Healthcare IT Implementation Consultant (Payer/Edi HIPAA)
Quantix Consulting Inc
A leading healthcare IT services organization is seeking a Technical Consultant in New York City. The role involves driving the implementation of digital solutions, requiring deep knowledge of EDI processes and experience in the healthcare payer space. Candidates should be prepared for a contract-to-hire position with 50-75% travel. Ideal applicants will have expertise in project implementation across multiple products. Applicants should submit salary requirements along with their application. #J-18808-Ljbffr Quantix
- Cotiviti is seeking an Senior Implementation Consultant to test, implement and... ...integrate Edifecs solutions for payer clients. You will install... ...interoperability across EDI, FHIR, HL7, and REST/SOAP services... ...support. Strong healthcare data domain expertise is required...EDI
- Judi Health, LLC in New York is seeking a Senior Lead Payer Gateway Manager to oversee HIPAA EDI transactions and hosted gateway solutions across payers, providers, and TPAs. You will ensure timely submissions, validation, and reconciliation to support accurate adjudication...EDI
$120k - $200k
...We're building a new healthcare clearinghouse Stedi is building... ...Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such... ...remittances using a standardized EDI format called X12 HIPAA.... ...teams for review and implementation. Contribute to external...EDI- ...successfully delivered IT resources and... ...needs of the healthcare industry and is... ...: Technical Consultant Location: New... ...the healthcare payer space, with practiced... ...of the EDI processes used in healthcare (HIPAA formats), must understand the implementation life cycle supporting...EDIContract work
- Overview Job Title: EDI Architect - Healthcare (Informatica Cloud) Location: Remote... ...Architect, design, and implement scalable and secure EDI solutions... ...and delivery. Support HIPAA compliance, secure data exchange... ...of healthcare payer-provider workflows and terminology...EDIRemote work
$110k - $125k
...We’re building a new healthcare clearinghouse Stedi is building the first new healthcare... ...and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as... ...and remittances using a standardized EDI format called X12 HIPAA. Clearinghouses...EDI$69.85k - $97.09k
...claims and encounter data, including 837 EDI encounter files for EDPS, RAPS and Edge Server... ...Bachelor’s Degree in Health IT, Informatics, Management Information Systems... ...X12, EDIFACT, HL7, NCPDP and knowledge of HIPAA transactions. Prior knowledge of 837’s with...EDILocal areaRemote work- ...Founding Engineer | AI-Native Healthcare RCM Shields Group Search... ...won't sell software. It will sell outcomes,... ...Step therapy requirements Payer-specific formulary rules... ...healthcare data standards: X12 EDI (837/835/270/271), HL7,... ...compliance awareness: HIPAA, BAA requirements, PHI...EDIShift work
- ...Eligibility & Benefits Managers to drive advancements in AI healthcare applications. Your role will involve guiding insurance... ...efficiencies. Ideal candidates must have a strong background in payer systems and EDI transactions, with at least 5 years of relevant experience....EDI
$174.8k - $218.5k
...needs to deliver the healthcare we all deserve. We are... ...Summary The Senior Lead Payer Gateway Management... ...compliant processing of HIPAA EDI transactions and hosted... ...Provider Relations, Client Implementation, Vendors, and... ...breaks. Partner with IT/EDI, claims system teams...EDILocal areaFlexible hours- A healthcare integration solutions company is seeking an experienced Integration Specialist to... ...and maintain integration solutions using EDI standards. Candidates should have at... ...on EDI transactions and compliance with HIPAA. This role requires strong troubleshooting...EDI
- ...subsidiary of Neuronetics, is seeking a Managed Care Manager to lead payer contracting, network management, and reimbursement initiatives.... ..., strong negotiation and analytical skills, and familiarity with EDI, enrollment, and payer operations. #J-18808-Ljbffr Triwill GroupEDIRemote job
- ...Exchange Analyst to ensure accurate, secure exchange of healthcare data with employers, providers, and TPAs. You will... ...in healthcare data analysis, strong SQL/JSON skills, EDI experience, and a commitment to HIPAA compliance and data accuracy. #J-18808-Ljbffr Capital...EDI
- ...team. You will ensure secure, accurate exchange of healthcare data between Judi Health and employers, providers,... ...bring 2+ years in healthcare data analysis or EDI, strength in SQL/Excel/JSON, and a commitment to HIPAA compliance, data quality, and process improvement....EDI
$174.8k - $218.5k
