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Remote Healthedge Jobs (NOW HIRING)

HealthEdge

Test Lead - Healthcare Payer Testing

$100K - $120K/yr

... Remote ** The annual US base salary range for this position is $100,000 to $120,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...

HealthEdge

Senior Financial Analyst, Risk Adjustment

$85K - $106K/yr

... Remote **The annual US base salary range for this position is $102,000 to $108,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

IT Project Manager

$98K - $116K/yr

... Remote ** The annual US base salary range for this position is $86,000 to $91,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

HealthRules Payer Configuration Analyst

$100K - $120K/yr

... Remote ** The annual US base salary range for this position is $100,000 to $120,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

Principal Security Architect

$188K - $198K/yr

... Remote **The annual US base salary range for this position is $188,000 to $198,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

Manager, Configuration

$110K - $130K/yr

... Remote ** The annual US base salary range for this position is $110,000 to $130,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

Associate Technical Services Engineer

... Remote ** The annual US base salary range for this position is $52,000 to $56,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

Director, Performance Integrity Office

$170K - $184K/yr

... Remote ** The annual US base salary range for this position is $170,000 to $184,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...

New

HealthEdge

Director, Performance Integrity Office

$170K - $184K/yr

... Remote ** The annual US base salary range for this position is $170,000 to $184,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

HealthEdge

Temporary BPaaS Claims Processor

$17.50 - $22/hr

Remote, US Work Environment: The physical demands described here are representative of those that ... HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as ...

HealthEdge

Temporary BPaaS Claims Processor

$17 - $21.50/hr

Remote, US Work Environment: The physical demands described here are representative of those that ... HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as ...

HealthEdge

Associate Technical Services Engineer

... Remote ** The annual US base salary range for this position is $52,000 to $56,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...

HealthEdge

Associate Technical Services Engineer

... Remote ** The annual US base salary range for this position is $52,000 to $56,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...

HealthEdge

Salesforce Administrator

... Remote ** The annual US base salary range for this position is $140,000 to $157,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

Vytwo

Health Edge Configuration Analyst

Prosper, TX · Remote

$45/hr

^Remote Work **Must be authorized to work in USA with a valid VISA/GC/USC Analyst will work with client team to analyze, solution and test pricing configuration defects in Healthedge Source. Required ...

HealthEdge

Manager II, Performance Integrity Office

... Remote ** The annual US base salary range for this position is $144,000 to $155,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the ...

New

HealthEdge

Manager II, Performance Integrity Office

... Remote ** The annual US base salary range for this position is $144,000 to $155,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the ...

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All JobsRemote Healthedge Jobs

Remote Healthedge information

How does working remotely as a HealthEdge professional impact collaboration with team members and stakeholders?

As a remote HealthEdge professional, you will frequently collaborate with colleagues and clients using digital communication tools such as video conferencing, project management platforms, and instant messaging. While remote work offers flexibility, it also requires proactive communication to ensure everyone stays aligned on project goals and timelines. Regular virtual meetings, clear documentation, and a collaborative mindset are essential for overcoming challenges related to time zones or differing schedules. Team members typically foster a supportive environment by sharing updates and best practices, which helps maintain productivity and a sense of connection.

What are the key skills and qualifications needed to thrive as a Remote HealthEdge Specialist, and why are they important?

To thrive as a Remote HealthEdge Specialist, you need a solid understanding of healthcare IT, business analysis, and HealthEdge platform configuration, typically supported by a degree in computer science or healthcare administration. Familiarity with HealthEdge software, SQL databases, claims processing systems, and relevant certifications such as HealthEdge Certified Professional are often required. Strong problem-solving, communication, and self-motivation are crucial soft skills for remote collaboration and resolving client issues. These skills ensure efficient system management, seamless client support, and successful project delivery in distributed healthcare environments.

What is the difference between Remote Healthedge vs Remote Medical Coder?

AspectRemote HealthedgeRemote Medical Coder
Required CredentialsHealth-related certifications, coding knowledgeMedical coding certifications (CPC, CCS)
Work EnvironmentRemote, flexible hours, healthcare industryRemote, healthcare facilities or insurance companies
Employer & Industry UsageHealthcare providers, telehealth companiesHospitals, insurance companies, billing services

Remote Healthedge and Remote Medical Coder roles both operate remotely within the healthcare industry. While Remote Healthedge may involve broader health management tasks, Remote Medical Coder focuses specifically on translating medical records into codes for billing. Both require healthcare certifications and offer flexible remote work, but their core responsibilities differ.

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What cities are hiring for Remote Healthedge jobs? Cities with the most Remote Healthedge job openings:
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Remote Healthedge jobs near you
Infographic showing various Remote Healthedge job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Test Lead - Healthcare Payer Testing

Test Lead - Healthcare Payer Testing

HealthEdge

Remote

$100K - $120K/yr

Full-time

Posted 8 days ago

Job description

Overview
Test Lead - Healthcare Payer Testing
Location: Remote
Employment Type: Full-Time
Role Overview
We are seeking a Test Lead with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This role is hands-on - you own test case design, defect management, and daily execution quality while collaborating closely with the Test Manager and cross-functional delivery teams.
Key Responsibilities
Develop detailed test cases, scenarios, and scripts for claims processing, enrollment, benefits, provider data, and EDI transaction flows
Lead functional, integration, regression, and UAT cycles for assigned payer modules
Analyze requirements and business rules - identify gaps, ambiguities, and testability issues before execution begins
Own defect lifecycle management: logging, triage, root cause classification, retest, and closure tracking
Validate EDI transactions (834, 837, 835, 270/271, 820) against payer business rules and X12 standards
Support compliance and regulatory test cycles - ICD updates, CMS mandates, state-specific Medicaid rules
Coordinate with developers, BAs, and configuration teams to resolve blockers and clarify expected behavior
Produce daily/weekly execution status reports with defect metrics, coverage status, and risk flags
Manages offshore QA analysts.
Required Qualifications
  • 5+ years in software QA/testing
  • 2+ years in a lead or senior tester role
  • Solid experience testing U.S. healthcare payer systems - claims, enrollment, benefits, or provider network
  • Working knowledge of EDI X12 transactions and HIPAA compliance requirements
  • Hands-on test case design experience using boundary analysis, equivalence partitioning, and negative testing techniques
  • Proficiency in defect tracking and test management tools (JIRA, Zephyr, ALM, or equivalent)
  • Ability to read and interpret payer business rules, EOPs, benefit plan documents, and SLAs
  • Strong attention to detail - payer system defects have financial and compliance consequences

Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
#LI-Remote
**The annual US base salary range for this position is $100,000 to $120,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.
HealthEdge logo

About HealthEdge

Sourced by ZipRecruiter

Health Edge ® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules ®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit .

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

201 - 500 Employees

Headquarters location

Burlington, MA, US

Year founded

2005

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