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Healthcare Member Advocate & Claims Specialist

Fullerton, CA
... • Multitasked between monitoring call queue, EDI orders, and email orders to ensure time sensitive orders are placed to meet surgery dates. • Complied with HIPAA Regulations to keep patient information confidential. • Complied with SLA/KPI ... - Jun 29

Senior Enterprise Program & Project Manager

Alpharetta, GA
... • Automated Freight Bill Project: Delivered EDI-enabled automated freight bill allocation solution, reducing manual processing and improving cost accuracy. • Penny Salvage Project: Implemented web-based application providing customer visibility into ... - Jun 29

SAP FICO

Hyderabad, Telangana, India
... Skills ERP Applications SAP S4 HANA FICO, SAPECC6.0 SAP Protocol load runner SAP R/3 Tools LSMW, Open Text SAP TAX Tool Vertex Testing Tools SAP TOSCA, QAT, HP, ALM CRM Siebel, Infor, Oracle Cross Applications IDOC, EDI, ALE GURURAJ AWADHANI - Jun 29

Software developer - Microsoft technology stack C#/.NET SQL Server

Queen Creek, AZ
... Professional Experience MedRisk LLC, Conshohocken, PA EDI Developer July 2024-April 2026 Developed new features and enhancements to support the company's line of products to manage processing of worker’s compensation claims from client companies. ... - Jun 29

IT/OT Systems Analyst & Network Resilience Expert

Vancouver, BC, Canada
... Armando Minjares Cortez 8515 Via Komenci, Juarez city, MX MX+52-656-******* ****************@*****.*** Handled critical EDI and Networking technical escalations, providing direct level 2/3 support to ensure non-stop manufacturing flow. Ensured ... - Jun 28

Digital Product Manager & IT Program Lead

San Diego, CA, 92119
... Claude Copilot Nadia MS Suite MS Access MS Project JIRA TFS Azure DevOps Identity Access Management JSON XML FACETs HP ALM EDI IBM ODM Salesforce EMR/HER Workday Cerner MySQL SQL Server API PMD scripting HCM module Oracle Cloud ERP Cloud Technology ... - Jun 28

PMP Healthcare SaaS Project Manager

Hyderabad, Telangana, India
... • Delivered US Healthcare Drug List Management platform projects for Walgreens — building deep domain expertise in healthcare SaaS, pharmacy systems, and US payer workflows (Prior Authorization, X12 EDI, HL7, FHIR). • Championed Jira, MS Project, ... - Jun 28

Medical Coding & Billing Specialist

Fountain, FL, 32438
... • Directed EDI agreements and ERA applications for a large Mental Health practice, optimizing facility coding quality for 8 providers. • Medical Billing January 2007 – January 2011 ASSURANCE HEALTH CARE, PANAMA CITY, FL Processed insurance claims by ... - Jun 26

Cloud Data Architect - ETL & Warehousing GCP

Houston, TX
... (Remote) Sep 2019 – Oct 2022 •Architected and delivered cloud-based data integration platform using Informatica IICS, consolidating Member, Provider, Claims, Medicare/Medicaid, EDI (837/834/277/278), and Benefits data into a centralized data lake. ... - Jun 25

Customer Experience & Operations Manager

Bentonville, AR
... Implementation, Monday.com, Trello, Basecamp, Slack • Marketplace & Logistics: 3PL Management, EDI, B2B/B2C Sales Administration, Amazon/Walmart/eBay/Etsy/QVC Marketplace Management, Purchasing & A/R–A/P Professional Experience NOWDiagnostics, Inc. ... - Jun 24
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