- CGI Technologies and Solutions, Inc. (Raleigh, NC)
- …and also an Edifecs/ EDI Specialist to design, develop, and support healthcare EDI solutions. The role involves implementing HIPAA transaction sets (834, ... and providers. * Collaborate with business analysts and clients to gather EDI / healthcare integration requirements. * Configure and maintain trading partner… more
- System One (Dayton, OH)
- …270/1 276/7 and 834 Enrollment, 837 Claims, 835 Remittance Advice, etc. Strong healthcare EDI Processing - Facets adjudication platform a plus. This position ... Job Title: Technical Lead, EDI Location: Remote Type: Contract Compensation: Contractor Work...by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the… more
- The Cigna Group (Chattanooga, TN)
- …practice management and electronic health records, is required. Basic understanding of healthcare EDI transactions is highly preferred + Able to collaborate ... EDI experience required + 7+ years working in the healthcare industry is required + EDI transactions experience or working knowledge of EDI systems… more
- System One (Dayton, OH)
- …270/1 276/7 and 834 Enrollment, 837 Claims, 835 Remittance Advice, etc. Strong healthcare EDI Processing - Facets adjudication platform a plus. Essential ... Job Title: Systems Analyst, EDI Location: Remote Type: Contract To Hire Compensation:...similar enterprise systems is required + Familiarity with the healthcare environment (Medicaid/Medicare) is preferred + Experience designing interfaces… more
- Centene Corporation (Columbus, OH)
- …for reporting and real-time applications, queuing/messaging systems, cloud technologies and Healthcare EDI .** **Will work directly for leadership overseeing ... architects who drive architecture standards, development and implementation within EDI Development teams.** **Develops proposed systems which meet the required… more
- CareFirst (Baltimore, MD)
- …is preferred. + EDI Processing - experience, understanding and exposure to healthcare EDI data processing is preferred. + Healthcare domain knowledge ... knowledge of mainframe (AS400) formats and technologies is a plus. + Strong healthcare domain knowledge with deep understanding of ITS claims processing is a plus.… more
- TEKsystems (Jacksonville, FL)
- …services teams. Skills claims processing, solutions engineering, data analysis, api, healthcare sales, presentation skills, healthcare edi Additional ... to high level technical workflows. 3. Solid understanding of healthcare industry - both payer and provider; highly regulated...as a trusted advisor with some of the largest healthcare entities in the country To be qualified for… more
- HCA Healthcare (Nashville, TN)
- …and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, ... VA). Do you have the career opportunities as an EDI Claims Filing Specialist you want with your current...which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon offers… more
- ManpowerGroup (Westlake, OH)
- …+ Experience with health insurance companies or understanding of claims transactions and Healthcare EDI standards. **What's in it for me?** + Opportunity to ... work on complex and impactful software projects. + Collaborative and inclusive work environment that values diverse perspectives. + Professional growth through mentorship and leadership opportunities. + Engagement in strategic planning and system architecture… more
- Robert Half Technology (Westlake, OH)
- …thorough understanding on the underlying structure of claims transactions. Experience with Healthcare EDI standards such as 835s. Experience with job scheduling ... tools such as ActiveBatch. Requirements Microsoft SQL Server, .NET, C# - Sharp Technology Doesn't Change the World, People Do.(R) Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to… more
- Mayo Clinic (Phoenix, AZ)
- …acts as a liaison between Mayo Clinic and patients meeting criteria for EDI services. The EDIFS is responsible for coordinating, facilitating and overseeing the ... experience and performing related administrative tasks. The EDIFS assists all EDI patients with billing, insurance and coverage issues, authorization, and financial… more
- Waystar (Atlanta, GA)
- …Office Suite + Good written and oral communication skills; team player + Experience with EDI and/or healthcare transactions desired + Ability to travel up to 20% ... **WHAT YOU'LL NEED** + 5+ years working in the healthcare revenue cycle + Proven leadership and issue resolution...Payer Benefit Plans + Payer / Hospital Contracts + Healthcare code sets + Obtaining prior authorizations from payer… more
- Guidehouse (Austin, TX)
- …related field + Experience in Voice AI applications, a solid understanding of healthcare data standards (FHIR, HL7, EDI ) and regulatory compliance (HIPAA, SOC2) ... at the forefront of designing, training, and fine-tuning foundational models with healthcare -specific data and use cases, expanding work to other business segments.… more
- VetsEZ (GA)
- …IT operations, and decision-making frameworks. Additional Qualifications: + Experience with healthcare systems and standards (FHIR, EDI ). + Prior federal ... government experience preferred. + Development background in enterprise environments. + Familiarity with SaaS and large-scale integrations. + Active or the ability to obtain a government clearance. Benefits: + Medical/Dental/Vision. + 401k with Employer Match.… more
- Beemac Logistics (Pittsburgh, PA)
- …retirement fund. + Health Savings Account (HSA): Take charge of your healthcare expenses and savings with our Health Savings Account option. This tax-advantaged ... suspicious activity. Beemac Accomplishments & Company Awards: As an EDI Specialist, you will play a crucial role in...+ Health Savings Account (HSA): Take charge of your healthcare expenses and savings with our Health Savings Account… more
- Evolent (Trenton, NJ)
- …Interchange ( EDI ) transaction tools as well as develop software that parses EDI files. Use Edifecs ( Healthcare data exchange platform) development tools to ... with data warehousing and operational data storage in the healthcare industry. Must have three (3) years of experience...three (3) years of experience in each within the healthcare industry: (1) Using C#, Object Oriented Programing (OOP)… more
- J&J Family of Companies (Raritan, NJ)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Robert Half Technology (Albuquerque, NM)
- …critical role in analyzing, designing, and supporting electronic data interchange ( EDI ) solutions for seamless integration with trading partners. This role requires ... industry standards. Responsibilities: * Analyze, design, and provide support for EDI solutions, ensuring effective integration with trading partners. * Collaborate… more
- DATAMAXIS (IL)
- …+ Healthcare domain experience (commercial, Medicaid and Medicare claims data, EDI X12 transactions in the healthcare industry (999, 837, 834, 277) ... automated tests, application deployment, + Experience working with complex XML/JSON, EDI X12, SQL transactions, + Good knowledge on Automation framework preparation… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …with a strong focus on areas critical to child health such as healthcare transformation, integrating care, or addressing social and structural determinants of child ... with a strong focus on areas critical to child health such as healthcare transformation, integrating care, or addressing social and structural determinants of child… more