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Clinical Auditor, Sr.

CalOptima

Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring

Salesforce Technical Architect

ApTask

Remote

Full-time

Role : Salesforce Technical Architect Location: Parsippany, NJ (Remote) Duration: Full-Time Job Description: Minimum 8-12 years of experience in successful software project implementations related to CRM/Service Cloud Business scenarios.At least 7 years of experience in Salesforce.com web services (preferably both REST and SOAP) and other integration methods newly introduced in SFDC with 2 years of Team Lead experience.Development using Standard Salesforce and Force.com platform (Lightning, Apex

IBM Sterling OMS ( Solution Architect)

4A IT Services LLC

Remote

Contract, Third Party

Job Title: Solution Architect - OMS (Sterling, Manhattan SIM) Location: Dallas, TX Role Type: Contract, Hybrid Contract Length: 6 Months How to Apply: Please send your resume and contact information to recruiters at 4aitservices dot com Job Description: Overview of Position The Solution Architect will be IBM Sterling Order Management s solution expert. The Architect provides product architecture and technical expertise to the team that consists of OMS Engineers. The Architect must have a comple

Infrastructure/OKTA Technical Architect

SolutionIT, Inc.

Remote

Contract, Third Party

Solution IT Inc. is looking for Infrastructure/OKTA Technical Architect for one of its clients in WI / REMOTE 100% REMOTE Job Title: Infrastructure/OKTA Technical Architect Required Skills: TOP SKILLS Demonstrated experience in the analysis, architecture design, configuration, integration, and implementation of a large-scale complex system or program.Demonstrated experience with the implementation of newer technologies and services (Red Hat Containerization, Kubernetes, Azure services, GitHub, e

SAP SuccessFactors Learning Support Consultant

Ameri100

Remote

Contract, Third Party

Description: The Client Enterprise SAP System is composed of both SAP Financials (FI) and SAP Human Capital Management (HCM) applications, currently operating under Business Suite on HANA, Enterprise Core Component (ECC) 6.0, EP8. The Financials modules include FM, FI, GM, GL, CO, AP, AR, IM, WO/MAM, Purchasing, Project Systems, and Asset Management. The HCM modules include OM, PA, Benefits, Time, Payroll, Success Factors, ESS, MSS and EH&S. The Time module is integrated with Kronos. The SAP Sys

Program Specialist, Int. (Pharmacy Management)

CalOptima

Remote

Full-time

Program Specialist, Int. (Pharmacy Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist, Int. to join our team. The Pharmacy Program Specialist Int will handle complex assignments and issues, overseeing and coordinating departmental operations and serving as a reference to other pharmacy employees and as a representative of the Pharmacy Management department within CalOptima Health and with other agencies. Under general supervision, the incumbent

ServiceNow Advisory Tech Lead/Architect-REMOTE

Cognizant

Remote or Queens, New York, USA

Full-time

Position: ServiceNow Advisory Technical Lead/Architect-REMOTE About our ServiceNow practice: Cognizant's Now Practice expands the entire platform beyond traditional implementations into strategic digital transformations. Our validated ability to assess, innovate, design, build, integrate and sustain opportunities keeps the client's main goals top of mind while ensuring businesses stay relevant and profitable growth is achieved. We have successfully led over 9,500 transformations - delivering se

ServiceNow Advisory Solution Architect-REMOTE

Cognizant

Remote or Queens, New York, USA

Full-time

Position: ServiceNow Advisory Solutions Architect-REMOTE About our ServiceNow practice: Cognizant's Now Practice expands the entire platform beyond traditional implementations into strategic digital transformations. Our validated ability to assess, innovate, design, build, integrate and sustain opportunities keeps the client's main goals top of mind while ensuring businesses stay relevant, brands are differentiated and profitable growth is achieved. We have successfully led over 9,500 transform

MES Technical Architect

Sumeru

Remote

Third Party, Contract

MES Technical Architect Job Location:- Remote MES and Pharma background is mandatory Looking for an MES Technical Architect with 2-5 years as an automation or MES specialist with programming, infrastructure, and system design experience Job Responsibilities: Develop and maintain a standard architecture for MES projects that impact digital application landscape, guide, and help project teams in implementing defined architectures Create and maintain a global qualified environment for proof of c

