Applicants MUST be located in one of the following states to be considered: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South
Description - Lead business-side execution for core admin transformation across all operational domains, serving as the primary point of coordination between business leaders, IT, and system integrators (migration from IKA to QNXT) - Drive integrated business planning,
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of
Overview Overview We are looking for a Test Manager with deep expertise in U.S. healthcare payer systems to lead end-to-end testing delivery across multiple client engagements. This role owns test strategy, governance, and quality outcomes for
Overview Role Summary HealthEdges customer success strategy depends on four organizational capabilities: achieving customer outcomes, retaining and converting referenceable customers, expanding revenue within the existing customer base, and maintaining data and reporting integrity. The Senior CSE
City/StateDoral, FL Work ShiftFirst (Days) Overview: Sentara is hiring a Benefit Configuration Manager! This position is fully remote. Overview The Benefit Configuration Manager is responsible for the strategic leadership, oversight, and execution of benefit configuration operations
The IT Solution Architect oversees the design, build, configuration, and operation of core Parkland Community HealthPlan (“PCHP”) business / clinical solutions. This role works with stakeholders, vendors, and other IT professionals to ensure successful implementation of
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to
Claims Lead AArete is one-of-a-kind when it comes to consulting firm culture. We’re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. Were experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and
Description We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. Were experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize
City/StateNorfolk, VA Work ShiftFirst (Days) Overview: Sentara is hiring a Vendor Analyst! This role is fully remote. Overview Designs, produces and analyzes Vendor and internal business owner operations and financial data and reports. Utilizes knowledge of
City/StateDoral, FL Work ShiftFirst (Days) Overview: Overview The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This
Cognizant is seeking a Senior Azure Kubernetes Engineer to design, operate, and optimize AKS platforms supporting TriZetto QNXT workloads in healthcare payer environments. This remote, full-time role collaborates with QNXT, DevOps, Azure infra, and production support to deliver