Experience with Facets (TriZetto). * Medicare and Medicaid experience. * Experience with Cognizant ... SQL, analytics, or healthcare data management experience. #LI-DT1 #LI-Remote Position Level ...
Experience with Facets (TriZetto). * Medicare and Medicaid experience. * Experience with Cognizant ... SQL, analytics, or healthcare data management experience. #LI-DT1 #LI-Remote Position Level ...
Experience with Facets (TriZetto). * Medicare and Medicaid experience. * Experience with Cognizant ... SQL, analytics, or healthcare data management experience. #LI-DT1 #LI-Remote Position Level ...
Experience with Facets (TriZetto). * Medicare and Medicaid experience. * Experience with Cognizant ... SQL, analytics, or healthcare data management experience. #LI-DT1 #LI-Remote Position Level ...
RCM Account Representative
Dallas, TX · Remote
Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims * Experience working with Salesforce * Experience using remote connection ...
RCM Account Representative
Dallas, TX · Remote
Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims * Experience working with Salesforce * Experience using remote connection ...
RCM Account Representative
Dallas, TX · Remote
Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims * Experience working with Salesforce * Experience using remote connection ...
RCM Account Representative
Dallas, TX · Remote
Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims * Experience working with Salesforce * Experience using remote connection ...
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
... Trizetto, Availity) * Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs ... Remote Powered by JazzHR q9Iho6SNOB
Quick apply
... Trizetto, Availity) * Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs ... Remote Powered by JazzHR q9Iho6SNOB
AR Specialist
Indianapolis, IN · Remote
$20.75 - $27.50/hr
... Trizetto, Availity) * Experience using denial management platform (DocVocate) Education: ... Remote Powered by JazzHR Sogi5ZAxh8
Quick apply
AR Specialist
Indianapolis, IN · Remote
$20.75 - $27.50/hr
... Trizetto, Availity) * Experience using denial management platform (DocVocate) Education: ... Remote Powered by JazzHR Sogi5ZAxh8
Sr. Business Analyst
$92K - $119K/yr
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
Sr. Business Analyst
$92K - $119K/yr
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
Reconciliation Specialist
Indianapolis, IN · On-site +1
... Trizetto, Availity) * Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs ... Remote
Reconciliation Specialist
Indianapolis, IN · On-site +1
... Trizetto, Availity) * Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs ... Remote
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
Exposure to healthcare eco-systems from partners like HealthEdge, TriZetto , NASCO, Advantasure or ... Remote, US Type of Employment: Full-time, permanent Travel%: up to 25% FLSA Classification (USA ...
DevOps Engineer
$54 - $74/hr
Comfortable in a fully remote, async-first work environment Preferred Qualifications * Experience ... Exposure to healthcare ecosystem platforms such as HealthRules, TriZetto, NASCO, Advantasure, or ...
DevOps Engineer
$54 - $74/hr
Comfortable in a fully remote, async-first work environment Preferred Qualifications * Experience ... Exposure to healthcare ecosystem platforms such as HealthRules, TriZetto, NASCO, Advantasure, or ...
DevOps Engineer
$52.75 - $72.25/hr
Comfortable in a fully remote, async-first work environment Preferred Qualifications * Experience ... Exposure to healthcare ecosystem platforms such as HealthRules, TriZetto, NASCO, Advantasure, or ...
DevOps Engineer
$52.75 - $72.25/hr
Comfortable in a fully remote, async-first work environment Preferred Qualifications * Experience ... Exposure to healthcare ecosystem platforms such as HealthRules, TriZetto, NASCO, Advantasure, or ...
AR Specialist
Indianapolis, IN · On-site +1
$19.25 - $25.50/hr
... Central Reach, Waystar, Trizetto, Availity) * Experience using denial management platform ... Remote
AR Specialist
Indianapolis, IN · On-site +1
$19.25 - $25.50/hr
... Central Reach, Waystar, Trizetto, Availity) * Experience using denial management platform ... Remote
Sr. Manager, Revenue Cycle
$75K - $80K/yr
Strong preference for experience working with athenaOne, Trizetto and SalesForce * Must comply with ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Sr. Manager, Revenue Cycle
$75K - $80K/yr
Strong preference for experience working with athenaOne, Trizetto and SalesForce * Must comply with ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Sr. Manager, Revenue Cycle
$75K - $80K/yr
Strong preference for experience working with athenaOne, Trizetto and SalesForce * Must comply with ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Sr. Manager, Revenue Cycle
$75K - $80K/yr
Strong preference for experience working with athenaOne, Trizetto and SalesForce * Must comply with ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Senior Software Engineer
Tempe, AZ · Remote
$91K - $163K/yr
If you live near Tempe, AZ, you will enjoy the flexibility of a hybrid-remote role as you take on ... Knowledge of Facets Trizetto, with a focus on claims and provider setup CPC or other coding ...
Senior Software Engineer
Tempe, AZ · Remote
$91K - $163K/yr
If you live near Tempe, AZ, you will enjoy the flexibility of a hybrid-remote role as you take on ... Knowledge of Facets Trizetto, with a focus on claims and provider setup CPC or other coding ...
Remote Trizetto information
What are the key skills and qualifications needed to thrive as a Remote TriZetto Specialist, and why are they important?
Thriving as a Remote TriZetto Specialist requires expertise in healthcare claims processing, knowledge of medical billing and coding, and familiarity with TriZetto Facets or QNXT systems, often supported by a background in health information management or a related field. Proficiency with TriZetto's software platforms, claims adjudication systems, and potentially certifications such as Certified Professional Coder (CPC) or Certified Claims Professional is highly valuable. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for troubleshooting and collaborating remotely with team members and clients. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of issues in a virtual work environment.
What is the difference between Remote Trizetto vs Remote Healthcare Claims Processor?
| Aspect | Remote Trizetto | Remote Healthcare Claims Processor |
|---|---|---|
| Certifications | Trizetto certifications, healthcare IT knowledge | Claims processing certifications, healthcare knowledge |
| Work Environment | Healthcare IT systems, software platforms | Claims review, data entry, customer support |
| Industry Usage | Health insurance companies, healthcare providers | Insurance companies, third-party administrators |
| Job Focus | Implementing Trizetto software, healthcare IT solutions | Processing and reviewing healthcare claims |
Remote Trizetto roles typically involve working with healthcare IT systems and implementing Trizetto software solutions, while Remote Healthcare Claims Processors focus on reviewing and processing insurance claims. Both roles require healthcare industry knowledge, but differ in technical versus administrative focus.
How does working remotely as a Trizetto specialist impact collaboration with healthcare teams and clients?
As a remote Trizetto specialist, you will often collaborate virtually with healthcare providers, payers, and technical teams to support implementation, configuration, or troubleshooting of Trizetto systems. Regular video meetings, screen sharing sessions, and project management tools facilitate real-time communication and information sharing. While remote work offers flexibility, it also requires proactive communication and strong organizational skills to ensure client needs are met and project deadlines are maintained. Building trust and rapport with team members and clients remotely is crucial to successfully delivering solutions and resolving issues.
What is a Remote Trizetto job?
A Remote Trizetto job refers to a position where an employee works from a location outside the traditional office, typically from home, to manage, support, or implement Trizetto healthcare software solutions. Trizetto is a suite of applications used by healthcare organizations for claims processing, billing, and administrative management. Remote roles can include positions such as software developers, business analysts, support specialists, or implementation consultants who specialize in Trizetto products. These jobs require strong knowledge of healthcare IT systems and experience with Trizetto platforms such as Facets or QNXT.
More about Remote Trizetto jobs
What cities are hiring for Remote Trizetto jobs? Cities with the most Remote Trizetto job openings:
What are the most commonly searched types of Trizetto jobs? The most popular types of Trizetto jobs are:
What states have the most Remote Trizetto jobs? States with the most job openings for Remote Trizetto jobs include:
What job categories do people searching Remote Trizetto jobs look for? The top searched job categories for Remote Trizetto jobs are:
CMS EDGE Server Product Manager / Principal / Architect
Chicago, IL • On-site, Remote
Full-time
Posted 13 days ago
Huron Consulting Group rating
7.2
Based on 5 frontline employees who took The Breakroom Quiz
43rd of 58 rated business consultants
Job description
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Huron helps healthcare organizations drive growth, enhance performance, and sustain leadership in an increasingly complex healthcare environment. Within our HDTx Payer Services practice, we partner with health plans to modernize operations, optimize regulatory reporting, improve data quality, and enable data-driven decision making.
We are seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to serve as a strategic advisor and subject matter expert supporting healthcare payer clients. This individual will bring deep expertise in CMS EDGE Server operations, risk adjustment, reinsurance reporting, and payer platforms to help clients ensure accurate and compliant submission of membership, claims, and encounter data to CMS. The ideal candidate combines strong business knowledge of ACA, Medicare, and Medicaid regulatory programs with hands-on implementation and product leadership experience.
W2 Hourly (No H1B)
Start: August 2026
Duration: 6 mths, with possible extension
Key Responsibilities
Required Qualifications
Preferred Qualifications
#LI-DT1
#LI-Remote
Position Level
Consultant
Country
United States of America
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Huron helps healthcare organizations drive growth, enhance performance, and sustain leadership in an increasingly complex healthcare environment. Within our HDTx Payer Services practice, we partner with health plans to modernize operations, optimize regulatory reporting, improve data quality, and enable data-driven decision making.
We are seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to serve as a strategic advisor and subject matter expert supporting healthcare payer clients. This individual will bring deep expertise in CMS EDGE Server operations, risk adjustment, reinsurance reporting, and payer platforms to help clients ensure accurate and compliant submission of membership, claims, and encounter data to CMS. The ideal candidate combines strong business knowledge of ACA, Medicare, and Medicaid regulatory programs with hands-on implementation and product leadership experience.
W2 Hourly (No H1B)
Start: August 2026
Duration: 6 mths, with possible extension
Key Responsibilities
- Serve as SME for CMS EDGE Server, ACA Risk Adjustment, and Reinsurance programs.
- Lead CMS EDGE Server implementations, enhancements, and operational support initiatives.
- Ensure accurate and compliant submission of membership, claims, encounter, and supplemental data to CMS.
- Drive data validation, reconciliation, and reporting quality improvements.
- Partner with business, operational, compliance, and technical teams to resolve data and reporting issues.
- Translate business requirements into product, process, and technical solutions.
- Provide strategic advisory support to health plan clients on CMS reporting best practices.
Required Qualifications
- 7+ years of healthcare payer experience.
- Deep expertise with CMS EDGE Server and ACA Risk Adjustment.
- Strong understanding of Reinsurance, Risk Adjustment, and regulatory reporting requirements.
- Experience with health plan membership, claims, and encounter data.
- Proven implementation and client-facing consulting experience.
- Strong knowledge of payer operations and data quality processes.
- Excellent communication and stakeholder management skills.
Preferred Qualifications
- Experience with Facets (TriZetto).
- Medicare and Medicaid experience.
- Experience with Cognizant CMS EDGE Server and ClaimSphere.
- Knowledge of HEDIS, CMS STARs, and quality reporting programs.
- SQL, analytics, or healthcare data management experience.
#LI-DT1
#LI-Remote
Position Level
Consultant
Country
United States of America
About Huron Consulting Group
Sourced by ZipRecruiter
Huron Consulting Group, based in Chicago, IL, US, is a leading global management consulting firm specialized in providing performance improvement and reformation skills to different types of organizations. The company operates in the management consulting industry, which includes strategy, operations, technology, and analytics. Founded in 2002, Huron Consulting Group aids entities to tackle complex business challenges, enhance their ability to drive change, encourage their efficiency, and stimulate innovation. The company's overriding mission is to assist clients in becoming more successful.
Industry
Business management consulting
Company size
1,001 - 5,000 Employees
Headquarters location
Chicago, IL, US
Year founded
2002