"prior jobs in remote

Remote

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9d ago

Duties Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization Technician I processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications. Essential Functions Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable.Utilizes member claims history during the prior authorization review process.Makes outbound c

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Contract

25 - 28

Software Engineer, (Prior Staff / Principal Experience)

New York, New York

•

Today

About Clay Our mission is to help organizations turn any growth idea into reality. We see growth as a creative practice, not a formula. Finding and reaching your best-fit customers takes unique ideas and constant iteration. As AI makes execution faster and tactics easier to copy, creativity is the only lasting advantage. We're already helping thousands of customers - including Anthropic, Notion, Google, and Ramp - go to market with unique data, signals, and AI research. In 2025, we raised a $

Full-time

USD 240,000.00 - 300,000.00 per year

Authorization Specialist - II

Remote

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5d ago

Immediate need for a talented Authorization Specialist - II. This is a 06+ Months Contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-25422 Pay Range: $17 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Authorization Specialist II t

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Contract

$17 - $19

Microsoft AI Solution Architect(Healthcare) - Remote - Long Term

Remote

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2d ago

Hi, The role seeks a senior Microsoft AI architect to lead healthcare-focused AI transformation initiatives, combining presales leadership, solution architecture, and hands-on development of Agentic AI solutions using Microsoft AI technologies. Microsoft AI Solution Architect (Healthcare) Remote Long-term contract opportunity Key Requirements 10+ years in Microsoft solution architecture and presales/consulting roles.Strong expertise in:Azure AI & Azure OpenAIMicrosoft 365 CopilotCopilot Studio

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Contract, Third Party

Depends on Experience

Solution Architect - Syndigo MDM- Google Cloud Platform

Remote

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9d ago

Bisoftllc is looking for Solution Architect - Syndigo MDM- Google Cloud Platform Seeking an experienced Solution Architect - Syndigo MDMto lead the design and governance of enterprise Master Data Management (MDM) solutions. The ideal candidate will be responsible for architecting scalable, secure, and business-aligned MDM platforms usingSyndigo MDM(preferred) or comparable MDM solutions such as Informatica MDM, Stibo, or SAP MDG. The Solution Architect will drive the end-to-end MDM architecture

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Full-time

Depends on Experience

Epic Beacon Oncology Analyst

Remote

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2d ago

Epic Application Analyst (Beacon Oncology) 6 Months (CTH) Location: 80% Remote / Up to 20% Onsite - likely 100% remote Must Have: Current Epic Beacon Certification (current or prior release) Prior Epic implementation experience Strong Epic build experience Experience gathering requirements and creating BRDs/workflows Validation sessions, testing and deployment experience Strong communication and stakeholder management Healthcare IT experiencePreferred: Clinical background 2+ full Epic lifecycle

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Contract

Depends on Experience

Dynamics 365 Project Manager

Remote or Chicago, Illinois

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Yesterday

IT Experience: 14+ years in IT project management. D365 Experience: 8+ years managing D365F&O Projects. Client-Facing Experience: Prior experience handling onshore client interactions and leading ERP (D365F&O projects) implementations.

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Full-time, Part-time, Contract, Third Party

Hedis Data Analyst- 10+ yrs- Remote. USA

Remote

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4d ago

JD:Must Have QualificationsHe needs to be very good at SQL & Python. He also needs prior experience with anyETL tool. He needs to work on Alteryx (ETL tool in Healthfirst). He needs to understand Healthcare domain He needs to have experience of working with large volumes of data (100s of gig tables/files) Exceptionally good communication skills.

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Contract, Third Party

Depends on Experience

Salesforce BSA with strong Pharma domain for Remote

No location provided

•

Today

Salesforce BSA with strong Pharma domain expertise. Remote Canada FTE/Contract We are seeking a **Business Systems Analyst (BSA)** to support the transformation of our **Patient Services Hub** on **Salesforce Life Sciences Cloud**. - 5+ years as a Business Systems Analyst on **Salesforce** implementations, ideally **Health Cloud or Life Sciences Cloud**. - Direct experience with **pharma patient support/hub services programs** - enrollment, benefits verification, prior authorization, adheren

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Full-time, Part-time, Contract, Third Party

QA Engineers

Hybrid in Newark, New Jersey

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2d ago

QA Engineers (F2F is mandatory) NJ (Hybrid-3 days onsite) Long term contract Immediate client interview We have few open positions for onshore QA in our Digital Identity and Authentication space. Skills needed: Experience with functional testing Experience with writing automation (hands on) test cases, building regression suite. Prior experience with Security/Identity (CIAM) is preferred. Experience with API testing.

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Contract, Third Party

Depends on Experience

Backend Developer - C# (Onsite in Fremont, CA) Face to face interview must; local only

Fremont, California

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4d ago

Position Description The Senior Software Engineer will focus on developing new solutions for Accounting Engine application.He/She will be joining other team members that provides support to any Accounting Engine production issue.He/She will be joining daily scrum meetings with global Accounting Engine team.He/She will collaborate with other development teams to discuss the end to end solution.Responsibilities He/She will be responsible for helping to maintain and develop Accounting Engine integr

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Third Party, Contract

Depends on Experience

Hotel Chief Engineer

Orlando, Florida

•

Today

Description Exciting opportunity to join our hotel team at the Hyatt House as our Chief Engineer. We are seeking someone who is bi lingual (Spanish) and has experience with AC-VTAC, painting, wall finishing and plumbing. Apply today. Responsibilities $41 Qualifications Prior hotel engineering experience preferred. Supervisory experience required. Strong HVAC skills and knowledge. Strong understanding of PM Programs.

Full-time

Hedis Data Analyst

Remote

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3d ago

Job title: Hedis Data Analyst Job Location: Remote Contract Qualifications Required: Needs to be very good at SQL & Python. Prior experience with any ETL tool. Exposure on Alteryx (ETL tool prefered). Strong to understand Healthcare domain Experienced working with large volumes of data (100s of gig tables/files) Exceptionally good communication skills. Hedis Data Analyst1Data AnalysisN/AC2C,W-2,C2H,Contract,W2United States

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Third Party, Contract

Depends on Experience

Senior Curam Developer

Remote

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Today

Job Description: We are seeking a Curam Developer with hands-on experience in designing, developing, and implementing solutions using Curam. Key Skills Required: Experience with Curam v7 or newer Curam development, batch jobs, and Curam Financials Strong knowledge of Application Intake, Recertification, and Evidence Management Experience in Case Management, Document Management, and Universal Access/Resident Portal Integration experience with Web Services. Prior work on governmen

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Third Party

Curam Developer

Remote

•

Today

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Third Party

Pharmacist

Remote

•

10d ago

Shift Shift Schedule: Monday through Friday 10:00 AM to 6:30 PM with a possible Sat rotation if business needs dictate.The shift time may be subject to change based on business needs. Duties As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products.Determinations include medical necessity and benefit decisions.Decisions are made

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Contract

65 - 70

Pega Developer

Remote

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6d ago

Job Description Pega Professionals Positions: Lead/Senior Pega Mid-Sr Pega Developer Project: Healthcare Payer Claims Automation Project Overview The project focuses on using Pega to automate the matching of prior authorizations/service authorizations to provider-submitted claims, reducing manual review. Position 1: Lead/Senior Pega Responsible for architecture and technical expertise. Position 2: Mid-Sr Pega Developer Focused on development, integrations, roboti

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Contract, Third Party

Depends on Experience

Senior UX Research Program Manager

Remote

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2d ago

Minimum Qualifications 5+ years of experience working in a similar capacity Prior experience working with User Experience Research or Design Operations Detail-oriented with a commitment to accuracy and quality Excellent verbal and written communication and organization skills Ability to multi-task and manage competing priorities in a fast-paced environment Track record of being detail-oriented, willing to wear multiple hats, demonstrating creativity, identifying areas for improvement and deliver

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Full-time

$120,000 - $160,000

Medical Receptionist (Grayslake, IL)

Grayslake, Illinois

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2d ago

Title : Medical ReceptionistLocation: Grayslake, IL 60030Duration: Full TimeShift : Monday thru Thursday from 9:30 AM to 4:30 PM Key Duties and Responsibilities:Patient Registration: Greet patients, assist them with medical forms, and maintain accurate records.Appointment Scheduling: Book and coordinate patient visits, follow-ups, and procedures.Communication: Answer incoming calls, address patient inquiries, and coordinate with doctors and nursing staff. Billing & Insurance: Process payments,

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Full-time

Depends on Experience

Golang Developer with Payments @Phoenix, AZ - Hybrid

Hybrid in Phoenix, Arizona

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2d ago

Job Title: Golang Developer Merchant Network Payments Location: Phoenix, AZ (Hybrid) Duration: Long-term Contract Job Description Looking for an experienced Golang Developer with strong experience in Merchant Network Payments / Payment Processing. Candidate should have hands-on experience developing scalable payment APIs, microservices, and transaction processing solutions using Go. Mandatory Skills Strong Golang / Godevelopment experience.Experience with Merchant Network Payments / Payment Proc

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Third Party, Contract

Depends on Experience