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Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care team. The incumbent w
Posted 11 days ago

Care Manager (Transitional Care Services Maternal Health)

CalOptima

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Remote

Full-time

Care Manager (Transitional Care Services Maternal Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services Maternal Health) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Care Manager for Transitional Care Services (TCS) Maternal Health will facilitate communication and coordination among all participant
Posted 12 days ago

Sr. Project Manager

NTT DATA Americas, Inc

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Remote or Irving, Texas, USA

Contract

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Sr. Project Manager to join our team in REMOTE, Texas (US-TX), United States (US).Job Description: The Sr. Technical Project Manager will be supporting the Contract Procurement 360 / Contract Performance teams to help with build data pipelines and reporting. The ob
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Posted 2 days ago | Updated moments ago

iSeries System Developer - PGIM Real Estate

Prudential Financial

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Remote or Dallas, Texas, USA

Full-time

A GLOBAL FIRM WITH A DIVERSE & INCLUSIVE CULTURE As the Global Asset Management business of Prudential, we re always looking for ways to improve financial services. We re passionate about making a meaningful impact - touching the lives of millions and solving financial challenges in an ever-changing world. We also believe talent is key to achieving our vision and are intentional about building a culture on respect and collaboration. When you join PGIM, you ll unlock a motivating and impactful c
Posted 18 days ago

Process Automation Developer (RPA/BPA) - REMOTE

JJ Keller & Associates, Inc.

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Remote

Full-time

Process Automation Developer (RPA / BPA) - REMOTE Requisition #: 19303 Functional Area: Innovation; Research & Development Employment Type: Full-Time Work Options: Remote / Work from Home in the US #LI-Remote Work Hours: Standard business hours Position Summary Here at J.J. Keller, our Innovation team is creating and validating future products, services, and business opportunities that add stakeholder value by innovating new solutions with automation. Do you like to try to do things differentl
Posted 11 days ago | Updated 4 days ago

Technical Business Analyst

Sky Consulting Inc

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Remote

Contract, Third Party

Our client is seeking an experienced technical IT Business Analyst tojoin our team in supporting the implementation and management of varioussoftware development projects. Due to the growing demand for IT systems and solutions,client is seeking an experienced technical IT Business Analyst to join our team in supportingthe implementation and management of various software development projects. The successful candidate will have a strong background in Software Development LifeCycle (SDLC) methodol
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Posted 16 days ago | Updated 2 days ago

IT Project Manager

PMO Partners, LLC

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Remote

Contract

The PM shall provide project management services to the client in support of project initiation, planning, execution, monitor and control, and closing activities for multiple projects. This includes activities to mature and support the client in its adoption of practices, processes, and tools related to agile project management, portfolio management, system development, agile development, and governance. The Project Manager (PM) will provide agile & waterfall project management services for all
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Posted 13 days ago

SAP Procure to Pay (P2P) Architect

SolGenie Technologies, INC

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Remote

Full-time, Contract, Third Party

Role: SAP Procure to Pay (P2P) Architect Duration : 1 year Location : Remote Scope of tasks: Candidate MUST HAVE A&D / discrete manufacturing experience. Experience as a Team Lead involving a US deployment of an SAP S/4HANA global design with localization in US geography. Procure-to-Pay (P2P) manages the supplier facing side of the supply chain, including the identification and onboarding of new suppliers, procurement requisition and order management, inbound logistics, inventory management fo
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Posted 60+ days ago | Updated 9 hours ago

Clinical Auditor, Sr.

CalOptima

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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
Posted 9 days ago

Project Manager - Unemployment Insurance

Geographic Solutions, Inc.

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Remote or Palm Harbor, Florida, USA

Full-time

Job Summary: Responsible for the Software Development life cycle using the GRID methodology specifically designed for the Geographic Solutions. The ideal candidate will be accountable for leading and managing the implementation of workforce development and/or software solutions for state and regional clients. Responsibilities will also include managing workforce development and/or Unemployment Compensation software products for Virtual One Stop clients in order to assess client needs, meet and e
Posted 60+ days ago | Updated 1 day ago

Claims Recovery Specialist

CalOptima

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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
Posted 12 days ago

QI Nurse Specialist (LVN)

CalOptima

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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
Posted 9 days ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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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
Posted 12 days ago

Data Analyst, Sr. (HEDIS)

CalOptima

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Remote

Full-time

Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,
Posted 12 days ago

Urgent Need-- Project Manager with Higher Educational Clients exp (Must) - Remote

Komplete Teleservices

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Remote

Contract

Note: Please dont apply without having Higher Educational Exp.. Please have candidates fill out the table below and attach it with updated resume. 100% Remote Only experience obtained in the last ten (10) years will be reviewed to meet the qualifications. Proposed experience used to meet each staff qualification must be identified and described in the designated column of the table provided below. Mandatory Staff Qualifications Proposed Experience 1. Must have five (5) years of increasingly res
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Posted 12 days ago | Updated 1 hour ago

Product Development Project Manager - III

Judge Group, Inc.

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Ashburn, Virginia, USA

Full-time

Location: Loudoun Valley Estates, VA Description: Product Development Project Manager - IiiWork Location Ashburn, VA Time Period : 12+months Contract to W2. JOB DUTIES: Form and lead cross functional project teams, ensuring the project plans are defined, and delivered on time. Ensuring adherence to the agile artifacts and ceremonies to deliver enterprise scale projects. Ensure all statuses of objectives, deliverables, issues, and updates is clearly and consistently delivered at the working t
Posted 60+ days ago | Updated 1 hour ago

Senior Security Threat Detection Engineer

Zettalogix INC

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Remote

Contract, Third Party

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
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Posted 60+ days ago | Updated 4 days ago

Senior Enterprise Business Analyst: Healthcare Insurance Payer Side - Full Time Only

Stone Search

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Remote

Full-time

CANDIDATES MUST BE A SENIOR BUSINESS ANALYST NOW IN HEALTHCARE INSURANCE INDUSTRY ON PAYER SIDE. This position is full time only, remote.. Our client, a company in the healthcare insurance payer market, is seeking a Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new products & services. The ideal candidate will have worked in-depth for top payers across one or more domains (Enrollment
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Posted 60+ days ago | Updated 2 days ago

Service Desk Engineer

Nexus Tek

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Remote

Full-time

NexusTek is a U.S based, managed IT service provider to small and medium sized organizations. We excel in tackling the complexities of IT, such as cloud services, cyber-security, document management, data back-up and protection, and more. Our mission is to take away technology headaches allowing our clients to focus on their core business. NexusTek s 300 employees span 35+ states to service our growing client base. We have physical offices in Denver, Irvine, and Boston. Working hours Service
Posted 12 days ago