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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

Sr Data Scientist - ML/AI/Databricks - Remote

Molina Healthcare

Remote or Ann Arbor, Michigan, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

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

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

Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

Remote or Ann Arbor, Michigan, USA

Full-time

Job Description Job Summary Responsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated on industry trends. Ensure ethical data use and communicate complex technical concepts to non-technical stakeholders. Lead initiatives on model governance and model ops to align with regulatory and security requirements. This

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

Java, Python,SQL,Datawarehousing, Healthcare Experience Developer

Xylo Technologies, Inc.

Remote

Contract

Please note that the consultant need to be on our W2 Title: Senior Analyst/Programmer Duration: 1 Year Client: Mayo Clinic Req ID: 36265123 RemoteScope: The IT Image Management Systems unit is seeking a talented and motivated individual to join the team supporting the InfinityView application. The InfinityView application is the general medical image viewer for patient care at Mayo Clinic. Primary responsibilities will include support, maintenance, and limited development. Requirements: -A br

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

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Atlanta, 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 Renton, Washington, 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 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 Roswell, New Mexico, 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 Scottsdale, Arizona, 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 Salt Lake City, 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 Louisville, Kentucky, 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 Racine, Wisconsin, 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