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Enterprise Project Manager Medicaid / Medicare Exp for client : SC Department of Health and Human Services50% Remote - Columbia , SC

Cynosure Technologies LLC

Columbia, South Carolina, USA

Contract

Hi there, reply requested for below Job Opportunity: Please connect me for more details at: Enterprise Project Manager Medicaid / Medicare Exp for client : SC Department of Health and Human Services 50% Remote - Columbia , SC Scope Of The Project: SCDHHS is seeking an experienced IT Project Manager to manage high-profile executive-level projects working closely with other members of the agency executive team and external stakeholders. Program Experience: Current experience with Medicaid, Social

Medicare Medical Policy RN | Hybrid | Detroit, MI | Contract

Walker Healthforce

Detroit, Michigan, USA

Contract

Medicare Medical Policy RN | Hybrid | Detroit, MI | Contract Walker Healthforce is seeking a Medicare Medical Policy RN for a healthcare client located in Detroit, MI.This is a contract position. START DATE:ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB DESCRIPTION Develop and maintain Medicare Medical Policies ensuring policies are approved, implemented, and placed in repository, including annual reviews/updates Collaborat

IT Business Analyst | Medicare & Medicaid Solutions

Dahl Consulting

Eagan, Minnesota, USA

Contract

Dahl Consulting is currently partnering with a leader in the health insurance industry. Our client is seeking a resource to serve as a conduit between customers, vendors, and the IT Solutions development team for medium to large-sized projects encompassing Medicare Part D and Medicaid. We work one-on-one with great candidates to help connect them with local employment opportunities. Job Title:IT Business Analyst | Medicare & Medicaid Solutions Location:remote in approved states Duration:6 month

Healthcare (Medicare/Medicaid) MITA Data Architect

Infinite Solutions Inc.

Remote

Contract

Infinite Solutions Inc, headquartered at Sacramento, California, focuses on global delivery model to meet the needs of its most valued customers. Infinite Solutions Inc provides services in the areas of IT consulting, development, training and mentoring. Core areas of services include Custom application development; web 2.0 rich internet applications, Mainframe and client server applications, telemedicine, application consulting services. We are currently seeking a qualified Healthcare (Medicare

Medicare / Medicaid Organizational Change Management Lead

Infinite Solutions Inc.

Remote

Contract

Infinite Solutions Inc, headquartered at Sacramento, California, focuses on global delivery model to meet the needs of its most valued customers. Infinite Solutions Inc provides services in the areas of IT consulting, development, training and mentoring. Core areas of services include Custom application development; web 2.0 rich internet applications, Mainframe and client server applications, telemedicine, application consulting services. Infinite Solutions Inc. is looking for a qualified indivi

Remote Senior Product owner/Manager with Healthcare Strong Medicare and Enrollment Claims exp

Infinite Computer Solutions (ICS)

Remote

Full-time

Note : Only Independent consultant can apply for this positions who can work on W2. Customer is looking for "primarily Medicare SMEs with member Enrollment experience end to end, as in launching/expanding programs and plans in the markets, vendor onboarding for eligibility files, ID card process, reconciliation of inbound and outbound data, Enrollment compliance KPIs and SLAs". Job Descriptions Below: Objectives of this role Lead team scrums to define product vision, roadmap, and growth opport

Healthcare Business Analyst

Adroitts Inc

Chicago, Illinois, USA

Contract

. This position will support the Part D Medicare Compliance Officer. Preference will be given to candidates with experience in Medicare Programs. . Designs and documents business process requirements for all related business, financial, and operational systems critical to core business functions within FEP for support of the Medicare.. Prescription Drug Program, and other Medicare programs. . This may require the Business Analyst to research and analyze data in support of business functions, pro

Production Support - Axway B2Bi

Federal Soft Systems Inc.

Remote

Contract, Third Party

Production Support Remote Contract 4+ years of experience in production support, with expertise in file transfer management, especially in the context of Medicaid and Medicare data transfers.Proficiency with Axway B2Bi for managing business-to-business file exchanges and integrating various systems.Hands-on experience with IPSwitch/WSFTP, ULTRAEDIT, CFT, and Sentinel Web dashboard for monitoring and managing file transfers and associated workflows.Strong file management skills such as zipping/un

Associate Actuary - REMOTE

DW Simpson

San Francisco, California, USA

Full-time

Job Description Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical data, improves pricing and forecasting models, and is responsible for divisional representation on corporate projects. This position is ideal for an actuary with at least 2 years of Medicare bid experience along with strong modelling ski