...needs to deliver the healthcare we all deserve. We are... ...Summary The Senior Lead Payer Gateway Management... ...compliant processing of HIPAA EDI transactions and hosted... ...Provider Relations, Client Implementation, Vendors, and... ...breaks. Partner with IT/EDI, claims system teams...EDIContract workFor contractorsFor subcontractorWork at officeLocal area- ...support QA, release testing, and data validation for complex healthcare technology solutions. You will analyze requirements, design test... ...role requires SDLC and Agile testing experience, healthcare EDI/HIPAA familiarity, and proficiency with JIRA and Azure DevOps. You will...EDI
- ...deeply understands the credentialing and payer enrollment landscape to unblock our ability... ...credentialing, MAC jurisdictions, or EDI enrollment. Why join us Mission with meaning... .... We're building something that makes healthcare a significantly less painful for real people...EDIFull timeContract workPart timeLive in
- ...ultimately trickles down across the healthcare ecosystem, driving up costs... ...to access. Experience with implementing, enabling, and using business... .... Prior work at a payer, health tech company, or healthcare... ...analytics vendor. Exposure to EDI formats (e.g., X12 837/835) or...EDIVisa sponsorshipWork visa
- ...offer Strategy and Consulting, Interactive,... ...experienced Epic Payer Platform Lead who... ...Capabilities in a production healthcare environment The... ...with Epic Implementation Team. Take end user... ...standards (FHIR R4, EDI X12, CDA/CCDA) as... ...experience in Healthcare IT role Minimum of 1...EDIFull timeWork experience placementLive inWork at officeLocal area
$71.2k - $158.2k
...Implementation Consultant – Revenue Cycle Patient Access (Scheduling/ Registration ) United States... ...save lives. To create a human‑centric healthcare experience powered by unified global... ...classes, and encounter mapping) Insurance, payer, and financial class configuration (...Temporary workFlexible hours$150k
The Role We're hiring Loula's founding Payer Strategy & Partnerships Lead! This is someone... ..., working with Candid Health on EDI/EFT enrollments, and managing internal and... ...Experience You have 4-8 years of experience in healthcare payer relations, payer contracting, healthcare...EDIContract workTemporary workRemote work$120k - $130k
...connects the fragmented healthcare data ecosystem for... ...health plan. Payers, third-party... ...This role requires a consulting mindset: the ability... ...POC for key client IT and Business... ...years in consulting, implementation, or healthcare operations... ..., healthcare EDI, or health plan administration...EDIContract workRemote workWork from homeFlexible hoursWeekend work- ...Availity, we're not just another Healthcare Technology company; we're... ...interoperability. This role will focus on implementing interoperable solutions that... ...necessity reviews, and payer-provider workflows while... ...and the X12 278 EDI and FHIR prior authorization...EDIRemote jobHourly payCasual workWork at officeLocal area
$170k - $240k
...the AI Operating System for healthcare, the foundation that defines... ...clinical encounter into a clean, payer‑accepted claim. What You’ll... ...into valid electronic EDI claims across professional (CMS... ...RCM platform by proposing and implementing improvements to architecture,...EDIImmediate start- Nationwide IT Services seeks a Management Analyst III (HIPAA) to support the Department of Health and Human Services, OCR. The role centers on policy analysis, advising on HIPAA Privacy and Security rules, and developing OCR policies aligned with the OCR mission. The incumbent...
- Stedi is building the first new healthcare clearinghouse in decades. The Customer Success Engineering team will directly assist customers... ...enabled clearinghouse, focusing on revenue cycle management and EDI-related workflows. You will work with customers to optimize...EDI
- ...Health Overview At Tres Health, we transform healthcare with innovative solutions that challenge... ...terminology, policies, regulations, and EDI file formats. Ability to identify issues,... ...internet. Secure workspace aligned with HIPAA security standards (device encryption,...EDIFull timeWork at officeRemote workWork from homeHome office
$95k - $100k
...passionate about transforming the healthcare space by building the only... ..., third-party EVV vendors, payers, providers, and state aggregators... ...the ability to develop and implement partnership strategies... ...Electronic Data Interchange (EDI) is a plus. Strong communication...EDIFull timeWork at officeLocal areaNight shift3 days per week- Molina Healthcare is seeking a senior product leadership professional to guide delivery of enterprise products across health plans and compliance workflows. This role directs teams, aligns backlog with business outcomes, and collaborates with engineering, architecture,...EDIRemote work
$21 per hour
A healthcare staffing agency is seeking a Medical Billing Specialist (EMC / EDI) in Westchester County, NY. The role involves managing electronic claims submissions and resolving billing errors. Ideal candidates are detail-oriented billing professionals experienced in EDI...EDIPermanent employmentTemporary workMonday to Friday
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