
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Selected: 🆕 Date Added.
🕒 3 days ago
Project Coordinator supporting HealthEdge’s AI-powered healthcare software initiatives. Tracking schedules, risks, documentation, reporting, and stakeholder communications.
🇺🇸 United States – Remote
💵 $62k - $65k / year
⏰ Full Time
🟢 Junior
👷♀️ Project Manager
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 3 days ago
Customer Service Agent handling inbound and outbound healthcare claims support for HealthEdge’s health insurance technology platform. Researching claims, documenting calls, and assisting UST customers.
🇺🇸 United States – Remote
💵 $18 - $21 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
💝 Customer Support
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 6 days ago
Call center agent serving HealthEdge healthcare customers through inbound and outbound calls. Researching claims and documenting customer interactions remotely in Mexico.
🇲🇽 Mexico – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
📞 Call Center Representative
🚫👨🎓 No degree required
👻 Ghost score 10%
🗣️🇪🇸 Spanish Required
🕒 October 16
Healthcare IT operations lead managing Edifecs, EDI, and health-plan production support for HealthEdge. Driving incident resolution, SLA reporting, customer escalations, and vendor coordination.
🇺🇸 United States – Remote
💵 $90k - $120k / year
⏰ Full Time
🟠 Senior
⚙️ Operations
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 16
Healthcare IT operations associate managing failures, reprocessing, and data reconciliation for HealthEdge's health insurance infrastructure. Supporting healthcare systems, interfaces, monitoring, and operational continuity.
🇺🇸 United States – Remote
💵 $70k - $88k / year
⏰ Full Time
🟡 Mid-level
⚙️ Operations
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 16
Technical Operations Associate monitoring healthcare IT incidents, batch jobs, files, and APIs. Supporting HealthEdge’s AI-powered infrastructure for health insurance companies.
🇺🇸 United States – Remote
💵 $44k - $66k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
⚙️ Operations
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 16
Director leading IT service governance, incident management, and operational improvement for HealthEdge’s healthcare technology infrastructure. Building a scalable Service Management Office across global 24x7 delivery teams.
🇺🇸 United States – Remote
💵 $182k - $198k / year
⏰ Full Time
🔴 Lead
⚙️ Operations
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 16
Test Lead II leading QA for HealthEdge’s healthcare payer systems. Validating claims, enrollment, benefits, provider data, and EDI transaction flows.
🇺🇸 United States – Remote
💵 $90k - $120k / year
⏰ Full Time
🟠 Senior
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 15
Healthcare IT operations lead managing production support, incidents, SLAs, and upgrades for HealthEdge’s health insurance technology platform. Supporting payer systems, vendors, and customer escalations remotely across the US.
🇺🇸 United States – Remote
💵 $80k - $110k / year
⏰ Full Time
🟠 Senior
⚙️ Operations
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 October 14
Remote Medicare Claims Examiner adjudicating healthcare claims for HealthEdge’s AI-powered health insurance operations platform. Reviewing coding, coverage criteria, and system edits while mentoring claims staff.
🕒 October 13
Claims Examiner II adjudicating Medicaid and Medicare claims for HealthEdge’s healthcare technology platform. Reviewing coding, coverage criteria, and payment decisions while mentoring team members.
🕒 October 13
Senior Incident Response Analyst managing major incidents for HealthEdge, an AI-powered operational infrastructure provider for health insurance companies. Coordinating incident restoration, customer communications, reporting, and root-cause analysis.
🇺🇸 United States – Remote
💵 $115k - $130k / year
⏰ Full Time
🟠 Senior
🚨 Incident Response Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 October 13
Problem Management Manager leading post-incident processes and reliability improvements for HealthEdge’s healthcare insurance technology platform. Driving root-cause analysis, operational intelligence and cross-functional accountability.
🇺🇸 United States – Remote
💵 $125k - $138k / year
⏰ Full Time
🟠 Senior
🔴 Lead
👔 Manager
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 13
Application Services Engineer deploying HealthEdge’s healthcare claims applications across AWS, private-cloud, and customer-hosted environments. Automating SaaS operations, troubleshooting deployments, and supporting production upgrades.
🇺🇸 United States – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
👷🏻♀️ Engineer
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 October 12
Claims Examiner II adjudicating healthcare claims for HealthEdge’s health insurance technology platform. Reviewing coding, coverage criteria, and system edits while mentoring teammates and supporting quality projects.
🕒 October 12
Claims Examiner II adjudicating healthcare claims for HealthEdge’s AI-powered health insurance operations platform. Reviewing coding, coverage criteria, and payment edits while mentoring team members.
🕒 October 9
Claims Team Lead managing 12–15 examiners and adjusters for HealthEdge, an AI-powered healthcare insurance operations platform. Driving claims accuracy, service levels, KPIs, training, and operational excellence.
🇺🇸 United States – Remote
💵 $44k - $50k / year
⏰ Full Time
🟠 Senior
✨ Team Lead
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 8
Claims Team Lead managing 12–15 examiners and claims operations for HealthEdge’s AI-powered health insurance infrastructure. Driving accuracy, KPIs, service levels, training, and operational excellence.
🇺🇸 United States – Remote
💵 $44k - $50k / year
⏰ Full Time
🟠 Senior
✨ Team Lead
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 8
Enrollment Specialist processing Medicare and Medicaid enrollment transactions for HealthEdge’s health insurance technology platform. Resolving billing, eligibility, reconciliation, and CMS-related discrepancies.
🇺🇸 United States – Remote
💵 $40k - $44k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
✨ Enrollment Specialist
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 8
Registered Nurse coordinating behavioral health reviews, authorizations, and care planning for HealthEdge’s health insurance technology platform. Ensuring medically necessary services and compliant utilization management.
🇺🇸 United States – Remote
💵 $65k - $85k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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