Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... At least 5 years of experience working with IT developers and programmers in a payer environment.
Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience ... At least 5 years of experience working with IT developers and programmers in a payer environment.
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... Collaborate with policy owners, stakeholders, developers, and business teams to support change ...
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... Collaborate with policy owners, stakeholders, developers, and business teams to support change ...
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote
Columbia, SC · On-site +1
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... owners, stakeholders, developers, and business teams to support change requests and MMIS ...
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote
Columbia, SC · On-site +1
Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type ... owners, stakeholders, developers, and business teams to support change requests and MMIS ...
ROR Developer
Columbia, SC · Remote
$94.80K - $130K/yr
Columbia, SC (100% Remote Option) SCOPE OF THE PROJECT: SCOPE OF THE PROJECT: This is a 12 month ... Participates in all phases of the development and implementation process, and may act as a project ...
ROR Developer
Columbia, SC · Remote
$94.80K - $130K/yr
Columbia, SC (100% Remote Option) SCOPE OF THE PROJECT: SCOPE OF THE PROJECT: This is a 12 month ... Participates in all phases of the development and implementation process, and may act as a project ...
Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote
Columbia, SC · Remote
... with IT developers/programmers in a payor environment. * 5+ years Medical Coding in payer ... Preferred Skills: * 5+ years' experience in policy remediation. * 5+ years claims processing ...
Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote
Columbia, SC · Remote
... with IT developers/programmers in a payor environment. * 5+ years Medical Coding in payer ... Preferred Skills: * 5+ years' experience in policy remediation. * 5+ years claims processing ...
Sr Application Developer
Columbia, SC · Remote
$88.80K - $122.10K/yr
Sr Application Developer Location ... Remote Interview Process: 1 round, virtual Duration: 12+ Months Employment Type: Contract (C2C / W2 ...
Sr Application Developer
Columbia, SC · Remote
$88.80K - $122.10K/yr
Sr Application Developer Location ... Remote Interview Process: 1 round, virtual Duration: 12+ Months Employment Type: Contract (C2C / W2 ...
... processes. The project focuses on implementing federally and state-mandated updates to the Medicaid ... It is not a Developer, Business Analyst, or Project Manager role. Key Responsibilities: Collaborate ...
... processes. The project focuses on implementing federally and state-mandated updates to the Medicaid ... It is not a Developer, Business Analyst, or Project Manager role. Key Responsibilities: Collaborate ...
Software Engineer, iOS Core Product - Columbia, SC, USA
Columbia, SC · Remote
$129.50K/yr
Our interview process involves several technical interviews and we aim to complete them within 1 ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Software Engineer, iOS Core Product - Columbia, SC, USA
Columbia, SC · Remote
$129.50K/yr
Our interview process involves several technical interviews and we aim to complete them within 1 ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Software Engineer, iOS Core Product - Columbia, SC, USA
Columbia, SC · Remote
$129.50K/yr
Our interview process involves several technical interviews and we aim to complete them within 1 ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Quick apply
Software Engineer, iOS Core Product - Columbia, SC, USA
Columbia, SC · Remote
$129.50K/yr
Our interview process involves several technical interviews and we aim to complete them within 1 ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Manager II, Engineering - Secure Compute Platform
Columbia, SC · Remote
$252.80K - $297K/yr
Remote, United States Employment Type: FullTime Location Type: Remote Department Engineering ... processing across AWS, Azure, and GCP. As Confluent grows its product portfolio, this secure ...
Manager II, Engineering - Secure Compute Platform
Columbia, SC · Remote
$252.80K - $297K/yr
Remote, United States Employment Type: FullTime Location Type: Remote Department Engineering ... processing across AWS, Azure, and GCP. As Confluent grows its product portfolio, this secure ...
For senior engineers, this role offers more than operations * Opportunity to help shape platform ... Security Secure Remote Access / Zero Trust * Zscaler (or equivalent) * VPN technologies * Migration ...
For senior engineers, this role offers more than operations * Opportunity to help shape platform ... Security Secure Remote Access / Zero Trust * Zscaler (or equivalent) * VPN technologies * Migration ...
... processes. The project focuses on implementing federally and state-mandated updates to the Medicaid ... It is not a Developer, Business Analyst, or Project Manager role. Key Responsibilities: • ...
... processes. The project focuses on implementing federally and state-mandated updates to the Medicaid ... It is not a Developer, Business Analyst, or Project Manager role. Key Responsibilities: • ...
SAP Developer / Global Support Manager (IT - Admin) Location: 100% Remote Duration: 12 Months ... Create comprehensive current-state process documentation for Finance & Treasury * Design future ...
Quick apply
SAP Developer / Global Support Manager (IT - Admin) Location: 100% Remote Duration: 12 Months ... Create comprehensive current-state process documentation for Finance & Treasury * Design future ...
Sr. Renewables Project Development Team Leader (Sr. Manager - Director level) - REMOTE
West Columbia, SC · On-site +1
FULLY REMOTE - East Coast / Southeast Region STRONGLY PREFFERED This an opportunity to join an ... with Developers / IPPs * Solid understanding of the RFP / RFI process as it relates to renewable ...
Sr. Renewables Project Development Team Leader (Sr. Manager - Director level) - REMOTE
West Columbia, SC · On-site +1
FULLY REMOTE - East Coast / Southeast Region STRONGLY PREFFERED This an opportunity to join an ... with Developers / IPPs * Solid understanding of the RFP / RFI process as it relates to renewable ...
Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... developers, and business stakeholders during testing and deployment activities Support SAP Finance ...
Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... developers, and business stakeholders during testing and deployment activities Support SAP Finance ...
