Case management Jobs

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Registered Nurse | Review Analyst I Remote | Contract

Walker Healthforce

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Remote

Contract

Registered Nurse (RN) Review Analyst|Remote|Michigan|Contract Walker Healthforce is seeking aRegistered Nurse (RN) Review Analystwith 2+years of experiencelocated in Michigan. This is a 10-monthcontract opportunity. CORE REQUIREMENTS: Strong Clinical Background - Ability to critically evaluate clinical data and medical records to ensure accuracy and compliance with utilization management/clinical decision support for Medicare Advantage member Attention to detail and organization skills - Review
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Posted 9 days ago | Updated 2 days ago

Salesforce Admin & Developer

Terbium Technologies Inc

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Arkansas, USA

Full-time

As a Senior Salesforce Developer, you will be critical in enhancing our business teams' effectiveness through the Salesforce platform. Your expertise in Salesforce development, combined with a strong understanding of business operations and platform integrations, will be pivotal in driving our strategy and supporting our broader organizational goals. We believe an individual with the following skills, experience, and subject matter expertise would be well-suited to be successful in this role: 5+
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Posted 60+ days ago | Updated 14 hours ago

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker Healthforce

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Remote

Contract

Registered Nurse | Utilization Management Appeals Nurse | 3+ Years of Experience | Remote | New Jersey | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 3+ Years of Experience to support a Healthcare Clientbased out of New JerseyThis is a 6 month Contractopportunity. RATE RANGE: 38 - 46 hourly HOURS/SCHEDULE: Monday - Friday 8am -5pm EST WORKER TYPE: W2 CORE REQUIREMENTS: Active Unrestricted RN License NJ or CompactRequires a minimum of two (2) years clini
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Posted 12 days ago | Updated 12 days ago

Supplemental Benefits Medical Director (Physician Reviewer) | Remote | Contract to Hire

Walker Healthforce

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Remote

Contract

Supplemental Benefits Medical Director|10+ years | Remote | Contract Walker Healthforce is seeking a Supplemental Benefits Medical Directorwith 10+ years experience to support a healthcare client based out of Nashville, TN. This is a 6-month contract opportunity. START DATE: ASAP CORE REQUIREMENTS: TheMedical Director will be a Board-certified physician with current unrestricted medical license Minimum of 10-years of clinical practice experience. Candidates must be able to obtain medical lice
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Posted 16 days ago

Quality Outreach Coordinator | Remote | Contract

Walker Healthforce

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Remote

Contract

Quality Outreach Coordinator | 2 years experience | Remote | Contract Walker Healthforce is seeking a Quality Outreach Coordinator with 2 years of experience to support a Healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: 6/2/2025 WORKER TYPE: W2 CORE REQUIREMENTS: 2 years work experience in case management, community health, Medicaid or health insurance environment. Minimum of 2 years experience working with members to close gaps in care. Minimum of
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Posted 18 days ago

Pega Lead Systems Architect/Developer

InfoVision, Inc.

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Dallas, Texas, USA

Contract

We are looking for Pega Lead Systems Architect/Developer , Please share resume at Role: Pega Lead Systems Architect/Developer Location: Dallas, TX(office - 2 days a week) Duration: 12+ Months Job Description Experience working with Pegasystems technologiesExperience designing, building and implementing Business Process Management solutions on one or more technology platformsExperience on Pega PRPC (7.x, 8.x versions)Experience with connectors and Services, especially SOAP web services and RESTf
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Posted 60+ days ago | Updated 17 days ago

Azure/PowerApps Lead Consultant / Dynamics CRM Lead Developer

Cyber Resource Provider LLC

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Jersey City, New Jersey, USA

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

Kishore Veeranki MS Dynamics 365 CRM/ Power Apps Consultant +1 Summary: - Dynamic, result oriented Technical Consultant possessing more than 12 years of IT experience in analysis, architecture, design, development, and testing on Enterprise Applications. - Over 10 years of experience in Microsoft Dynamics CRM, PowerApps Platform and related technologies with Leading the team of developers with different stages. - Expertise in handling end-to-end applications development for both Model-drive
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Posted 15 days ago | Updated moments ago

