Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims processing * Financial management * Eligibility determination * Member management * Pharmacy
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims processing * Financial management * Eligibility determination * Member management * Pharmacy
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims processing * Financial management * Eligibility determination * Member management * Pharmacy
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims processing * Financial management * Eligibility determination * Member management * Pharmacy
Summary #LI-Remote This is a field-based and remote opportunity supporting a team.Novartis is ... claims processing, and reimbursement. * Proventrack recordof building and motivating teams. * Past ...
Summary #LI-Remote This is a field-based and remote opportunity supporting a team.Novartis is ... claims processing, and reimbursement. * Proventrack recordof building and motivating teams. * Past ...
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims Processing, Pharmacy, Data & Analytics, Enterprise PMO, and other large-scale digital ...
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims Processing, Pharmacy, Data & Analytics, Enterprise PMO, and other large-scale digital ...
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims Processing, Pharmacy, Data & Analytics, Enterprise PMO, and other large-scale digital ...
Remote - U.S. About Us : Known for "Delighting the Client" through performance, innovation, and an ... Claims Processing, Pharmacy, Data & Analytics, Enterprise PMO, and other large-scale digital ...
Regional Manager of Human Capital
Saint Charles, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Saint Charles, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Saint Louis, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Saint Louis, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Saint Louis, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Saint Louis, MO ยท Remote
$75K/yr
Remote with 70% travel * Comprehensive Benefits : Medical, dental, and vision insurance plans ... Monitor unemployment claims processing to ensure branch level execution. * Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel Comprehensive Benefits: Medical, dental, and vision insurance plans, 401(k) ... Monitor unemployment claims processing to ensure branch level execution. Maintain accurate ...
Regional Manager of Human Capital
Kansas City, MO ยท Remote
$75K/yr
Remote with 70% travel Comprehensive Benefits: Medical, dental, and vision insurance plans, 401(k) ... Monitor unemployment claims processing to ensure branch level execution. Maintain accurate ...
Regional Manager of Human Capital
Saint Charles, MO ยท Remote
$75K/yr
Remote with 70% travel Comprehensive Benefits: Medical, dental, and vision insurance plans, 401(k) ... Monitor unemployment claims processing to ensure branch level execution. Maintain accurate ...
Regional Manager of Human Capital
Saint Charles, MO ยท Remote
$75K/yr
Remote with 70% travel Comprehensive Benefits: Medical, dental, and vision insurance plans, 401(k) ... Monitor unemployment claims processing to ensure branch level execution. Maintain accurate ...
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
Senior Ceded Reinsurance Manager (Remote)
Saint Louis, MO ยท On-site +1
... and claims processes. * Thorough knowledge of broker market reinsurance contract wording and ... Remote
Senior Ceded Reinsurance Manager (Remote)
Saint Louis, MO ยท On-site +1
... and claims processes. * Thorough knowledge of broker market reinsurance contract wording and ... Remote
Senior Ceded Reinsurance Manager (Remote)
Saint Louis, MO ยท On-site +1
... and claims processes. * Thorough knowledge of broker market reinsurance contract wording and ... Remote Equal Opportunity Employer This employer is required to notify all applicants of their ...
Senior Ceded Reinsurance Manager (Remote)
Saint Louis, MO ยท On-site +1
... and claims processes. * Thorough knowledge of broker market reinsurance contract wording and ... Remote Equal Opportunity Employer This employer is required to notify all applicants of their ...
Remote - PFS Denials Nurse Auditor
Saint Joseph, MO ยท On-site +1
Remote States: Candidates residing in the following states will be considered for remote employment ... Researches industry best practices and recommends process improvements to leadership.
Remote - PFS Denials Nurse Auditor
Saint Joseph, MO ยท On-site +1
Remote States: Candidates residing in the following states will be considered for remote employment ... Researches industry best practices and recommends process improvements to leadership.
Remote Bilingual (Spanish) Customer Service Account Representative
Saint Louis, MO ยท On-site +1
$40K - $80K/yr
Our Core Values are the backbone of our business and guide our hiring process: we are enthusiastic ... Ensure 100% accuracy and completeness in policy servicing, billing, endorsements, claims support ...
