care Jobs in Delaware

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Investigations Specialist

The Brixton Group

Remote

Third Party, Contract

Job Description: Investigates suspicious transactions and accountsReviews customer escalationsMakes decisions on account actionsWorks with various internal tools for investigationThis resource will work with other teams in the organization such as Customer Care, Risk Operations, Financial Controls, Network Security, and Fraud Strategy teams.

Revenue Cycle Data Analyst - Ambulatory Billing

Ascension Health

Remote

Full-time

Details Department: Revenue CycleSchedule: Full Time: Monday-FridayLocation: RemoteBenefits Paid time off (PTO) Various health insurance options & wellness plan Retirement benefits including employer match plan Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited t

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Athens, Georgia, 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, Medical Economics - REMOTE

Molina Healthcare

Remote or Columbus, Ohio, 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, Medical Economics - REMOTE

Molina Healthcare

Remote or Macon, Georgia, 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, Medical Economics - REMOTE

Molina Healthcare

Remote or Ogden, Utah, 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, Medical Economics - REMOTE

Molina Healthcare

Remote or Columbus, Georgia, 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

EPIC Cheers Campaign CRM

Trail Blazer Consulting LLC

Remote

Contract, Third Party

Title- EPIC Cheers Campaign CRM location- REMOTE duration- 6 months interview- video Manager is looking for someone with EPIC Call Center experience - specifically with Cheers CRM. Needs someone to build it! Epic's Cheers CRM is a healthcare-focused tool designed to enhance patient engagement and streamline call center operations within a healthcare system. It helps manage contacts, automate outreach for and marketing, and personalize patient interactions using integrated data. This enables hea

Data Scientist

IO Associates

Remote

Full-time

Data Scientist (People Analytics & Optimization) Remote (U.S. based) Full-Time | Direct Hire | Healthcare | Optimization + ML A leading national provider of community-based healthcare is building its People Analytics and Optimization team. With over 2,000 facilities and a mission to improve care delivery across a distributed network, this organization is investing in advanced data science to improve staffing, scheduling, and workforce logistics. We're hiring a Data Scientist with experience i

PBM Network Management SME

nTech Solutions

Remote

Contract

Terms of Employment: W2 Contract-to-Hire, 12 MonthsThis position is remote.Overview: Join a leading managed care organization and take charge of our pharmacy network operations. In this crucial role, you will oversee our relationships with various pharmacy network partners (retail, mail, specialty) to ensure they meet contractual, regulatory, and service-level standards. This is a non-technical, operational management position focused on performance, compliance, and optimization. You will Manage

Clinical Operations Business Analyst

Arnex Solutions LLC

US

Contract, Third Party

Clinical Operations Business Analyst Position Overview: We are seeking a highly motivated and detail-oriented Clinical Operations Business Analyst to join our healthcare team. In this role, you will work closely with clinical staff, leadership, and IT professionals to analyze, optimize, and enhance clinical processes. Your primary goal will be to improve operational efficiency, support data-driven decision-making, and ensure the delivery of high-quality patient care. You will be responsible for

Symplr+ QNXT

IT Trailblazers, LLC

Remote

Contract

Title: Symplr Location: Remote- must work PST Direct client HPSJ will implement Symplr 6.0. In 2016, Symplr acquired Cactus, a provider of credentialing and compliance applications. Need a minimum of 2-3 years experience implementing Cactus. QNXT experience is a plus. About Cactus Software Cactus Software has been the industry leader in credentialing software design and development since 1985. Its credentialing software is used by thousands of leading health care organizations, from small comm

COBOL Mainframe Programmer VI

Zettalogix INC

Remote or Madison, Wisconsin, USA

Contract

ROLE TITLE: COBOL Mainframe Programmer VISTART / END: 08/25/25 to 06/30/2026, with a reasonable possibility of a multi-year extension. The state cannot post any job beyond the end of the current fiscal year (June 30, 2026, in this case). So, while many jobs at the state can run for multiple years, they are all capped at the start of the current fiscal year (and must be renewed each fiscal year).WORK ARRANGEMENT:90% Remote from within Wisconsin.Must be able to come on-site as needed with sufficie

IT Staffing Business Development Manager

Boston Technology Corporation

Remote or Framingham, Massachusetts, USA

Full-time

Boston Technology Corporation is a leading Healthcare Technology company providing software development services,with deep expertise in building patient-centric care management and research applications. We have engaged with large providers, Biotech companies, and universities to develop deploy: and maintain patient engagement and education, research, healthcare: operations applications. We are the product development partners for Health Tech startups that are revolutionizing care delivery with

BI/DW Project Manager- Fully Remote - W2 Only

Apidel Technologies

Remote

Contract

Job Title: Project Manager Location: Memphis, TN/ Dallas, TX/ 100% remote Duration: 12+ Months Shift: 8:00 AM to 5:00 PM (Varies) Please answer this questions: Describe your expectations for your ideal work environment with your project management style. How many small enhancement projects have you directly managed simultaneously? What was your approach to successfully handle and ensure we meet deadlines/commitments?Describe your experience working with project managing BI/Datawarehouse or

Medical Director

Pegasus Knowledge Solutions

Remote

Full-time

SummaryThe Medical Director serves a clinical leader across all Client companies and is responsible for medical oversight of the physical medicine network and utilization review, telephonic triage, first notification of loss, bill review and case management services. This role ensures that injured worker care is medically appropriate, evidence-based, cost-effective, and compliant with jurisdictional guidelines. Key Responsibilities Clinical Oversight Provide medical guidance on complex or high-c

Project Manager (PMO, Trade Finance)

Calance

Remote or New York, New York, USA

Contract

Working hours: Eastern time - 40hrs/week Language: English (mandatory) Project Implementation of Trade Finance Business Software(Eximbills) Responsibilities: * Develop the project plan by determining scope, approach, role, outputs, timeline, etc. * Manage progress, issues and risks * Create regular reports for the managements * Facilitate communication with the software vendor and among project members * Facilitate issue solving * Operate necessary meetings and workshops Skill/Experience:

Developer - Data Quality - Remote

PIH Health

Remote or Whittier, California, USA

Full-time

Determination for the Baboodle ETL Developer (I, II or ) roles will be based on experience and qualifications. PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. External applicants must possess active Epic certification in the required application/module at the time of hire. The Caboodle ETL Developer develops custom import package

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Required Experience: Communications and Training Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-re

Senior Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana