Lead EDI & Claims Systems Architect (Hybrid)
Heluna Health
Heluna-Health is seeking a Principal Information Systems Analyst to lead the Electronic Data Interchange processes for Medicaid claims in Los Angeles. This position involves operational leadership and technical oversight, ensuring the integrity of claims submissions and managing the EDI workflow. Candidates should possess a strong background in healthcare claims data and have significant experience with Python and relevant transaction standards. The role offers the possibility of a hybrid work schedule, combining remote work with in-office responsibilities. #J-18808-Ljbffr
- ...department is seeking a Principal Information Systems Analyst to lead EDI development for homelessness services. This role involves managing the claims process, ensuring compliance with... ...-time position potentially including hybrid work options. #J-18808-Ljbffr Los Angeles...EDIClaimsFull time
- ...Manufacturing Co is seeking a full-time Cloud Systems Architect in Los Angeles, California. The role... ...and supporting public, private, and hybrid clouds, requiring proficiency in Amazon... ...Microsoft Azure. The ideal candidate will lead cloud management strategies, ensure system...SuggestedFull time
- ...Westfield is seeking a Commercial And Financial Lines Claims Manager to handle and oversee D&O, E&O, and EPL claims. The ideal candidate... ..., and participating in mediations. This position offers a hybrid work environment, requiring 4 days onsite at the Los Angeles office...ClaimsWork at office
- ...Job Title Hybrid Locations: Alpharetta, GA; Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Denver,... ...with 3+ years within the space of Property and Casualty insurance claims. Experience with iterative and agile methodologies, with working...Claims
$20 - $25 per hour
...current knowledge of billing systems and payor systems, including applicable... ...and project deadlines Claim submission: Prepare and submit... ...Proven extensive knowledge of EDI billing systems and third-... ...Our organization follows a hybrid schedule, with in-office work...EDIClaimsWork at officeLocal areaRemote work- ...AmTrust Financial Services Inc. is seeking a leadership role for claims litigation in Los Angeles, CA. The ideal candidate will manage staff counsel offices, ensuring alignment with the company's strategy while optimizing operational efficiency. The role requires 10-1...Claims
$25 - $30 per hour
...Details Pay rate: $25-30/hr. Hybrid schedule (Mon‑Thur onsite and... ...Track promotions, approvals, claims, special item requests, and account... ...to shipping performance, EDI updates, and short shipments.... ...Support item cross-referencing and system updates tied to order source...EDIClaimsTemporary workWork at officeRemote work- ...immediate need for an experienced Assistant Claims Examiner to support our Workers'... ...office address they will be required to work a hybrid. The employee must reside in California. The... ...worksheets Complete MPN, HCO and/or EDI coding Complete referrals to investigators...EDIClaimsWork at officeImmediate startMonday to FridayFlexible hoursNight shift
$25 - $27 per hour
...Lead Medical Biller Skilled Wound Care is looking for a Lead Medical Biller to join... ...requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue... ...specific billing regulations. Position is hybrid at our office in Playa Vista, CA...ClaimsWork experience placementWork at office- ...AVONRISK is seeking a Workers' Compensation Claims Supervisor to join our team in Glendale, California. This hybrid position involves leading a team of 7 professionals, providing guidance and mentorship while ensuring compliance with relevant regulations. We offer a competitive...Claims
$47.94 - $69.18 per hour
...Principal Information Systems Analyst - Lead EDI Developer Salary Range: $47.94-$69.18 per hour... ...need and may include the option of a hybrid work schedule where employees work remotely... ...on homelessness services into Medicaid claims and managing the end-to-end Electronic...EDIClaimsHourly payFull timeWork at officeRemote work$24 - $26.44 per hour
...reporting. Ensure accurate and timely invoicing – EDI. Familiarity with navigating customer web... ...to locate remittance detail and file claims. Qualifications 2–3 years of experience... ...community service projects. Work Schedule Hybrid schedule with in‑office requirement Monday...EDIClaimsHourly payWork at officeLocal areaRemote work- ...A leading IT consulting firm in Pasadena is looking for an experienced professional with over 8 years in systems analysis and application program development. The ideal candidate will... ...extensive knowledge in healthcare, EDI, and claims processing. This role involves...EDIClaims
$115.44k - $148.15k