Remote Interview Process: 1 round, Virtual/Online - potential for a 2nd round onsite as needed ... processes for performance, reliability, and operational effectiveness Integration Engineering
Remote Interview Process: 1 round, Virtual/Online - potential for a 2nd round onsite as needed ... processes for performance, reliability, and operational effectiveness Integration Engineering
Remote Interview Process: 1 round, Virtual/Online - potential for a 2nd round onsite as needed ... processes for performance, reliability, and operational effectiveness Integration Engineering Build ...
Remote Interview Process: 1 round, Virtual/Online - potential for a 2nd round onsite as needed ... processes for performance, reliability, and operational effectiveness Integration Engineering Build ...
... engineering teams to ensure monitoring tools are properly configured and tuned. Integrate new ... processes, runbooks, and troubleshooting steps related to SOC operations. • Coordinate with ...
... engineering teams to ensure monitoring tools are properly configured and tuned. Integrate new ... processes, runbooks, and troubleshooting steps related to SOC operations. • Coordinate with ...
Director, Resident Engineering
North, SC · Remote
$175K - $210K/yr
Location - REMOTE US As the Director of Resident Engineering at Armis, you will play a pivotal role ... Ensure the successful adoption of Armis playbooks and processes by Resident Engineers * Provide ...
Director, Resident Engineering
North, SC · Remote
$175K - $210K/yr
Location - REMOTE US As the Director of Resident Engineering at Armis, you will play a pivotal role ... Ensure the successful adoption of Armis playbooks and processes by Resident Engineers * Provide ...
Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... developers, and business stakeholders during testing and deployment activities • Support SAP ...
Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... developers, and business stakeholders during testing and deployment activities • Support SAP ...
Remote Process Engineer information
See Lexington, SC salary details
$42.4K - $49.6K
2% of jobs
$49.6K - $56.8K
9% of jobs
$63.4K is the 25th percentile. Wages below this are outliers.
$56.8K - $64.1K
15% of jobs
$64.1K - $71.3K
18% of jobs
The median wage is $73.8K / yr.
$71.3K - $78.6K
17% of jobs
$78.6K - $85.8K
14% of jobs
$86K is the 75th percentile. Wages above this are outliers.
$85.8K - $93K
11% of jobs
$93K - $100.3K
6% of jobs
$100.3K - $107.5K
4% of jobs
$107.5K - $114.7K
3% of jobs
$114.7K - $122K
1% of jobs
$42.4K
$78.8K
$122K
How much do remote process engineer jobs pay per year?
What is a Remote Process Engineer job?
What are the key skills and qualifications needed to thrive in the Remote Process Engineer position, and why are they important?
What does a typical day look like for a Remote Process Engineer and how do they interact with colleagues?

Business Analyst (Policy remediation) - Contract - Remote
SUNSHINE ENTERPRISE USA LLCColumbia, SC • Remote
Contractor
Posted 7 hours ago
Job description
Business Analyst (Policy remediation) Location: Remote Interview Process: 1 round, virtual Duration: 12 Months Employment Type: Contract Experience Required: 05+ Years Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Project Scope: We are seeking an experienced Business Analyst with expertise in policy remediation, medical coding, and healthcare claims systems.
This role will serve as a subject matter expert (SME) supporting policy and operational initiatives related to medical coding compliance, claims adjudication, and system change management. The ideal candidate will leverage deep knowledge of ICD-10, CPT, and HCPCS coding methodologies, as well as Medicaid and payer operations, to ensure alignment between policy updates, coding changes, and system functionality. This position will play a critical role in supporting compliance initiatives, regulatory updates, and business process improvements.
Key Responsibilities: Serve as a subject matter expert (SME) for medical coding methodologies, Medicaid policy, and claims adjudication processes. Analyze annual, quarterly, and ad hoc coding updates, including ICD-10, CPT, and HCPCS changes. Review and assess the impact of coding and policy changes on business processes, system functionality, and claims outcomes.
Collaborate with business stakeholders, policy teams, and technical teams to define requirements and implement necessary system changes. Support change requests and ensure system updates produce accurate and expected claims adjudication results. Research business rules, requirements, and process models to develop recommendations and solutions.
Maintain and update business rules, requirements documentation, and process models in designated repositories. Lead meetings with stakeholders, business owners, and cross-functional teams. Participate in policy remediation efforts, compliance initiatives, and related enterprise projects.
Ensure process documentation, training materials, and supporting documentation are complete and up to date. Collaborate with internal teams to support ongoing operational and regulatory compliance. Provide expertise in medical coding software, claims systems, and healthcare policy interpretation.
Required Skills & Experience: Minimum of 5 years of experience in healthcare insurance, medical review, program integrity, or appeals. At least 5 years of experience working with IT developers and programmers in a payer environment. Minimum of 5 years of hands-on experience in medical coding within a payer environment.
Strong expertise in ICD-10, CPT, and HCPCS coding methodologies and translation. Minimum of 5 years of experience with medical claims processing systems. Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint).
Experience using Optum Encoder or similar medical coding software. Strong analytical, problem-solving, and critical-thinking skills. Excellent written and verbal communication skills.
Preferred Skills: Minimum of 5 years of experience in policy remediation. At least 3 years of clinical experience in a healthcare environment. Strong clinical assessment and critical-thinking skills.
Experience with Medicaid programs and Medicaid Management Information Systems (MMIS). Familiarity with healthcare regulatory compliance and policy implementation. Technical Skills Medical Coding and Reimbursement, ICD-10, CPT, and HCPCS Expertise, Policy Remediation and Compliance, Claims Adjudication and Processing, Medicaid and MMIS Knowledge, Business Requirements Analysis, Process Documentation and Improvement, Stakeholder Engagement and Facilitation, Regulatory and Operational Compliance, Cross-Functional Collaboration Education: Bachelor's degree in Health Information Management, Healthcare Administration, Business, or a related field.