HRIS Specialist

SSI People

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Merritt Island, Florida, USA

Contract

Job Title: Specialist - HR I Location: Merritt Island, Florida Note: The candidate must have a US Person Status. Job Responsibilities: Triage and respond to general HR inquiries from our client's team using our case management tool.Assign cases to the appropriate owners and provide customer support for employees and HR members.Handle HR-related tasks, rectify time clock discrepancies, and assist with onboarding tasks.Provide onsite support to employees and take on additional responsibilities as
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Posted 1 day ago | Updated 1 day ago

Business Consultant

ASCII Group LLC

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Boston, Massachusetts, USA

Contract

Role: Business Consultant Location: Boston, MA Duration: Contract Technical & Functional Skills 5+ years of experience as a Business Consultant, with at least 3+ years working with public sector clients.Strong knowledge of public sector workflows, case management, licensing & permitting, grants management, and regulatory compliance.Experience in business process reengineering, workflow automation, and digital transformation initiatives for government agencies.Familiarity with enterprise systems,
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Posted 2 days ago

IICS Admin - Team lead // Fulltime // Strongsville OH

Volto Consulting

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US

Full-time

IICS Admin - Team lead Strongsville OH Fulltime Employment Skill: IICS Admin Team Lead Must Have Technical/Functional Skills: IICS Admin and handle IICS Lineage. Good-to-Have Technical Skills: Oracle and Teradata SQL. Functional Knowledge: Prior experience or exposure to Banking domain. Understanding of Anti-Money Laundering (AML) processes, such as transaction monitoring, customer risk rating and case management workflows. Ability to interpret business rules related to AML.
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Posted 4 days ago | Updated 1 day ago

Pega Developer

Acadia Technologies, Inc.

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New Orleans, Louisiana, USA

Full-time

Technical Skills:Pega PRPC: Proficiency in the Pega platform, including Case Management, Declarative Rules, and User Interface design. Java: Strong understanding of Java and related technologies like J2EE, JSP, and web services. Web Technologies: Experience with HTML, CSS, JavaScript, and XML. Database: Knowledge of database design and integration with relational databases like Oracle or SQL Server. Agile Methodologies: Experience with Agile and Scrum development methodologies. API Developm
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Posted 1 day ago

ServiceNow Developer

NextXap, Inc.

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Sunnyvale, California, USA

Third Party, Contract

Job Title: ServiceNow Developer Location : Sunnyvale, CA/ Austin, TX Need an experienced ServiceNow HRSD (Human Resources Service Delivery) Consultant with deep expertise in Virtual Agent best practices. The ideal candidate will play a critical role in designing, implementing, and optimizing HR workflows and automation within the ServiceNow HRSD module, specifically working on the Virtual Agent, ensuring seamless employee experiences. Key Responsibilities: Design, develop, and configure the Serv
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Posted 9 days ago | Updated 9 days ago

ServiceNow HRSD Consultant

ClifyX

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Austin, Texas, USA

Contract

Hello, Greetings from Clifyx. Title: ServiceNow HRSD Consultant Location: Austin, TX or SCV, CA (Onsite-Hybrid) 12+ month contract 11+ Years of experience ServiceNow HRSD Consultant (Virtual Agent Expert) About the Role: We are seeking an experienced ServiceNow HRSD (Human Resources Service Delivery) Consultant with deep expertise in Virtual Agent best practices. The ideal candidate will play a critical role in designing, implementing, and optimizing HR workflows and automation within the Ser
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Posted 8 days ago | Updated 4 days ago

We are looking for IBM Business Automation Workflow (BAW) & Business Process Management (BPM)