A leading health organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA. The role involves management of Claims Delegation Audits,... ...in claims administration. The position offers a hybrid work model and a competitive salary range of around...Claims- Primary DetailsTime Type: Full time Worker Type: Employee Lead Claims Relationship Management Location: USA -Boston, MA, Plano,... ...circumstances. As a QBE employee you will have access to: ~ Hybrid Working - a mix of working from home and in the office...ClaimsFull timePart timeWork experience placementWork at officeRemote workWork from home
- ...but will convert to being a HYBRID remote/onsite role in the future... ...business needs. Duties Leads analysis and requirements... ...related business, and operational systems critical to the project or... ...of the following disciplines: Claims/EDI, Membership, Provider, Care...EDIClaimsFull timeContract workRemote workShift work
- ...seeking a skilled IT professional to provide consulting roles in systems development and project management focused on enhancing... ...experience in relevant positions. This full-time role offers a hybrid work arrangement combining remote flexibility with office engagement...Full timeWork at officeRemote work
- ...skilled professional with extensive experience in systems analysis and application development. The ideal candidate... ...supervisory roles, and expertise in healthcare, EDI, and claims processing. Responsibilities include leading projects, consulting with clients, and managing...EDIClaimsFull time
- ...EDI Project Manager Relevant Experience (in Yrs: 10+ Years):... ...experience, typically 8+ years in systems analysis and application... ...technology alternatives. Can lead a large-scale project or multiple... ...experience in Healthcare, EDI and Claims Processing. Qualifications:...EDIClaimsFull time
- ...Responsible for collaborating with Manager, Lead, claims staff and Health Plans to submit, monitor and track the FFS Billing process. Additionally... ...are submitted to the Health Plan electronically monthly by EDI Unit. Work any rejections of the claims submitted...EDIClaimsWork at office
- ...EDI Project Manager Technical/Functional Skills: Substantial... ..., typically 8+ years in systems analysis and application program... ...technology alternatives Can lead a large-scale project or multiple... ...in Healthcare, EDI and Claims Processing Experience Required...EDIClaimsPermanent employment
$160k - $185k
...Health Pivotal Health is the leading technology platform that helps... ...efficiently dispute underpaid claims, reduce administrative burden,... ...thoughtfully when needed, and leverage systems, data, and automation to build... ...those regions. Remote and hybrid flexibility varies by role and...ClaimsRemote workFlexible hours$80.64k - $92.75k
A leading caregiving services company seeks an AP Supervisor to oversee accounts payable operations and lead remote teams. The role requires... ...invoice processing while supporting month-end activities. This hybrid position involves coming into the El Segundo office three times...Work at officeRemote work- ...Aon is seeking a Complex Construction Claims Strategic Lead based in Los Angeles to lead claims strategies across multi-line construction programs. You will work closely with high-profile clients, providing expert guidance in navigating complex claims issues. The successful...Claims
$26.44 - $31 per hour
...company's financial health. We work a hybrid schedule with an in-office requirement Monday... .... Ensure accurate and timely invoicing EDI Familiarity with navigating customer... ...portal to locate remittance detail and file claims. Qualifications ~2-3 years of...EDIClaimsWork at officeLocal areaRemote workWorldwide- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant experience, excellent communication skills, and a Juris Doctor degree. Responsibilities include handling...Claims
$110k - $230k
...experienced and detail-oriented Financial Lines Claims Counsel & Cyber to join our Financial... ..., Dallas, Los Angeles, or Warren NJ hybrid work environment (4 days in office). Key... ...accurate and up-to-date claim files and diary system. Qualifications Bachelor’s and Juris...ClaimsTemporary workWork at officeLocal areaFlexible hours$100k - $130k
...The role involves handling wage and hour matters, discrimination claims, and various employment-related litigation. Ideal candidates... ...health insurance and professional development opportunities. A hybrid work schedule may be considered after onboarding, depending on experience...Claims- ...of relevant experience and possess strong problem-solving and communication skills. This position requires expertise in platforms like Relativity and entails both client management and technical advisory duties. The role supports a hybrid work model. #J-18808-Ljbffr...
- ...provider communications, and supporting cross-functional teams in claims processes. Ideal candidates will have a minimum of 5 years in Accounts Payable/Receivable and experience in claims. This hybrid role balances in-office collaboration with flexibility, requiring office...ClaimsWork at office
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