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iSeries System Developer - PGIM Real Estate

Prudential Financial

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

Life Insurance AND Annuity

GSS Infotech

Remote

Full-time

Senior Business Analyst New Haven, CT (REMOTE) EST Candidates only Full Time Role Need to have Life Insurance and Annuity Experience as Mandate The Project is on Mainframes, Need to understand the basic Mainframe (Experience is Not Required) Job Description Overview The Sr. Business Analyst elicits, analyzes, specifies, and validates the needs of business stakeholders. This includes understanding, documenting, and evaluating business processes through interviewing stakeholders. The Sr. Busine

Business Intelligence Engineer Remote

Generis TEK Inc.

Remote or Houston, Texas, USA

Full-time

We have Contract role for Business Intelligence Engineer Remote for our client at Houston, TX. Please let me know if you or any of your friends would be interested in this position. Position Details: Business Intelligence Engineer Remote- Houston, TX Location : Houston, TX ( Remote- Preferred location: Texas, near Denver, or Chicago) Project Duration : 1+ year Preferred location: Texas, near Denver, or Chicago - Please include the candidate's location on the top of the resume. Role Overview We

SAP Procure to Pay (P2P) Architect

SolGenie Technologies, INC

Remote

Full-time, Third Party, Contract

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

Grievance & Appeals Nurse Specialist

CalOptima

Remote

Full-time

Grievance & Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards

Claims Examiner

CalOptima

Remote

Full-time

Claims Examiner CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication. Position Information: Department: Claims Administration Salary Grade: C -

Program Manager (Behavioral Health)

CalOptima

Remote

Full-time

Program Manager (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Behavioral Health) to join our team. The Program Manager (PM) plays a vital role in the program design, development and implementation of behavioral health (BH) related programs and initiatives. The incumbent works under the general direction of the Manager, Behavioral Health in collaboration with other Behavioral Health Integration (BHI) department leadership to design, i

QI Nurse Specialist, Potential Quality Issue (PQI) (RN)

CalOptima

Remote

Full-time

QI Nurse Specialist, Potential Quality Issue (PQI) (RN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist, Potential Quality Issue (PQI) (RN) to join our team. The QI Nurse Specialist, Potential Quality Issue (PQI) is responsible for participating in handling the organization's quality of care grievance review process including investigation of all quality reviews for potential quality of care concerns. The incumbent will be involved with the collection

Project Manager - Unemployment Insurance

Geographic Solutions, Inc.

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

Community Relations Specialist (Bilingual in Vietnamese)

CalOptima

Remote

Full-time

Community Relations Specialist (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Community Relations Specialist (Bilingual in Vietnamese) to join our team. The Community Relations Specialist will function as a representative for CalOptima Health in the community and to community-based organizations. The incumbent will plan and coordinate community outreach activities, including quarterly networking forums, community town hall meetings, stakeholder

Care Manager (Transitional Care Services)

CalOptima

Remote

Full-time

Care Manager (Transitional Care Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services) to join our team. The Care Manager of Transitional Care Services (TCS) will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for members who have recently discharged from the hospital or emergency department (ED).

Apigee Systems Engineer

GeBBS Consulting

Remote

Contract

GeBBS Consulting, a leader in Healthcare Technology solutions, has an immediate opening for an Apigee System Engineer to support a major healthcare partner in a fully remote role. Position Description: The Apigee System Engineer will be responsible for the analysis, construction, testing and implementation of changing business needs (requirements) and assisting with the resolution of business problems. They will be accountable for delivery of moderate to complex technical solutions in support of

Personal Care Coordinator (HRA Outreach) (Bilingual)

CalOptima

Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual) 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 will identify barriers to mem

Fulltime Position || Looking SAP FICO Project Manager/Business analyst for Remote

SanKar Inc

Remote

Full-time

Position 1 SAP FICO Business analyst Position 2 SAP FICO Project Manager Location Remote (Travel Required) Type Fulltime Job Description: Position 1 SAP Business analyst We are seeking aBusiness Analyst, SAP FICOto support the Finance and Accounting Department. The Business Analyst will be responsible for analyzing the business needs of the operations area with the primary purpose of eliciting high-level requirements, capturing business needs, identifying problems, and proposing solutions. This

Care Manager

CalOptima

Remote

Full-time

Care Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager to join our team. The Care Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member

Care Manager (Transitional Care Services) (Whole Child Model)

CalOptima

Remote

Full-time

Care Manager (Transitional Care Services) (Whole Child Model) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services) (Whole Child Model) to join our team. The Care Manager for Transitional Care Services (TCS) Whole Child Model (WCM) will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for pediatric and young

Power BI Engineer

JDA TSG

Remote

Full-time

At JDA TSG, we equip many of the world s major brands with top-tier specialized talent, business process expertise and technologies to drive their organizations in exciting new directions. What makes us the partner of choice for the most experience-obsessed brands worldwide? We apply extensive due diligence up front to ensure that our teams and talent will be a cultural fit and can make a difference from the very start. And we ve established a reputation for bringing exceptional focus, flexibili

Senior Security Threat Detection Engineer

Zettalogix INC

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

Data and Reporting Analyst Lead

CalOptima

Remote

Full-time

Data and Reporting Analyst Lead CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead to join our team. The Data and Reporting Analyst - Lead (HEDIS) will be responsible for developing and maintaining Healthcare Effectiveness Data and Information Set (HEDIS) data reports to support the regulatory requirements from the Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA) and California Department of Hea

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

Stone Search

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