Remote Jobs at HealthEdge
Find your next remote opportunity · 17 Open Positions
HealthEdge is on a mission to drive a digital transformation in healthcare.
We’re connecting health plans, providers, and patients with end-to-end digital technology solutions to support new business models, reduce administrative costs and improve health outcomes.
Our growing portfolio of products (HealthRules® Payer, Source, GuidingCare, and Wellframe) provides talented and passionate professionals with opportunities to lead change and make a lasting, global impact in healthcare.
Driving our mission are 2,000+ professionals worldwide.
Together, we are committed to innovating a world where healthcare can focus on people.
Claims Team Lead
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.
Associate III, USRN – BPM
USRN appeals specialist processing healthcare grievances and medical-necessity reviews for members and providers. Reviewing regulatory documentation and recommending appeal outcomes with Medical Director oversight.
Enrollment Quality Auditor
Enrollment Quality Auditor auditing Medicaid enrollment and eligibility transactions for HealthEdge’s health insurance technology platform. Reviewing CMS/state compliance, dual-eligible coordination, and QA performance.
Senior Technical Services Engineer
Senior Technical Services Engineer supporting HealthEdge’s healthcare ETL pipelines and software applications. Troubleshooting production issues, optimizing databases, and coordinating deployments across teams.
Associate Technical Services Engineer
Associate Technical Services Engineer supporting HealthEdge’s healthcare insurance technology customers. Troubleshooting Java, SQL, database, and web-service issues while resolving support tickets within SLAs.
VP, Sales – Risk & Quality
VP Sales growing HealthEdge’s risk adjustment and quality healthcare SaaS revenue. Expanding payer accounts through complex enterprise sales, CMS-aligned solutions, and market strategy.
Manager, Talent Acquisition – Mexico
Talent Acquisition Manager leading recruiting and people management for HealthEdge, an AI-powered healthcare technology infrastructure company. Building teams, advising hiring managers, and improving recruitment processes in Mexico.
Director – Desktop Support
Director leading HealthEdge’s global IT service desk for healthcare technology operations. Driving AI-enabled support, follow-the-sun coverage, and exceptional service for 7,500 employees.
Senior Manager, Resource Planning and Forecasting
Senior Manager leading centralized workforce planning and forecasting for HealthEdge’s AI-powered healthcare technology infrastructure. Owning staffing forecasts, planning governance, and cross-functional workforce strategy.
Manager, Workforce Management
Workforce management leader overseeing scheduling, real-time monitoring, and back-office workload distribution. Supporting HealthEdge’s healthcare technology infrastructure for health insurance companies.
Senior Workforce Planning Analyst
Workforce planning analyst forecasting demand and capacity for HealthEdge’s AI-powered healthcare technology infrastructure. Translating workload projections into staffing plans, hiring recommendations, and operational strategies.
Senior Director, Business Intelligence
Senior BI and automation leader shaping reporting, analytics, and AI-driven process automation priorities. Partnering with HealthEdge Operations, Product, and Technology teams.
Claims Examiner II
Claims Examiner II adjudicating healthcare claims for HealthEdge’s health insurance technology platform. Reviewing coding, coverage criteria, and system edits while mentoring team members.
Claims Examiner II
Claims Examiner II adjudicating healthcare claims for HealthEdge’s health insurance technology platform. Reviewing coding, coverage criteria, and payment accuracy while mentoring team members.
Utilization Management Quality Assurance Analyst
HealthEdge UM QA Analyst auditing utilization reviews, documentation, calls, and appeals. Supporting healthcare quality improvement, reporting, training, and regulatory compliance.
FP&A Analyst
FP&A Analyst in charge of investor reporting and financial analysis for HealthEdge. Collaborating with teams to model economics and improve financial processes while working remotely.
Salesforce Administrator
Senior Business Systems Analyst managing Salesforce solutions for GTM teams in a growing technology firm. Leading AI strategy implementation while supporting platform health for sales, marketing, and support functions.
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