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Data Warehouse Architect w/ AI & R Python

GreyCell Labs, Inc

New York, New York, USA

Contract, Third Party

84 months Data Modeling experience in designing and creating DataMart, Data warehouse using Star & Snowflake Schemas in Insurance industry 84 months experience with designing and implementing ML, Predictive and AI systems. 84 months experience with Spotfire Analyst, Web Player using Iron Python, Python, Java Scripts, and R 84-month experience in developing, documenting, maintaining end to end ETL data pipeline using IBI Data Migrator (or similar tools) 24 months experience in developing data war

Project Manager

OP Consulting Group LLC

Richmond, Virginia, USA

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

Engagement Type Contract Short Description DMAS - Project Manager 2 One-year engagement expected hybrid on-site/telework (3 days in the office). Parking is NOT provided for contractors Complete Description DMAS - Project Manager 2 One-year engagement, hybrid on-site/telework (3 days in the office). Parking is NOT provided for contractors ABOUT THE ROLE The Project Manager will report directly to the Project Management Office (PMO) Director and lead multiple, complex IT initiatives within the

Configuration Analyst

Apex Systems

Lafayette, Louisiana, USA

Full-time

Job#: 2080286 Job Description: Apex Systems is hiring a Business Analyst for a major Healthcare client! FULLY REMOTE anywhere in the US. 12 months contract to hire 4-6 years experience in the following (preferably in the healthcare space): Benefits and Payment Configuration // Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experi

Data Engineering Manager - Healthcare

Benchmark IT- Technology Talent

Boston, Massachusetts, USA

Full-time

Data Engineering Manager - Healthcare: Overview: Our direct client, a fast-growing healthcare and data analytics firm based in the Boston area is seeking to bring onan experiencedData Engineering Managerto lead a dynamic, multinational data team. This role offers the opportunity to provide leadership, strategic insight, and hands-on expertise in healthcare data analysis while helping shape the future of data-driven solutions in the healthcare industry. The ideal candidate will bring not only str

Oracle PL/SQL Developer

Motion Recruitment Partners, LLC

Memphis, Tennessee, USA

Full-time

Our client is looking for a Oracle PL/SQL Developer on an 11-month contract in Memphis, TN. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that is constantly recognized for progressive, inclusive employment practices, and be part of a bigger movement to simplify complexities in the areas of workers compensation, liability, property, disability, and absence management. You will work alongside

Finance Manager (Remote in US)

Gainwell Technologies LLC

Remote or Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia

Senior Software Engineer - Law Applications

Metropolitan Transportation Authority

New York, New York, USA

Full-time

Description JOB TITLE: Senior Software Engineer SALARY RANGE: $123,053 - $145,243 HAY POINTS: 551 DEPT/DIV: IT Corporate Products SUPERVISOR: Product Director, Legal, Safety and Risk LOCATION: 2 Broadway New York, NY 10004 HOURS OF WORK: 9:00 am - 5:30 pm This position is eligible for telework which is currently two day per week. New hires are eligible to apply 30 days after their effective date of hire. Summary: Leads requirements management, software design and engineering, and testing a

Benefits Analyst

Toyota Material Handling

Columbus, Indiana, USA

Full-time

Job Description POSITION: Business Card Title: Benefits Analyst Internal Job Level: Specialist Department: 100008-Human Resources FLSA Status: Exempt Employment Type: Full-Time Reports To: Welfare and Retirement Benefit Manager COMPANY OVERVIEW: Toyota Industries North America, Inc., an American Holding Company providing shared professional services to all North American entities of Toyota Industries Corporation (TICO) in Japan. The company is headquartered in Columbus, IN with approximat

District Manager (Civil Construction / Carolinas Region)

Mastec Civil, LLC

Charlotte, North Carolina, USA

Full-time

Overview: We are hiring a District/Regional Manager for North & South Carolina to oversee and manage operations within the region. This role involves strategic planning, team management, and ensuring the successful execution of infrastructure projects. The District Manager acts as a key liaison between regional teams and senior leadership, driving performance and growth while maintaining high standards of quality and compliance. Company Overview Founded in 1987, MasTec Civil (formerly known a

