- Molina Healthcare (St. Petersburg, FL)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration ...maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems .… more
- UIC Government Services and the Bowhead Family of Companies (Indian Head, MD)
- **Overview** SENIOR CONFIGURATION MANAGER (AT): Bowhead seeks a Senior Configuration Manager to support Bowhead's Advanced Technology division located in ... Indian Head, MD. The Deputy Configuration Management Lead for Naval Weapons R&D activity will...maintain full integrity and repeatability of the affected products, systems , or sub systems . + Provide Data… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... clinical applications analysis and/or programming of intermediate to complex systems , analysis of clinical workflows, and system adoption strategies.An equivalent… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring an Expert Senior Systems Analyst to join their highly accomplished team. This position is specifically for the Hospital Billing Claims Bridges ... to use self-help Epic documentation sources for needed build configuration guidance. + Superior communication skills (verbal and written)....the following: + Epic HB Administration + Epic HB Claims and Remittance + Epic PB Administration + Epic… more
- Syms Strategic Group, LLC (SSG) (Arlington, VA)
- Syms Strategic Group (SSG) is seeking a talented Systems Engineer ( Senior ) Location: Remote Department: Veterans Affairs (VA) Type: Full Time Min. Experience: ... are escalated when required + Communicate with users and senior management the status of key problem statuses +...improvement methodology through the use of Information Technology (IT) systems or procedures + Maintain inventory of system assets… more
- General Motors (Warren, MI)
- …Description** **The Role:** In this strategic role, you will serve as a ** Senior SAP Systems Configurator** responsible for delivering scalable, sustainable SAP ... solutions aligned with GM's clean core strategy. You will lead configuration efforts across SAP S/4HANA and associated solution extensions, ensuring adherence to… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR SYSTEMS ADMINISTRATOR (NAUT): Bowhead seeks a Senior Systems Administrator to support our customer on the Nautical contract in the ... monitoring tools + Configure and manage virtual machines, containers, storage systems , and networking components in secure cloud environments + Implement and… more
- CareFirst (Baltimore, MD)
- …of authorization to claims processing by use of a working knowledge of claims system configuration , including claims edits. The ideal candidate will have ... and the claims operations teams.Working knowledge of claims system configuration , including claims ...and understanding of Guiding Care, Facets, and other key systems is helpful when exploring opportunities for automation and… more
- AmeriHealth Caritas (Manchester, NH)
- …data maintenance knowledge. + Understanding of and experience with healthcare claims payment configuration processes/ systems and their relevance/impact ... **Role Overview:** The Senior Provider Network Operations Analyst is responsible for...(NH) location. **Responsibilities:** + Reviewing and auditing provider billing, claims processing and accuracy. + Develops the Pricing Agreement… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** ** SENIOR LINUX ARCHITECT (CORPIT)** Bowhead seeks aSenior Linux Architect to lead the engineering and architecture of our enterprise RDT&E solutions ... orchestration, critical to our Comply to Connect (C2C) initiative inDahlgren, VA. The Senior Linux Architect will design and implement Red Hat Satellite and Ansible… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR TECHNICAL PROGRAM MANAGER (MODES): Bowhead seeks a Senior Technical Program Manager (O&E PM) to join our team in supporting the Military ... Policy Outreach & Digital Enterprise Services (MODES) located in Arlington, VA. The Senior Technical Program Manager will provide day-to-day oversight of all IT and… more
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's… more
- Oracle (Austin, TX)
- …customized solutions for each healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge and ... be translated into a working system within OHI applications, including Claims , Policies, Authorizations, Product Definition, and Oracle Insurance Gateway. … more
- AIG (Reston, VA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior IT Security Architect to play your part in that transformation. It's an opportunity to ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools… more
- CGI Technologies and Solutions, Inc. (Raleigh, NC)
- ** Senior Edifecs Developer** **Category:** Software Development/ Engineering **Main location:** United States, North Carolina, Raleigh **Position ID:** J1225-1837 ... CGI is seeking an experienced Edifecs professional to support the design, configuration , and implementation of health plan enrollment and eligibility processes, with… more
- CareFirst (Baltimore, MD)
- …application. This role plays a critical part in enabling seamless integration, configuration , and performance of core payer functions like enrollment, claims , ... APIs, and data exchange using EDI/X12 and flat files. + Evaluates new systems by performing in-depth tests, including end-user reviews. Research software and related… more
- Molina Healthcare (New York, NY)
- …develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial ... modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to… more
- Molina Healthcare (NM)
- …develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial ... modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with… more