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
- ...is an AI-first, platform-based healthcare technology company, committed to... .... The Healthcare Collections Analyst is responsible for processing medical insurance claim overpayments that were identified... ...to claim payments, provider manual and member benefits. Maintain legal...ClaimsFull timeVisa sponsorship
- ...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
- Infinite Computer Solutions is looking for a Senior Business Analyst to drive requirement analysis and functional design for healthcare payer systems. This role requires deep expertise in claims processing and benefits configuration, collaborating with clients and development...Claims
- ...tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit... ...is an exciting place to be within the healthcare industry. As a member of Mass General Brigham... ..., analysis, and reporting of claims, encounters, and authorization data in alignment...ClaimsWork experience placementWork at office
- Infinite Computer Solutions is seeking a UM Data Analyst to analyze utilization trends, claims data, and pharmacy data to identify cost-containment opportunities. The role includes documenting and improving UM workflows, defining IT requirements, and performing UAT for...Claims
- We are looking for a Healthcare Data Analyst to gather and analyze healthcare data from multiple sources (e.g. insurance processing, clinical... ...Pull and integrate data from disparate sources (e.g. cost and claims or clinical data) Evaluate and preprocess raw information...ClaimsInternship
- ...integrated accumulations data exchanges and ensure data integrity across PBM and health platform systems. This hybrid role supports... ...data integrity, and participating in client migrations while adhering to the Judi Health Code of Conduct. #J-18808-Ljbffr Capital Rx
- CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires collaboration and strong communication, with...Claims
- ...new business, and disrupt the traditional PBM landscape. In this role, you won't just... ...RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred.... .... We process over 200,000 insurance claims annually for leading national and regional...ClaimsContract workTemporary workImmediate startRemote workWork from home
- VillageCare seeks a HealthCare Claims Analyst to join our team in a full-time hybrid role, based in NY/CT. You will leverage SQL analytics, Excel, and BI tools to report on Medicaid/Medicare claims, identify gaps, and drive reimbursement insights. Strong communication and...ClaimsFull time
$144k - $180k
...including: Capital Rx , a public benefit... ...benefit management (PBM) solutions to self‑... ...consolidates all claim administration‑related... ...trust in healthcare in the U.S. and deploying... ...strong emphasis on test automation, process... ...including automation, manual testing, and...ClaimsLocal areaRemote workFlexible hoursShift work- Cotiviti is seeking a Content Solutions Analyst II in the Genetic Testing & Laboratory domain. You will independently develop and refine payment policy... ...to implement enhancements. Your role includes complex claims analysis, QA of policy logic, and mentoring junior analysts...ClaimsRemote job
$163.6k - $204.5k
...Account Executive, PBM Judi Health is an enterprise... ..., including: Judi Rx, a public benefit... ...which consolidates all claim administration-related... ...re rebuilding trust in healthcare in the U.S. and deploying... ...pre- and post go-live testing, claims review and support...ClaimsContract workWork at officeLocal areaFlexible hours$65.29k - $72.28k
...Job Description Job Description Position:HealthCare Claims AnalystLocation: Hybrid (Must Reside in NY/NJ/CT)Compensation: $65,294.4... ...over 45 years.Are you excited about this HealthCare Claims Analyst job?The Full-Time HealthCare Claims Analyst position at VillageCare...ClaimsFull timeContract work- ...New York, NY is seeking a Data Exchange Analyst to ensure accuracy and reliability of outbound data feeds supporting our PBM services. You will develop, validate, and monitor feeds (claims, formulary, network, eligibility), test connectivity for clients, and collaborate...Claims
- ...collaborate with data exchange partners and internal teams to develop integrated member accumulations feeds and ensure accuracy at Capital Rx. You will triage accumulation issues, monitor data integrity, and support resolution of transfer and management errors across systems...
- ..., gender, sexual orientation, age, marital status, veteran status, or disability status.Job DescriptionJob Description: As a healthcare analyst, you will be performing research/analysis based on the client data followed by contribution in internal projects. On the whole...
$115k - $130k
...focus on Consumer and Retail, Energy, Financial Institutions, Healthcare, Industrial Growth and Services, Industrials, as well as Technology... ...Life Sciences team is actively looking for a Senior Analyst for our New York office. The candidate will be working closely...- Judi Health is seeking a Data Exchange Analyst to ensure the accuracy, reliability, and smooth... ...operation of data feeds supporting JUDI Rx’s pharmacy benefit services. You will execute... ...data loads. Success requires strong PBM data knowledge, analytical skills, and the...Claims
$20 - $24 per hour
...individuals passionate about technology, healthcare, and patient wellbeing. Position Overview... ...process notes with clear routing details, claim updates, and actions taken. Communicate... ..., preferably in a specialty, mail‑order, PBM (with manufacturer and insurance troubleshooting...ClaimsFull timeWork at officeRemote workMonday to FridayShift workAfternoon shiftEarly shift$125.2k - $156.5k
...including: Judi Rx, a public benefit corporation... ...benefit management (PBM) solutions to self-... ...which consolidates all claim administration-related... ...re rebuilding trust in healthcare in the U.S. and deploying... ...surveys, and usability testing to inform design decisions...ClaimsWork experience placement$160k - $190k
...health plans, including: Judi Rx , a public benefit corporation... ...pharmacy benefit management (PBM) solutions to self-insured employers... ...(EHP), which consolidates all claim administration-related... ...clients, we’re rebuilding trust in healthcare in the U.S.’ and deploying the...ClaimsLocal areaFlexible hours- ...InfuCare Rx is a leading home infusion provider accredited by URAC... .... Prepare and submit clean claims to assigned insurance companies... ...customer service. Assist with PBM and Medical Claim Audits – (both... ...use, or disclosure of genetic tests, genetic services, or family medical...ClaimsWork experience placementWork at office
$95.2k - $119k
...including: Judi Rx, a public benefit corporation... ...benefit management (PBM) solutions to self-... ...which consolidates all claim administration-related... ...re rebuilding trust in healthcare in the U.S. and deploying... .... Conduct usability testing and apply findings to improve...ClaimsWork experience placementLocal areaFlexible hours- Intermountain Health in Utah is seeking a Business Systems Configuration Analyst I to analyze, design, configure, test, implement and support healthcare platform software configuration. The role requires understanding business requirements and applying SQL scripting with...Flexible hours
- Jobgether on behalf of a partner company is seeking a Senior Business Intelligence Analyst in the United States to transform healthcare data into actionable insights and empower decision-making across clinical, operational, product, and technology teams. This role focuses...Remote job
- Overview A healthcare analyst is in charge of evaluating medical data to improve the business part of hospitals and medical facilities. The Healthcare Analyst leads and performs complex analyses integrating data from multiple entities and environments throughout the health...H1bRelocationVisa sponsorship
$25 - $28 per hour
A healthcare staffing agency is seeking an IT Analyst I in New York City. This role requires a degree in Computer Science and 1-2 years of related experience. Candidates should possess strong analytical and problem-solving skills, along with knowledge of healthcare information...Hourly pay$80k - $100k
...requiredResponsible for adherence to the Capital Rx Code of Conduct including reporting of... ..., pricing & underwritingPharmacy, PBM, or Health Plan experience requiredKnowledge... ...ability to analyze and interpret historical claims dataProficient in Excel and data visualization...ClaimsContract workWork experience placementLocal areaFlexible hoursShift work
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