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Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Waukesha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

Remote or Waukesha, Wisconsin, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Waukesha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

SAP SD/RAR Consultant

Symantrix Inc

Texas, USA

Contract, Third Party

Job Title: SAP SD/RAR Consultant Locations: Remote/Home Based Duration: Long Term What you will do in this role: Analyzes complex business problems to be solved with automated systems. Provides technical expertise in identifying, evaluating and developing systems and procedures that are cost effective and meet user requirements. Configures system settings and options; plans and executes unit, integration and acceptance testing; and creates specifications for systems to meet business requireme

SAP HR Payroll functionalConsultant

Spark Infotech

Remote

Contract, Third Party

Job Title : SAP HR Payroll functional ConsultantLocation: RemoteDuration: 12+ Months Look for SAP - HR Domain candidates with expertise with US-Payroll only for more then 15+ years of experience. Candidates need to have: Expertise in SAP HR Payroll functional configurationStrong communication skills to interact with business users and gather requirements.In-depth knowledge of US SAP Payroll functions within SAP.Key Responsibilities: Gathering Functional Requirements: Collaborate with business

Sr. Software Engineer (Python Developer _ Remote_Local to AZ)

Cyber 1 Armor

Remote or Arizona, USA

Contract

We are looking for python developer so please share the resume . Duration : 6 Months(Contract to Hire) 1 Sr. Software Engineer Position (immediate need) Direct Client : PV./ Salas O Brien 2. Location Remote in US (if possibe in PHX) 3. Interview process (4 rounds including final round in-person in Phoenix, Az) - So try local or near by states 4. Visa: or USC 5. Contract 2 Hire in about 6 Months 7. Skills a. Expertise in object-oriented Python development 5-8+ years required (FastAPI platfor

PowerBI Technical Lead

GovCIO

Remote

Full-time

Overview GovCIO is currently hiring a PowerBI Technical Lead to ensure smooth operations of core software and infrastructures for data warehousing (DW) and business intelligence (BI) environments. This position involves installing, configuring, and optimizing software for DW and BI systems, including BI and ETL and data management software. This position is fully remote, located in the United States. Responsibilities Generates Ad-Hoc PBI Reports. Conducts PBI Training (Instructor-led Class De

IBM Filenet/Datacap Developer

P2PSoftTek Inc

Remote

Third Party, Contract

Collaborate with stakeholders to gather and analyze business requirements for document capture and data extraction processes.Design IBM Datacap and AWS Textract solutions to meet business needs, including document classification, data extraction, and workflow automation.Develop and customize IBM Datacap, AWS Texttract application flows, modules, and components using Datacap Studio, Datacap Navigator, and other tools.Configure and optimize document recognition and extraction rules using IBM Datac

Oracle EPM Cloud- ARCS and FCCS

FourthSquare

Remote

Full-time

Oracle EPM Cloud- ARCS and FCCS Remote Long Term Total Experience Expected: 10+ years 5+ years of experience in financial consolidation, close processes, and reconciliation. 3+ years of hands-on experience with Oracle EPM, specifically FCCS and ARCS. Proven track record in leading cross-functional projects and teams. Job Summary: We are seeking an experienced Oracle EPM Cross-Functional Specialist to support the implementation, maintenance, and optimization of Oracle's Financial Consolidation an

Senior Engineering Manager (Trust Foundations - Data Security)

Headway

Remote or New York, New York, USA

Full-time

Headway's mission is a big one - to build a new mental health care system everyone can access. We've built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. 1 in 4 people in the US have a treatable mental health condition, but the majority of providers don't accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy

Senior AI/ML Engineer - Pediatric Research- Remote

Mayo Clinic

Remote or Rochester, Minnesota, USA

Full-time

Job Description AI/ML Engineers at Mayo Clinic play a pivotal role in the union of data, systems, and computer sciences. They work closely with a multidisciplinary team, including clinicians, user experience designers, product managers, IT professionals, and external partners, to develop and deploy effective, efficient, and ethical AI/ML solutions into clinical practice to enhance patient care and operational efficiency. As a Senior AI/ML Engineer, you may work on the full spectrum of the AI l

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Healthcare Analytics (Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment intervention ROI, incremental conditions captured, and other program performance

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Kenosha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Kronos (UKG) Functional Consultant

Divit Technologies, Inc.

Remote

Full-time

We are looking for a highly skilled Kronos Functional Consultant Workforce Management (WFM) to join our HR Technology team. You will play a key role in driving the optimization, configuration, and integration of UKG/Kronos WFM solutions, ensuring alignment with operational and compliance requirements across the organization.Experience with Kronos Activity Module will be highly regarded.Key ResponsibilitiesCollaborate with business stakeholders (Operations, HR, Payroll) to gather and translate WF

Sapiens Tech Architect

iBridge Techsoft LLC

Remote

Third Party, Contract

Hello, Please see below Job Description for your reference. Role: Sapiens Technology ArchitectLocation: USA (Remote)Type: Full-time/ContractExperience: 10-15 Yrs Job Description:We are looking for a Sapiens Technology Architect with:Strong Sapiens expertise (Policy/Claims/Billing)Experience in P&C insurance domainTechnical & solution architecture backgroundExcellent communication and client management skills