Remote Bilingual (Spanish) Customer Service Account Representative
Saint Louis, MO ยท On-site +1
$40K - $80K/yr
Our Core Values are the backbone of our business and guide our hiring process: we are enthusiastic ... Ensure 100% accuracy and completeness in policy servicing, billing, endorsements, claims support ...
Remote Bilingual (Spanish) Customer Service Account Representative
Saint Louis, MO ยท Remote
$14.50 - $18.25/hr
Our Core Values are the backbone of our business and guide our hiring process: we are enthusiastic ... Ensure 100% accuracy and completeness in policy servicing, billing, endorsements, claims support ...
Quick apply
Remote Bilingual (Spanish) Customer Service Account Representative
Saint Louis, MO ยท Remote
$14.50 - $18.25/hr
Our Core Values are the backbone of our business and guide our hiring process: we are enthusiastic ... Ensure 100% accuracy and completeness in policy servicing, billing, endorsements, claims support ...
Remote Claims Processing information
See Missouri salary details
$11.27 - $12.50
2% of jobs
$12.50 - $13.73
6% of jobs
$13.73 - $14.96
9% of jobs
$15.60 is the 25th percentile. Wages below this are outliers.
$14.96 - $16.19
14% of jobs
$16.19 - $17.42
18% of jobs
The median wage is $17.46 / hr.
$17.42 - $18.65
17% of jobs
$19.33 is the 75th percentile. Wages above this are outliers.
$18.65 - $19.88
16% of jobs
$19.88 - $21.11
7% of jobs
$21.11 - $22.34
4% of jobs
$22.34 - $23.57
4% of jobs
$23.57 - $24.80
2% of jobs
$11
$17
$24
How much do remote claims processing jobs pay per hour?
What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?
What are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?
What is remote claims processing?
What is the difference between Remote Claims Processing vs Remote Claims Adjuster?
| Aspect | Remote Claims Processing | Remote Claims Adjuster |
|---|---|---|
| Credentials | Typically requires insurance or claims processing certifications | Requires insurance licenses and adjuster certifications |
| Work Environment | Home-based, administrative setting | Home-based or field, investigative and evaluative tasks |
| Industry Usage | Insurance companies, third-party administrators | Insurance companies, public adjusting firms |
| Job Focus | Processing claims, data entry, customer service | Investigating claims, assessing damages, settlement negotiations |
Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 5 days ago
Job description
Location: Remote - U.S.
About Us:
Known for "Delighting the Client" through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at www.s2tech.com.
Why S2Tech?:
- Stable, privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
- 25+ years providing IT and Business services to private customers and government programs throughout the United States
- Expansive client portfolio and active projects - employees benefit from innovative project exposure and in-house skill development training/courses
- Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance
- Offer competitive pay and a range of benefits, including:
- Medical / Dental / Vision Insurance - insurance premium assistance provided
- Additional Insurance (Life, Disability, etc.)
- Paid Time Off
- 401(k) Retirement Savings Plan & Health Savings Account
- Various training courses to promote continuous learning
- Corporate Wellness Program
- Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals
Job Overview:
S2Tech is continuously building relationships with experienced Senior Test Analysts to support upcoming Medicaid and Health & Human Services (HHS) modernization initiatives across the United States.
This is a pipeline opportunity intended to identify highly qualified consultants for future engagements supporting state government agencies, systems integrators, and Medicaid technology vendors. Projects may include Medicaid Enterprise Systems (MES), Medicaid Management Information Systems (MMIS), Integrated Eligibility Systems, Provider Management, Claims Processing, Pharmacy Benefit Management (PBM), Child Welfare, Child Support, SNAP, TANF, Data Modernization, and Enterprise PMO initiatives.
Our Test Analysts play a critical role in ensuring technology solutions meet business requirements, regulatory standards, and quality expectations while supporting the successful implementation of complex public sector programs.
Position Summary:
The Senior Test Analyst is responsible for planning, coordinating, and executing quality assurance activities throughout the software development lifecycle. This individual partners closely with business analysts, project managers, developers, architects, client stakeholders, and implementation teams to validate system functionality and ensure successful solution delivery.
Successful candidates possess strong analytical skills, excellent communication abilities, and experience testing complex healthcare or government systems. Candidates should be comfortable working in Agile, Waterfall, or hybrid delivery environments and demonstrate the ability to independently lead testing activities across multiple functional areas.
Responsibilities:
- Analyze business, functional, and technical requirements to develop comprehensive testing strategies
- Develop and maintain test plans, test scenarios, test cases, and test scripts
- Execute functional, integration, system, regression, end-to-end, and user acceptance testing (UAT)
- Validate business processes across multiple modules and integrated systems
- Perform defect identification, documentation, prioritization, and lifecycle management
- Collaborate with developers to troubleshoot issues and verify defect resolution
- Facilitate testing workshops with client stakeholders and business users
- Coordinate testing activities across multiple teams and vendors
- Support data validation, reconciliation, and conversion testing efforts
- Validate APIs, interfaces, file transfers, and system integrations
- Participate in release planning and production readiness activities
- Support test metrics, quality dashboards, and executive status reporting
- Ensure testing aligns with CMS, state, and organizational quality standards
- Identify opportunities to improve testing efficiency through automation, AI-assisted test generation, and modern quality assurance practices
- Mentor junior testers and contribute to continuous process improvement initiatives
Required Qualifications:
- Bachelor's degree or equivalent professional experience
- 5+ years of software quality assurance or testing experience
- 3+ years supporting Medicaid, Health & Human Services, healthcare, or government technology programs
- Experience developing comprehensive test plans, test cases, and traceability matrices
- Experience executing functional, integration, regression, and UAT testing
- Strong understanding of Software Development Life Cycle (SDLC) methodologies
- Experience using defect tracking and test management tools
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Ability to independently manage testing assignments while collaborating across multidisciplinary teams
Preferred Qualifications:
- Experience supporting one or more of the following is highly desirable:
- Medicaid Enterprise Systems (MES)
- Medicaid Management Information Systems (MMIS)
- Provider Management / Claims Adjudication / Claims Editing / Payment Processing
- Pharmacy Benefit Management (PBM)
- Care Management / Prior Authorization
- Integrated Eligibility / SNAP / TANF
- Child Welfare
- Child Support
- Behavioral Health
- Long-Term Services & Supports (LTSS)
- Enterprise Data Warehouse
- Data Conversion
- Interoperability
Technical Experience:
- Experience with one or more of the following is preferred:
- Azure DevOps
- Jira
- ALM / Quality Center
- TestRail
- Zephyr
- Postman
- SoapUI
- SQL
- REST APIs
- JSON
- XML
- HL7/FHIR
- ChatGPT or other AI productivity tools
- Exposure to test automation frameworks such as Selenium, Playwright, Cypress, or similar tools is considered a plus but is not required.
Desired Domain Knowledge:
- Provider enrollment and credentialing
- Claims processing
- Financial management
- Eligibility determination
- Member management
- Pharmacy
- Encounter processing
- Care management
- Interfaces and system integrations
- X12 healthcare transactions (including 837, 835, 270/271, 276/277, 278, and 834)
- Data migration and conversion
- Cloud-based enterprise applications
Preferred Certifications:
- The following certifications are considered a plus:
- ISTQB Certified Tester
- Certified Software Quality Analyst (CSQA)
- PMP
- Certified Scrum Master (CSM)
- SAFe Agilist
- CBAP
- Lean Six Sigma
What Makes Someone Successful at S2Tech?:
Our most successful consultants:
- Take ownership of quality and deliver exceptional client service
- Think beyond test execution to understand business objectives
- Communicate effectively with executives, business users, and technical teams
- Build trusted relationships with clients and project stakeholders
- Identify risks early and recommend practical solutions
- Thrive in collaborative consulting environments
- Continuously seek opportunities to improve delivery through automation, AI, and process innovation
- Adapt quickly to new technologies, business domains, and project environments
Why Join Our Talent Network?:
Joining S2Tech's Test Analyst pipeline provides the opportunity to be considered for future consulting engagements supporting some of the nation's most impactful Medicaid and Health & Human Services modernization initiatives. Our consultants partner with state agencies and leading systems integrators to improve healthcare delivery, modernize government technology, and deliver solutions that positively impact millions of citizens across the country.
S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
About S2Tech
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Chesterfield, MO, US
Year founded
1997