare analytics company seeks an HCS Operations Inventory & Quality Analyst to manage inventory processes and ensure compliance with regulatory standards. The role... ...relevant experience in healthcare eligibility or claims is required. Competitive salary and benefits...Claims
- Overview Title: QA Testing Analyst: III (Senior) Dates: Feb 16-Sep 30, 2026 Type: Contract only Location: Columbus, Ohio Client - HNB... ...customer‑facing transaction functionality. The specialist performs manual, onsite testing 5 days per week in Columbus, OH, supporting...Contract workMonday to Friday
- ...is seeking skilled and experienced Field Investigators to join our team on a Full-Time basis. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFull time
- A healthcare management firm is seeking a Sr. Pricing Analyst to support pricing and underwriting initiatives. This role involves advanced financial modeling and analysis of pharmacy claims data to inform pricing strategy. Candidates should possess a Bachelor's degree in...Claims
- ...health plans, including: Capital Rx, a public benefit corporation... ...pharmacy benefit management (PBM) solutions to self-insured... ...(EHP), which consolidates all claim administration-related workflows... ...clients, we’re rebuilding trust in healthcare in the U.S. and deploying the...ClaimsLocal areaRemote work
$75k - $85k
...Job Description Job Description Claims Specialist – Workers' Compensation & Commercial Auto Brooklyn, NY $75,000–$85,000 DOE Company & Position Overview Growing commercial insurance brokerage seeking a Claims Specialist to oversee and manage Workers'...Claims- ...Requirements: Bachelor's degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, or Healthcare Administration Familiarity with key managed care concepts and provider reimbursement principles such as risk adjustment,...Contract workTemporary workWork experience placementWork at officeLocal area
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