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They would like someone with healthcare knowledge, EDI Exchange, API File Transfers, IT Infrastructure, Facets, Nasco. They would like someone with healthcare knowledge, EDI Exchange, API File Transfers, IT Infrastructure, Facets, Nasco.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Perform routine and ad hoc analysis of various facets of claims processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes. Manage the efforts to fulfill a client request to access MultiPlan Products, and to customize how they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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In line with Plastic Express’ Environmental Promise, the hired individual is expected to enthusiastically support all facets of Operation Clean Sweep; specifically, making a conscious effort to prevent pellet, flake and powder loss into the environment and ensure any spills are swiftly and effectively cleaned up.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Horizon Business Domain knowledge and experience, Knowledge of Mandate projects like Value Based Platform and NDW, Experience with claim adjudication engines such as Facets and member enrollment systems such as NMS, NASCO, Members Edge; Expertise in Data Warehousing Applications using tools like Informatica, Informatica Cloud Oracle, Teradata and Hadoop.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Identifies system updates needed and completes research related to provider data in Onyx and Facets. Acts as liaison for all reimbursement, credentialing, claims, EDI web site procedures and issues of key providers.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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In this role you will design, develop, and execute automation and manual testing in Integration, Functional and Regression testing team covering QA functions across multiple applications like Facets custom & core configuration, EDI, interfaces.
ExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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4 or more years progressively responsible experience in provider relations or network management required. Represents Provider Relations and the plan at external provider and community events to maintain visible presence.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Demonstrated competence using Microsoft Office products especially Excel and Access; familiarity with FACETS helpful. Ensures quality and compliance with state Medicaid regulations and NCQA requirements.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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The ideal candidate will have previous experience in the healthcare or health insurance industry; maintaining knowledge of Claims, FACETS, and EDI. This role is a 6-month contract with possibility for fulltime, 100% remote with preference to candidates sitting in EST.
ExpandUpdated 4 days ago - UpvoteDownvoteShare Job
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Proclaim, Facets, EDI Gateway , HL, FHIR, Arcadia or other claim / electronic medical record (EMR) data sources and data repositories Claim / encounter end-to-end lifecycle processes. ICD-, CPT, HCPCS, DRG, APC, ASC, SNOMED CT, EDI implementation guides, etc.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Contract duration estimated 6 monthsFully remote with occasional travel to client site (California)Need to be able to customize and enhance the NetSuite platformUnderstanding of the tribal gaming and F&B industriesNeed previous experience with SPS-EDI tools in a high-volume environment.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Preferable knowledge of Medicaid, Facets Claim System, Edifecs EDI, and Guiding care. Preferable knowledge of Medicaid, Facets Claim System, Edifecs EDI, and Guiding care. A top-notch application architect will be someone whose expertise in application architecture translates into optimized business operations.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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This role entails championing League initiatives across all facets of Equity, Diversity, and Inclusion (EDI), while forging collaborative partnerships with industry unions, guilds, and vendors to advance EDI-related programs.
$165,000 - $185,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The B2B EDI Specialist oversees all facets of Business to Business (B2B) Electronic Data Interchange (EDI), managing the entire system development life cycle from planning to implementation.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Desired experience in testing Facets core applications, e.g., Enrollment, Membership, Billing, and Claims. Desired working knowledge of 270, 271, 276, 277, 278, 820, 834, 835 and 837 EDI and X12 transactions.
ExpandUpdated 8 days ago
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