Claims Jobs in Knoxville, IL

PURPOSE:Provides Operations Support by obtaining facts; analyzing enrollment related problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.ESSENTIAL FUNCTIONS: 50% Research and improve operations by More...

Remote with onsite/virtual training. Work from home position after training completion Position Summary: This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creat More...

Looking for a Business Analyst!! Candidate must have very extensive Healthcare Background with strong experience in Claims Adjudication and EDI Transactions!! Location: Washington DC (This is primarily a Remote role but there may be quarterly meeting onsite) Interview Process: In pers More...

Job Title: Macess Administrator Location: Remote Length: Until 10/31/2024 with extension Macess is an older technology which is now called FIS Workflow Manager. You will likely not see these on a resume. You will need to look for someone who is a TriZetto Facets Administrator or QN More...

NOTE: We are waiting to find out if telecommute is an option. Responsibilities: Collaborate with stakeholders including business partners, SMEs, and BAs to build new dashboards and performance reporting -to monitor and improve business performance Interact with internal custome More...

Description: Top Skills & Years of Experience: 10+ years developing complex computer systems using Java. 10+ years developing complex computer systems using java IDEs such as Eclipse, STS. 10+ years programming in More...

Job Description: SCOPE OF THE PROJECT: South Carolina seeks an expert in Project Management of medium to complex projects. DAILY DUTIES / RESPONSIBILITIES: The South Carolina Department of Health and Human Services is seeking a consultant to act as Project Manager on multiple IT proj More...

Position: Network Security Engineer Location: Owings Mills MD Hybrid Job Type: 6 Month Contract To Hire NOTE:- This is a hybrid position. The resource must be able to commute into Columbia MD and Owings Mills MD. HIRING MANAGER NOTES: Need to be local to Owings Mills area in More...

Position: Lead Technical Analyst/ Systems Engineer Location: Washington DCJob Type: 12 Months Contract/Contract To Hire Hiring Manager Notes:Will need to be local to the DC office. Once office opens up (no timeline yet) they want this person to be able to come in twice a week at s More...

Resourcesoft is looking to hire a .Net Developer to work remotely for their client. Required skills: 5 or more years of experience working as a .Net Developer. Experience working with Medical Claims. Knowledge of C#, Gitlab, APIs, and SQL. Experience working with Kubernetes More...

Job Title: Guidewire Consultant Job description Location : Remote (USA) We are seeking a talented and experienced Guidewire Consultant with a strong functional background. This is not a developer role but requires a deep understanding of Guidewire's cloud-based Policy, Billi More...

Role :- Solution Architect Location:- Remote Job Type :- Fulltime Job Description Solution Architect. Java. Spark. Spring boot. Python. Databricks. Azure Delta Lake. DBT, Azure Architect. Must have Data Architecture experience and skills. Health Payer domain experience with Dat More...

Job Title: Azure Solution Architect Location: Remote Job Type: Fulltime Job Duration: Long Job Description: Solution Architect. Java. Spark. Spring boot. Python. Databricks. Azure Delta Lake. DBT, Azure Architect. Must have Data Architecture experience and skills. Health Payer d More...

Title : R&D Business Analyst -Retail Location: Long Island NY (Onsite) Employment: Fulltime Job Description:- Brings end to end understanding of R&D domain including PLM, regulatory compliance, product claims, etc. Leverage this knowledge to mediate between the business stakehol More...

EDI Analyst US (Remote) Must have : EDI X12N transactions, including batch and real-time formats (837I/837P, 274, 834, 835, 270/271), SQL, Stored procedures, ETL, HL-7 and NCPDP File Formats, Good to have : QNXT Healthcare Core Systems, including knowledge of QNXT EDI Manager and More...

Job Title: Community Relations Program Admin Location (On-site, Remote, or Hybrid?): North Charleston, SC (onsite) Contract Duration: Contract until 03/31/2023 Duties: The primary purpose of the job is to: The Community Relations Program Administrator will be responsible for dev More...

This role will oversee a large, multi-year implementation of the new (replacement) claims management system for the Unemployment Insurance Agency. The effort is funded by IT Investment Fund dollars, which requires an additional level of oversight, and has high visibility with the Legi More...

Technical Analyst US (Remote) Must have : Requirement Gathering and Analysis, Business Requirement Specification, Technical Design, SQL for Data Mining , Agile Good to have : TFS and business reporting Specialized Skillset : Basic understanding of Payer - Managed Care workflo More...

JOB PURPOSE: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience an More...

Job Title: PS-Data Analyst III Location: Lansing, MI Engagement Description: SUMMARY: The Analyst is responsible for learning, understanding, and executing the delivery of work for our internal and external customers. RESPONSIBILITIES/TASKS: Work closely with customers, vend More...