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Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Phoenix, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Bowling Green, Kentucky, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Miami Beach, Florida, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Louisville, Kentucky, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

Remote or Albuquerque, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. KNOWLEDGE/SKILLS/ABILITIES Responsible for most complex process analysis, design, and simulation. Requires highest level understanding of organization's business and industry requirements. Focus

Health Claim Examiner

Sureminds Solutions

Remote

Contract, Third Party

Please share Profiles at Hi, Urgent need, Health Claim Examiner Remote Role C2C or W2 Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP

Oracle Fusion HCM & HRSD/HR ServiceNow Consultant with Artificial Intelligence ( 100 % REMOTE ) ---- NO THIRD PARTIES

Zillion Technologies

Remote

Contract

THIS IS A DIRECT BANKING CLIENT REQUIREMENT ! Those authorized to work without sponsorship are encouraged to apply please. Reach Shaily Sharma -- || 908-CALL-487-NOW-4334 Oracle Fusion HCM & HRSD Artificial Intelligence Consultant Duration: Long Term Ongoing Project with NO end Date Location : 100 % REMOTE We are seeking an experienced contractor with deep expertise in researching and configuring AI-driven features within HR Technology products, specifically Oracle Fusion HCM and HR ServiceNow

Senior QA (Automation)

Kforce Technology Staffing

Remote or Costa Mesa, California, USA

Contract, Third Party

RESPONSIBILITIES: Kforce has a client that is seeking a Senior QA (Automation) in Costa Mesa, CA. Duties: * Senior QA (Automation) will lead and execute automated testing efforts (approx. 80% automation/20% manual) * Build and maintain test scripts using Cypress * Perform API testing and contribute to overall test strategy * Collaborate with developers and QA team members to ensure high-quality releases * As a Senior QA (Automation), you will take ownership of testing for the scheduling applica

Developer Experience Engineer

Stripe

Remote or New York, New York, USA

Full-time

Who we are About Privy Our mission is to make privacy and user ownership the default online. We build simple, flexible developer tooling that make it easy to build products that put users first. By leveraging modern cryptography, we shift the status quo around digital ownership and protect the accounts and assets of millions of users. Engineering at Privy is not just about writing world-class code. We create software that turns complex technical systems into delightful developer tools. We asse

Oracle SCM Cloud Demand and supply chain planning modules || Remote ||

StarTechs Inc.

Remote

Contract, Third Party

Role: Oracle SCM Cloud Demand and supply chain planning modules. Location:-Atlanta, GA (100 % Remote) 6+ months Required Qualifications Core Expertise in Oracle SCM Cloud Demand and supply chain planning modules. Bachelor s degree in Engineering (Mechanical, Production, Electronics & communication, or related supply chain fields. Domain experience would be added advantage) 10+ years of experience , 5 + Years working with Oracle Cloud modules. Strong analytical and problem-solving skills. Excelle

Regulatory CMS Senior Manager

Sureminds Solutions

Remote

Contract, Third Party

C2C Role Please share Profiles at Hi, Urgent need, Job Title: Regulatory Studio CMS Senior Manager Work location: New Brunswick (preferred), Lawrenceville Monday thru Friday - Normal business hours, with some flexibility 50% onsite - Team is onsite Monday thru Thursday Top 3 to 5 skills/Must Haves: Small Molecule Drug development experience (2 to 3 years) Good communications skills (written/verbal) Experience with Veeva System PREREQUISITES BS/BA degree in Scientific Discipline (master's or hig

SCADA Application Engineer-Local candidates only

Analytics Solutions

Remote or Juno Beach, Florida, USA

Contract, Third Party

Job Title: SCADA Application Engineer- Local candidates only Location: Juno Beach, FL (Remote 50% Travel Required) Experience: 12+ Years Rate: $60 $65 per hour on C2C (No insurance, paid benefits, or paid holidays/vacations) Position Overview We are seeking an experienced SCADA Application Engineer to support the integration, programming, commissioning, and testing of power plant SCADA systems and RTUs. The ideal candidate will have a strong background in automation systems, renewable energy co

Backend Developer (Node.js, Python, FAST API).

MASH Pro Tech

Remote

Contract, Third Party

Role : Backend Developer (Node.js, Python, FAST API). Location : Remote: Required Skills: Backend, NodeJS, Python, Fast API, NoSQL, Restful. What will you do? What are we looking for? Key Responsibilities: Design, develop, and maintain resilient and scalable microservices using Python with the FastAPI framework.Build and integrate efficient RESTful APIs and microservices to support various frontend and internal systems. Leverage your strong Node.js background to contribute to existing services

Project Manager II (Remote - NC)

First Citizens Bank

Remote or Raleigh, West Virginia, USA

Full-time

Overview This is a remote role that may only be hired in the following location(s): North Carolina This position is responsible for the advanced execution and administration of Bank projects. Manages all aspects of assigned project life cycle including planning, scope definition, design, and delivery. Tracks and reports progress against milestones, budgetary guidelines, or other performance indicators. Coordinates activities of both internal and external parties across multiple functions to achi

PeopleSoft Absence Consultant

Kforce Technology Staffing

Remote or Altamonte Springs, Florida, USA

Third Party, Contract

RESPONSIBILITIES: Kforce has a client in Altamonte Springs, FL that is seeking a proactive and experienced PeopleSoft Absence Consultant to support our HR and payroll operations through the end of 2025. This is a fully remote role requiring strong configuration skills, analytical thinking, and the ability to manage multiple priorities independently. Key Responsibilities: * Configure and maintain PeopleSoft Absence Management components (arrays, formulas, brackets, etc.) * Support payroll week a

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

Oncology Data Specialist

Creative Global Consulting

Remote

Contract

Oncology Data Specialist Client: Department of Veterans Affairs POP: 12+ months Location: Remote SCOPE Provide specialized oncology data abstraction and management services for VA cancer registry operations, ensuring accurate and timely case completion while maintaining database integrity for cancer surveillance and research purposes. REQUIRED SKILLS National Cancer Registrars Association (NCRA) credential requiredMinimum 3 years experience in cancer registry data abstractionExpert knowledge of

Security Engineer

Kforce Technology Staffing

Remote or New York, New York, USA

Contract

RESPONSIBILITIES: Kforce has a client in NYC that is looking for Security Engineer with a strong Microsoft background that can support tech/platform integrations and M&A activities. Summary: This resource will be part of the security architecture and engineering team within the Cybersecurity group but will have a specific focus on integrating companies that the company has recently acquired or helping separate companies that the company has recently sold. This resource needs to have strong commu

Operations & Maintenance (O&M) Engineer - SBG

Document Storage Systems Inc

Remote or Virginia, USA

Full-time

Job Details Level: Experienced Job Location: SBG REMOTE POSITION - Anywhere, VA Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Travel Percentage: Up to 25% Job Shift: Day Job Category: Information Technology Description SBG, a DSS, Inc. company, specializing in engineering, information technology, cyber-security, intelligence, and training, is looking for a hard-working results-oriented O&M Engineer (Operations & Maintenance Engineer) We are seeking highly m

Business analyst

Stellar Professionals LLC

Remote or Lansing, Michigan, USA

Third Party, Contract

Mode of Interview: MS Teams video interviews with camera ON Work Location: Lansing , MI Work Arrangement: Remote Shift: EST Experience engaging in business process analysis, understanding the customer's business process requirements, and capable of translating those business requirements into business and technical documentation and specifications. Experience with system testing Ability to effectively communicate with technical and non-technical stakeholders. Strong analytical and problem-so