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Trainer

I-Link Solutions

•

New York, New York, USA

Contract

Trainer Minimum Requirement Experience 3+ years of experience delivering in-person and virtual training sessions, with a focus on engaging and interactive content.Skills Experience customizing training materials to suit various user groups with different levels of technical proficiency.Proven experience providing post-training support and troubleshooting user challenges.Experience tracking and reporting training metrics, including attendance, engagement, and feedback.Strong communication skills,
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Posted 4 days ago | Updated 3 days ago

Sr QNXT Analyst

Molina Healthcare

•

Queens, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 1 day ago | Updated moments ago

Sr QNXT Analyst

Molina Healthcare

•

New York, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 1 day ago | Updated moments ago

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

•

Remote or New York, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues
Posted moments ago

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

•

Remote or Queens, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues
Posted moments ago

Varicent Developer

Wise Equation Solutions Inc.

•

Jersey City, New Jersey, USA

Contract

Job Title: Varicent Developer Location: New Jersey, NJ (Onsite) Duration: 12+ Months Contract on W2 Job Description : Looking for a Varicent SME who can lead configuration and troubleshooting of performance management solutions to meet our client's business and technical requirements.Candidate should have ELT experience in their past project.In this role, the expectation is to act as the primary technical contact with full ownership from a technical perspective.Responsibilities in this role also
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Posted 4 days ago | Updated 1 day ago

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

•

Remote or Queens, New York, 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
Posted moments ago

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

•

Remote or New York, New York, 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
Posted moments ago

Sr QNXT Analyst

Molina Healthcare

•

Staten Island, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 1 day ago | Updated moments ago

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

•

Remote or Staten Island, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues
Posted moments ago

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

•

Remote or Staten Island, New York, 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
Posted moments ago

Systems Architect with Workers Compensation and Disability Insurance experience

I-Link Solutions

•

New York, New York, USA

Third Party, Contract

Systems Architect Location: NYC - 10007 - Hybrid Duration: 2.5yearsQualification: 84+ months: Candidate is able to provide guidance to large teams and/or has extensive industry experience and is considered at the top of his/her field.84 Months of experience in developing and presenting recommendations on new algorithms in pricing Workers Compensation Insurance, providing solutions for enterprise applications, reducing field Audit workloads, and improving cashflow by minimizing collection times.
Easy Apply
Posted 11 days ago

Sr QNXT Analyst

Molina Healthcare

•

Yonkers, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 1 day ago | Updated moments ago

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

•

Remote or Yonkers, New York, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues
Posted moments ago

Senior Process Consultant (Medicare) - REMOTE

Molina Healthcare

•

Remote or Yonkers, New York, 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
Posted moments ago

Lead Software Engineer, Full Stack - Card Tech

Capital One

•

New York, New York, USA

Full-time

Lead Software Engineer, Full Stack - Card Tech Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who solve real problems and meet real customer needs. We are seeking Full Stack Software Engineers who are passionate about marrying data with emerging technologies. As a Capi
Posted 3 hours ago

Senior, Software Engineer, Backend (Java)

Capital One

•

New York, New York, USA

Full-time

Senior, Software Engineer, