Insurance Claim Processor Jobs in 33609

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Lighting Auditor

ITR Group

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Remote

Full-time

This position travels nationwide, 80% of the time, to job locations to perform audits. REMOTE: You will fly out of the nearest international airport on Mondays and back home on Thursdays and work from home Fridays. The Lighting Auditor position is responsible for the examination and analysis of the lighting and electrical surveys. They are responsible for documenting existing conditions as it relates to lighting, lighting controls, and general electrical systems. The Lighting Auditor is held acc
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Posted 60+ days ago | Updated 19 days ago

Clinical Auditor, Sr.

CalOptima

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Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring
Posted 23 days ago

Power Platform Developer

Kforce Technology Staffing

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Remote or Juno Beach, Florida, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking a Power Platform Developer to work remotely. Summary: The candidate will develop data systems, automations, and analytics/reporting to support process management, project execution, and process analytics for the onboarding and transition-to-operations of new grid-scale solar and energy storage projects. Responsibilities include: * Development of a platform and data structure for managing a master process, including task relationships * Deve
Posted 60+ days ago | Updated 1 hour ago

GIS Programmer

Envision

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Remote

Contract

Company in downtown Phoenix is looking for a GIS Programmer 1 year + contract - possible extensions Local canditates are required! 100% remote work is allowed NO C2C or Third Parties allowed PLEASE SEND RESUMES TO IT Career Opportunities at Envision, LLC Are you looking for the place to really enhance your career? Envision offers Challenging IT positions with a lot of responsibility in a rewarding, fun working environment. Why Envision? The Envision Difference * Work on cutting-edge technology
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Posted 40 days ago | Updated moments ago

Sr Azure Application Architect and Data Engineering

People Force Consulting Inc

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Remote

Contract, Third Party

Sr Solution Architect - II Location Remote/ EST hoursContract Key Skill /Skill SpecializationSolution Architecture in Application and Data EngineeringMandatory SkillsEDW Architecture, DatawarehousingDesired SkillsExperience in Azure cloud, Hadoop and MDM Job Description"Essential Responsibilities Include:1. Collaborate with stakeholders to understand business requirements and translate them into technical solutions.2. Design end-to-end solutions that integrate Snowflake's data warehousing capab
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Posted 32 days ago | Updated 2 days ago

Senior People Analyst - (Hybrid/Remote)

Yakima Valley Farm Workers Clinic

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Remote

Full-time

Join our team as a Senior People Analyst and be part of a healthcare organization that believes in making a difference beyond medical care! At Yakima Valley Farm Workers Clinic, we believe you are more than an employee, and we are more than a job! We value inclusivity, and we are committed to the well-being of our communities. The People Analyst is responsible for providing data-driven insights and solutions to optimize the Human Resources function. The People Analyst will collect, analyze, and
Posted 25 days ago

Ecological and Human Health Risk Assessor - Remote!!!

AECOM Corp. - Worldwide

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Remote or Oakland, California, USA

Full-time

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating in
Posted 26 days ago | Updated 3 hours ago

Remote Salesforce Marketing Cloud

Kforce Technology Staffing

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Remote or San Diego, California, USA

Full-time

RESPONSIBILITIES: Kforce has a client that is seeking a Remote Salesforce Marketing Cloud Developer to join their team. Responsibilities: * Implement Salesforce solutions based on business requirements and best practices * Document and demonstrate user stories and solution functionality * Estimate and plan delivery phases and activities * Design and test solutions with security and privacy standards * Present and evaluate solution options and scope changes * Develop and participate in training
Posted 60+ days ago | Updated 1 hour ago

Needd Splunk Developer with SignalFx

KMM Technologies, Inc

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Remote or Maryland, USA

Full-time, Contract, Third Party

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie
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Posted 60+ days ago | Updated 3 hours ago

Product Owner- Healthcare

iSpace, Inc

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Remote

Contract

Product Owner - Healthcare Location 100% remote Contract Duration 12 months with the possibility of converting to full time employment of extending. Our client s Revenue Operations team in transforming their contact center functionality and building a next generation omnichannel, workflow, & telecom platform that will: support an integrated & coordinated environment to engage with patients throughout the admission, insurance, and billing cycledeliver a superior patient and teammate experience t
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Posted 60+ days ago | Updated 2 days ago

FedRAMP Engineer

Valiant Solutions LLC

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Remote

Full-time

Valiant Solutions is seeking a FedRAMP Engineer to join our rapidly growing and innovative cybersecurity team! The candidate will provide technical expertise on Security control implementations and development of Information Security procedures for systems and applications. The selected candidate will play a key role in a fast-paced FedRAMP team to provide comprehensive program, analytical, technical, and advisory skills to the client and supported Cloud Service Providers (CSPs). Candidates will
Posted 9 days ago | Updated 2 days ago

QI Nurse Specialist (LVN)

CalOptima

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Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements
Posted 24 days ago

Sr AI Architect

Nexus Tek

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Remote

Full-time

NexusTek is a U.S based, managed IT service provider to small and medium sized organizations. We excel in tackling the complexities of IT, such as cloud services, cyber-security, document management, data back-up and protection, and more. Our mission is to take away technology headaches allowing our clients to focus on their core business. NexusTek s 300 employees span 35+ states to service our growing client base. We have physical offices in Denver, Irvine, Boston, and NYC. Working hours 8:00 a
Posted 10 days ago

Sr. Salesforce Developer

Capgemini Government Solutions

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Remote or McLean, Virginia, USA

Full-time

Capgemini Government Solutions (CGS) LLC is seeking a Sr. Salesforce Certified Developer to join our team to support our government clients. The successful applicant will have the opportunity to apply and grow their skills, work with a motivated and entrepreneurial team, engage with a wide range of collaborators, and build CGS? capabilities to serve our clients. Job Responsibilities: As a Sr. Salesforce Developer, you will: Work with Technical/Solutions Architects and Business Analysts to trans
Posted 11 days ago | Updated 3 hours ago

iSeries System Developer - PGIM Real Estate

Prudential Financial

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Remote or Dallas, Texas, USA

Full-time

A GLOBAL FIRM WITH A DIVERSE & INCLUSIVE CULTUREAs the Global Asset Management business of Prudential, we re always looking for ways to improve financial services. We re passionate about making a meaningful impact - touching the lives of millions and solving financial challenges in an ever-changing world. We also believe talent is key to achieving our vision and are intentional about building a culture on respect and collaboration. When you join PGIM, you ll unlock a motivating and impactful car
Posted 32 days ago | Updated 12 days ago

Data Analyst (Network Operations)

Synergis

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Remote

Contract

TITLE: Data Analyst (Network) LOCATION: Remote ANTICIPATED DURATION: Multi year with potential to convert perm JOB SUMMARY: This position's main purpose is to perform analysis, forecasting, modeling, tracking, and reporting of data for the Network Services organization. Network Services provides planning, design, procurement, implementation, maintenance, and project/program management of Southern Company s data, wireless LAN, Fixed Wireless, voice, and firewall networks. Data will be used to i
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Posted 19 days ago | Updated 4 days ago

Need Sr. Java Full Stack Developer - Direct Client

Spar Information Systems

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Remote

Full-time, Contract

Hope you are doing good. Role: Sr. Java Fullstack Developer Direct Client Location: Remote Duration: 3 Months Contract to hire Job description: Client is seeking an experienced Senior Engineer with a passion for building high-performance, low maintenance, zero-downtime platforms, and applications from the ground up. You will help drive our insurance business transformation as we transition from a traditional IT model to a tech organization with engineering excellence as its mission, while co-
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Posted moments ago | Updated moments ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a
Posted 26 days ago