Omega Solutions Inc

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Remote

Contract, Third Party

IBM Business Automation Workflow (BAW) Experience Required: 5 to 7 years. We are seeking a senior individual who is well-versed in various components of BAW and has the ability to architect these components. The ideal candidate will have experience with both Business Process Management (BPM) and Case Management within the BAW platform, and will be able to guide junior resources in India. The senior resource will work closely with the Project Manager at Incede.ai as well as the end client, who is
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Posted 9 days ago

IICS Admin Team Lead

Ventures Unlimited

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Strongsville, Ohio, USA

Full-time

Job DescriptionSkill: IICS Admin Team Lead Must Have Technical/Functional Skills:IICS Admin and handle IICS Lineage.Good-to-Have Technical Skills:Oracle and Teradata SQL.Functional Knowledge:Prior experience or exposure to Banking domain.Understanding of Anti-Money Laundering (AML) processes, such as transaction monitoring, customer risk rating and case management workflows.Ability to interpret business rules related to AML.Roles & Responsibilities:Administer and maintain Informatica Intelligent
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Posted 4 days ago

IT Contract Process Improvement Specialist II TX locals II Mostly Remote II May need to go onsite as needed

Care IT Services Inc

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Remote

Contract

Job: IT Contract Process Improvement SpecialistLocation: Texas, Might need to go to the office sometimes Client is seeking individuals with the defined skills and qualifications to work as a team with other Client contracted resources to produce defined deliverables which will aid the agency in requesting funding and other resources needed to implement a new case management system. The worker will interact with various other roles (e.g., business analysts, project managers, contract developer,
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Posted 1 day ago

Cybersecurity Analyst - Nights

ManTech

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Tysons, Virginia, USA

Full-time

ManTech seeks a motivated, career and customer-oriented Cybersecurity Analyst - Nights to join our team in Tysons, VA. The Cybersecurity Analyst will monitor Air Gapped Security Fabrics through managed SECOPs Tools. Responsibilities include but are not limited to: Monitoring Operations Center IT an infrastructure for a 24x7 mission critical SECOPs function.Performing event analysis within SIEM, leveraging systems to develop response tickets within case management tooling.Troubleshoot and coordi
Posted 2 days ago | Updated 11 hours ago

Pega Sr Engineer with React (9-11 Years hands development experience Mandatory)

MethodHub

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Princeton, New Jersey, USA

Third Party, Contract

Hello, Here we have an immediate requirement for the below position. Please share me resumes at sandeepdotmandadiatmethod-hubdotcom Pega Sr Engineer with React Long Term Princeton, NJ (Day 1 Hybrid) Essential Duties & Responsibilities: Analyze, design and support implementation of business specific Pega solutions and/or frameworkResponsible for implementing technical solutions on Pega 8.X, and case management framework.Ability to create reusable components that can be leveraged across the enter
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Posted 2 days ago

Sr PEGA Engineer (6 Months Contract to hire Position)

Reveille Technologies

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Princeton, New Jersey, USA

Contract, Third Party

Essential Duties & Responsibilities: Analyze, design and support implementation of business specific Pega solutions and/or frameworkResponsible for implementing technical solutions on Pega 8.X, and case management framework.Ability to create reusable components that can be leveraged across the enterprise for providing top-notch user experience.Ability to translate complex business requirement into functional technical requirements using Pegasystems SmartBPM methodology and DCO tools.Good hands o
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Posted 15 days ago

Program Manager - Government Benefits program

Robert Half

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Albuquerque, New Mexico, USA

Contract

Description Robert Half is seeking a Program Manager with experience with one or more of the following: Workforce Development, Government Benefits program, "Unite US" and/or "Find Help" platforms. This is an estimated 1 year contract with possible extension > Local preferred, Hybrid work schedule available. If out of state/Remote must have specific program experience and be willing to travel onsite to New Mexico minimum 1 week/month. The Program Manager will be responsible for managing a high
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Posted 16 days ago | Updated moments ago