Specialist Software Engineer

Metropolitan Transportation Authority

New York, New York, USA

Full-time

Description JOB TITLE: Specialist Software Engineer SALARY RANGE: $ 108,933 - $ 130,719 HAY POINTS: 451 DEPT/DIV: Information Technology SUPERVISOR: Manager, Product Development (C) LOCATION: Vario 2 Broadway, New York, NY 10004 HOURS OF WORK: 9:00 am - 5:30 pm (7.5 hours/day) or as required) This position is eligible for telework, which is currently two days per week. New hires are eligible to apply 30 days after their effective date of hire. The Metropolitan Transportation Authority is

Data Management Coordinator CFHP

University Health

San Antonio, Texas, USA

Full-time

POSITION SUMMARY/RESPONSIBILITIES Manages the daily activities of the Provider Data Maintenance team. Plans and implements projects that will improve processes related to the maintenance of provider data, generating provider directories and claims entry/processing functions. Acts as an advisor and technical resource for electronic claims reporting and processing to enable the department to meet regulatory requirements/CFHP business plan. Leads or assists Configuration Manager in managing vario

Healthcare QA Automation Tester/QA Automation

TekLeaders, Inc

Remote or New York, New York, USA

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

Job Role: Healthcare QA Automation Tester/QA Automation (Remote) Job Description: We are seeking a Strong Automation Tester with experience in Healthcare Claims or Healthcare Provider environments. Candidates with expertise in Automation Testing, specifically using Selenium and Java, will be prioritized. Experience with HRP is preferred. Responsibilities: Design, develop, and execute automated test scripts using Selenium and Java. Perform API Testing to ensure functionality and integration of

PBM Analyst - Pharmacy Benefits Management - data analytics

KE Staffing

Remote

Full-time

2+years of pharmacy benefits management (PBM) experience in data analytics. Prior experience with formulary coding options and pharmacy network configuration, claims adjudication experience (preferred).SQL experience

Sapiens Technology Architect

Aroha Technologies

US

Full-time, Contract, Third Party

Role: Sapiens Technology Architect Location: USA (Remote) Type: Full-time/Contract Experience: 10-15 Yrs Job Description: We are looking for a Sapiens Technology Architect with: Strong Sapiens expertise (Policy/Claims/Billing) Experience in P&C insurance domain Technical & solution architecture background Excellent communication and client management skills

Sapiens Tech Architect

iBridge Techsoft LLC

Remote

Third Party, Contract

Hello, Please see below Job Description for your reference. Role: Sapiens Technology ArchitectLocation: USA (Remote)Type: Full-time/ContractExperience: 10-15 Yrs Job Description:We are looking for a Sapiens Technology Architect with:Strong Sapiens expertise (Policy/Claims/Billing)Experience in P&C insurance domainTechnical & solution architecture backgroundExcellent communication and client management skills

QNXT Configuration SME

Photon

Remote

Contract, Third Party

QNXT Configuration SME Remote Description: Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass up

QNXT Benefits Configuration SME

MASH Pro Tech

Remote

Contract, Third Party

Role : QNXT Benefits Configuration SME (QNXT SME) Location : Remote. Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configurat

Business Systems Analyst - W2

Javen Technologies, Inc

Eagan, Minnesota, USA

Contract

Title: Business Systems Analyst Location: Eagan, MN Hybrid (2 days office) Duration: 3+ months with possible extensions The Impact You Will Have Assist with the development of an interface between our internal claims system and our external health analytics vendor. Identify and document which claims should be transmitted, assess the scope of Pharmacy claims, and establish a hierarchy for leveraging multiple vendors for claims validation.Define reporting requirements and understand how to manage

QNXT Benefits - Sr Consultants

Photon

Remote

Full-time, Third Party

Description for Internal Candidates Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass updates

Senior IT Business Analyst with Guidewire

Global Soft Systems

Tampa, Florida, USA

Contract

Role: Senior IT Business Analyst with Guidewire Software's ClaimsCenter platform Onsite working in Westshore near Tampa, FL Duration: 3 month contract to hire Work Authorization Status: , , TN-Visa or EAD Must Haves: Property & Casualty Insurance experience Experience with Guidewire Software The Claims Business Analyst will work with stakeholders across the enterprise to deliver business solutions that meet the needs of the stakeholders and the organization. This role involves gathering and d