Technical Developer (CA:GEN & Healthcare Claims)
Node.Digital
Location: Remote, USA Node.Digital is seeking a Technical Developer to support enhancements and ongoing development of the MetaVance healthcare platform. The role focuses on claims processing, benefits configuration, and pricing functionality within the MetaVance application environment. The resource will contribute to system design, development, and technical analysis while ensuring alignment with healthcare claims business processes. Responsibilities Design, develop, and enhance MetaVance application components across Claims, Benefits, and Pricing areas. Build and maintain application code using
CA:GEN
and related development tools. Perform technical analysis and produce process and technical specifications. Support MetaVance online and batch processing functionality. Conduct data analysis within the MetaVance data structure using Oracle SQL tools and MetaVance configuration tools. Maintain and enhance MetaVance BSI components. Collaborate with business stakeholders and present solution impacts and enhancement recommendations. Ensure solutions align with healthcare claims business requirements and technical standards. Qualifications CA:GEN C Guardien Report Composer CA:GEN APIs MetaVance Oracle SQL Healthcare Claims Processing Mandatory Skills Description Strong hands‑on experience with MetaVance application development, including Claims, Claims Payable, and Benefits modules. Proficiency in CA:GEN development, including APIs, Guardien, and Report Composer. Experience developing and enhancing MetaVance application code and supporting both online and batch processing. Ability to perform technical analysis and conduct data analytics within MetaVance using Oracle SQL Developer and MetaVance configuration tools. Solid understanding of healthcare claims processing and benefits configuration, with at least 5+ years of relevant experience. Experience in business consulting or business design within healthcare systems. Familiarity with pricing modules within MetaVance. Strong stakeholder communication skills and experience presenting system impacts and enhancement recommendations to business and technical teams. Nice to have Good communication skills. #J-18808-Ljbffr Node.Digital- A healthcare technology company is seeking a Technical Developer to enhance the MetaVance healthcare platform. Responsibilities... ...developing application components for claims processing, benefits... ...application development, proficient in CA:GEN and Oracle SQL. Strong...ClaimsRemote job
- ...Candidates Preferred candidates will hold a CA, GA, FL, IL, KY, LA, NV, or TX license.... ..., and reviews workers' compensation claims by providing an interpretation of the medical... ...of services provided by other healthcare professionals in compliance with state regulations...ClaimsFor contractorsRemote workMonday to Friday
- ...important thing in life, and the American healthcare system is completely broken - poor... ...resolving patient billing tickets, managing claim workflows, and building and optimizing RCM... ...and new service line expansions. Develop and maintain SOPs for RCM workflows, flagging...ClaimsFull timeRemote work
- E Logic is seeking an IBM DataStage Developer in Washington DC to support and maintain ETL... ...assisting in documentation for health insurance claim datasets. The ideal candidate must have... ...insurance claims, and a background in healthcare data operations. #J-18808-Ljbffr E-...Claims
- ...Overview CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and... ...Responsibilities Communicate with insurance carriers regarding claim denials, overdue accounts, incorrect payments, and pending verification...Claims
$63.4k - $95k
...Job Title: Claims Examiner – Workers Compensation, CA (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring... ...requirements. Analyze and process claims through well-developed action plans to an appropriate and timely resolution by...ClaimsRemote workFlexible hours- ...and interpretation of medical records and claim documentation to assist with the appeals... ..., Physician, or other qualified healthcare provider. # Other skills required:... ...values. External Working Relationships Develops and maintains courteous and effective working...Claims
- ...Licensure Required Job Relevant Experience: Medical peer review or healthcare industry knowledge required. Business experience in a... ...forward‑thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation...ClaimsTemporary workRemote work
$50k - $55k
...Annually Company Overview Healthcare Legal Solutions, LLC is a fast... ...used to process insurance claims and supporting documents. The... ...management system, and that any technical issues affecting claim... ...screenshots, and detailed feedback to developers when new or updated bots are...Claims$65k - $80k
...probationary period review. COMPANY OVERVIEW: Healthcare Legal Solutions, LLC is a fast-growing... ...for settling a high volume of claims using creative, innovative, and flexible... ...arguments. Assist legal appeals team in developing new and innovative legal and procedural...ClaimsWork at officeFlexible hours$23 - $25 per hour
...Follow-Up Representative Location: Bethesda, MD Industry: Healthcare Revenue Cycle / Accounts Receivable Pay: $23$25 per hour (... ...system. To support the clean-up and resolution of these outstanding claims, the organization is seeking experienced AR Follow-Up...ClaimsHourly payContract workCasual workWork at officeLocal areaFlexible hours$50k - $55k
Healthcare Claims Operations Team Lead - Washington, DC (On-site) Location: Washington, DC, US,... ...role in our mission Lead, mentor, and develop a team supporting medical claims processing... ...also offers various leadership and technical development academies to help build skills...ClaimsFull timeFlexible hours$16.36 - $22.09 per hour
...Revenue Cycle Coordinator Join a mission-driven healthcare organization where your expertise in billing, claims management, and revenue cycle operations directly supports access to essential services. This role offers the opportunity to work across the full revenue...ClaimsHourly payTemporary workWork at officeFlexible hours- ...handling patient billing and/or insurance claims ~ Familiar with Pharmacy Systems, data... ...Flagship, Long Beach as well as other CA sites-San Francisco/San Diego AMAZING... ...WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something...Work experience placementRelocationShift work
$50k - $55k
Healthcare Claims Call Center Team Lead - Washington, DC (On-site) As a Healthcare Claims Call Center Team Lead at Gainwell, you will support a team handling medical claims inquiries, customer service, and healthcare support operations within a high-volume contact center...ClaimsWork at officeRemote workMonday to FridayFlexible hours$50k - $55k
...and career development. Summary As a Healthcare Claims Operations Team Lead at Gainwell, you will... ...role in our mission Lead, mentor, and develop a team supporting medical claims... ...also have a variety of leadership and technical development academies to help build your...ClaimsFull timeFlexible hours- ...Relevant Experience Business experience in a healthcare and/or insurance setting is preferred.... ...and computer work. Work From Home Technical Requirements Supply and support their own... .... We process over 200,000 insurance claims annually for leading national and regional...ClaimsTemporary workWork at officeRemote workWork from home
$70 - $98 per hour
...S. Powered by a passionate team of mental health advocates and healthcare veterans, Grow is looking for providers who want to build or expand... ...community. We handle credentialing, billing, and insurance claims so providers can enjoy the freedom of choosing when, where, and...ClaimsContract workPart timePrivate practiceRemote work$100k
...hospital in northern Virginia ~ Hospital offers a full range of healthcare services including general surgery, orthopedic, urology, and... ...including tail and free litigation support ~ USACS malpractice claims are less than 1/2 the national average! Intangible Benefits...ClaimsFull timeTemporary workShift workNight shift$4,000 per month
...hospital in northern Virginia ~ Hospital offers a full range of healthcare services including general surgery, orthopedic, urology, and... ...including tail and free litigation support ~ USACS malpractice claims are less than 1/2 the national average! Intangible Benefits...ClaimsTemporary workLocal areaShift workNight shift- ...initiatives. You will join a growing team of healthcare experts solving critical problems in... ...using relevant data sources (insurance claims, biometric results, survey results, public... ...communicating their findings to both technical and non-technical stakeholders. Beyond strong...Claims
- ...Healthcare Legal Solutions, LLC in Washington, DC, is looking for an attorney specializing in healthcare law to manage claims and negotiate settlements. The ideal candidate will hold a Juris Doctoral Degree and possess 3+ years of legal experience. This position involves...Claims
- ...Medical Staffing - Ready to start an exhilarating experience in healthcare? Pick up the phone and call Global Medical Staffing today. ~1... ...~ Pre-paid travel and housing ~ Paid AAA-rated claims made malpractice ~ Licensing assistance and cost reimbursement...ClaimsWork visa
$4,000 per month
...37-bed not-for-profit teaching facility offering comprehensive healthcare and multiple, independently recognized centers of excellence including... ...tail and free litigation support ~ USACS malpractice claims are less than 1/2 the national average! Intangible Benefits...ClaimsTemporary workLive in$45k - $70k
...Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... ...sitting and computer work. WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their... .... We process over 200,000 insurance claims annually for leading national and regional...ClaimsRemote jobTemporary workWork at officeWork from home$44k - $50k
...Service Benefit Plan (FSBP) health benefits, claims, medical/pharmacy coverage, and... ...supervisors as needed. Ensure compliance with healthcare regulations, policies, and procedures.... ...monthly remote work stipend to support technical connectivity needs. AFSPA is a federal...ClaimsFor contractorsWork at officeRemote workRelocation packageMonday to Friday- ...Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on clinical... ...Licensed in California Able to provide telehealth or in-person sessions Work Remotely Yes CA, US...ClaimsLive inWork at officeRemote work
$50k - $60k
...Healthcare-Legal-Solutions, LL is looking for a dedicated professional to join our team in Washington, D.C. The role involves investigating claim denials, handling a large volume of documents, and maintaining organization within the office. Candidates should possess strong...ClaimsWork at office$260k - $280k
...alignment. This role is not eligible for hire in: AK, CA, CO, HI, NY, or WA. Interview Process*: #... ...unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-...ClaimsRemote workFlexible hours$129.3k - $177.8k
...A healthcare company based in Washington seeks an Actuary specializing in Analytics/Forecasting. This role involves analyzing and forecasting... ...with stakeholders, and providing insights into medical claims trends. Candidates should have a Bachelor's degree, appropriate...ClaimsRemote work
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