AWS Data Engineer with Databricks_REMOTE

Astir IT Solutions

Remote

Contract

Tech skills Databricks, Python. Strong analytic skills related to working with unstructured datasets. Build processes supporting data transformation, data structures, metadata management, dependency, and workload management. Hands-on experience in Python is a must. Experience working with structured and unstructured data. Extensive knowledge of ETL and Data Warehousing concepts, strategies, methodologies Experience in data ingestion, preparation, integration, and operationalization techniques i

QI Nurse Specialist (LVN)

CalOptima

Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements

Microsoft Dynamics 365 Technical Architect

Navigant Consulting

Remote

Full-time

Job Family : SAAS/PAAS/Cloud Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Secret What You Will Do : Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system. As an Architect, you will work with the technical team to design and deliver the case management solution within a given time, identify risks and mitigate the risk during the design phase. You will be responsible for high-quality projects. You

Technical Product Manager

LMI Government Consulting (Logistics Management In

Remote

Full-time

Overview LMI is seeking a skilled Technical Product Manager, to support applications under the VP of Technology Applications at the United States Postal Service (USPS). A successful candidate will demonstrate competency in application lifecycle management, project execution, leadership, critical thinking, relationship management, and business growth while upholding the highest standard of ethical behavior. The candidate will collaborate with developers, product owners, customers, and senior lea

Senior Security Threat Detection Engineer

Zettalogix INC

Remote

Third Party, Contract

Job Title: Sr. Security Threat Detection Engineer - AWS Duration: 6-months - REMOTE Note: They must have AWS Investigations and Splunk Experience in addition to what is on the Job Description. About the Opportunity: seeking a Security Threat Detection Engineer Consultant to support clients Threat Management objectives to build, maintain and improve threat detections and alerting infrastructure and to ensure the right data collection and detections are in place to discover threats against infras

Senior ETL Developer

Data Resource Technologies

Remote

Contract

MINIMUM QUALIFICATIONS: Bachelor s degree in computer science or a related field or related experience. Minimum of five years of experience related to the essential functions of the position. Any equivalent education and\or work experience may be substituted in order to meet the minimum qualifications of the position. PREFERRED QUALIFICATIONS: Experience with complex SQL Server PL/SQL, Stored Procedures, ETL framework and concepts, Datawarehousing concepts, Cloud concepts, Microsoft SSIS, SSRS,

Claims Recovery Specialist

CalOptima

Remote

Full-time

Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a

ServiceNow Advisory Solution Architect-REMOTE

Cognizant

Remote or Queens, New York, USA

Full-time

Position: ServiceNow Advisory Solutions Architect-REMOTE About our ServiceNow practice: Cognizant's Now Practice expands the entire platform beyond traditional implementations into strategic digital transformations. Our validated ability to assess, innovate, design, build, integrate and sustain opportunities keeps the client's main goals top of mind while ensuring businesses stay relevant, brands are differentiated and profitable growth is achieved. We have successfully led over 9,500 transform

Estimator V, Cost Estimating (Remote In Any KP Region)

Kaiser Permanente

Remote or Portland, Oregon, USA

Full-time

Description: Job Summary: In addition to the responsibilities listed below, this position is responsible for planning for the effective development and implementation of a full range of professional estimating/cost engineering and project control duties of diverse and complex scope; exercising independent judgment and discretion to develop and prepare conceptual construction cost and budget estimates for all phases of construction; providing expert professional guidance and support to Faciliti

ServiceNow Developer

Fusion IT Inc

Remote

Third Party, Contract

Position: ServiceNow Developer Location: Remote JD: Primary areas of support include: NOW Core Platform Security, CMDB, Discovery ITSM Service Portal, Request Fulfillment (Catalog) Incident, Request, Knowledge, Change & Asset Management, Virtual Agents, On Call Scheduling ITOM Discovery, Service Mapping, Event Management, Cloud Management SAM Software Asset Management HAM Hardware Asset Management Sec Ops Security Operations, Vulnerability Response Performance Analytics GRC Governance, Risk