Associate Actuary - REMOTE

DW Simpson

Saint Paul, Minnesota, USA

Full-time

Job Description Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical data, improves pricing and forecasting models, and is responsible for divisional representation on corporate projects. This position is ideal for an actuary with at least 2 years of Medicare bid experience along with strong modelling ski

Associate Actuary - REMOTE

DW Simpson

St. Louis, Missouri, USA

Full-time

Job Description Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical data, improves pricing and forecasting models, and is responsible for divisional representation on corporate projects. This position is ideal for an actuary with at least 2 years of Medicare bid experience along with strong modelling ski

Associate Actuary - REMOTE

DW Simpson

Chicago, Illinois, USA

Full-time

Job Description Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical data, improves pricing and forecasting models, and is responsible for divisional representation on corporate projects. This position is ideal for an actuary with at least 2 years of Medicare bid experience along with strong modelling ski

Associate Actuary - REMOTE

DW Simpson

New York, New York, USA

Full-time

Job Description Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical data, improves pricing and forecasting models, and is responsible for divisional representation on corporate projects. This position is ideal for an actuary with at least 2 years of Medicare bid experience along with strong modelling ski

Medicaid Subject Matter Expert - $82 CTC - 100% REMOTE

Chandra Technologies, Inc.

Remote

Contract

Job Description: Corp to Corp Resumes are accepted. We are seeking a dedicated Subject Matter Expert (SME) to enhance our team s performance and knowledge in the area of Medicaid Enterprise Systems (MES), Medicaid, Medicare Third Party Liability and claims processing. The SME will be responsible for defining project outcomes, establishing project standards, and offering technical guidance to project teams. Our ideal candidate is highly knowledgeable in the MES field, with a deep understanding of

Business Analyst - Healthcare Membership/Enrollment Required

NTT DATA Americas, Inc

Plano, Texas, USA

Contract

Company Overview: Req ID: 312832 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.NTT DATA's Client is currently seeking a Business Analyst to join their team in Plano, Texas (US-TX), United States (US).Job Description: Collaborate with business users and stakeholders through design and implementation, including needs analysis and system requirement

Business Analyst (Healthcare Domain)

QATOS LLC

Tampa, Florida, USA

Full-time

Role: Healthcare - IT Business Analyst Location: Tampa, FL Full Time Only Experience: 2-3 years of experience in IT systems, Business Analysis, or a related area.Must have experience of Health plans Appeals & Grievances for Medicare.Qualification: Bachelors in IT/Computer Science/Management Key responsibilities: Requirement Gathering:Collaborate with stakeholders to gather and document business requirements for system enhancements and new functionalities for appeals & grievances.Conduct analysi

Business Systems Analyst

ECI - Estrada Consulting Inc.

Sacramento, California, USA

Contract, Third Party

Estrada Consulting Inc is looking to hire BSA with Medi-Cal (state of California) and Medicaid experience as a BSA, business process, and use of Power BI doing dashboards. MANDATORY QUALIFICATIONS (M) Five (5) years of experience applying analytical processes on IT projects. At least three (3) years of that experience must have been in business systems analysis and design. PASS/FAIL M2 Possess a bachelor s degree. Additional qualifying experience may be substituted for the required education on

QA Supervisor Trainer- Healthcare Provider network communication -Fulltime/Direct Hire- Chicago,IL OR King of Prussia,PA

Pegasus Knowledge Solutions

King of Prussia, Pennsylvania, USA

Full-time

QA Supervisor-Healthcare Provider network communication King of Prussia,PA Fulltime/Direct Hire Job Description: We are seeking a motivated and experienced individual to join our team as a Supervisor, Quality Assurance and Training. This position will lead a small team of QA specialists, develop and manage policies and procedures, coordinate provider network communication, and take on other projects as needed. The ideal candidate will bring a strong background in quality assurance, training and

Sr. Business Analyst

Horizontal Talent

Eagan, Minnesota, USA

Contract

Our client is seeking a highly skilled and experienced Sr. Business Analyst to join their dynamic team. This role is primarily remote, with occasional on-site team meetings and events. The successful candidate will serve as a vital link between customers, vendors, and the IT Solutions development team, working on medium to large-sized projects encompassing Medicare Part D and Medicaid. Key Responsibilities: Translate existing and non-existing business processes into technical requirements, in

Director of Information Technology

Techtriad Team - T3

Elmwood Park, New Jersey, USA

Full-time

The individual in this role will manage an IT budget of $25 million and lead a team of 125.This role requires a high-level, strategic leader with strong leadership qualities.The candidate must have a solid understanding of payment processes, including patient portals, lab results, and online payments within the portal.The Director will oversee regulatory government audits and must have experience with compliance, particularly in areas such as HIPAA and Medicare.They will be client-facing and mus