Claims Tester

Hiring: MMIS Claims Tester (7 Openings) | Remote | C2C Opportunity

📍 Location: Remote (25% Travel Required During Critical Project Phases)

Requirements:

• 10+ years of Healthcare Payer experience
• MMIS / Medicare / Medicaid Claims experience
• Commercial Payer Claims implementation or maintenance
• Claims Adjudication & Claims Processing
• Provider, Member Enrollment & Care Management
• CPT, HCPCS, CDT & ICD coding knowledge
• SQL & Relational Database experience
• Requirements Gathering, RTM & RCA
• Strong communication and stakeholder management skills

Preferred:

• QA or Development background in Healthcare
• Jira, Azure DevOps, or TFS
• MS Visio
• Test Planning & Data Validation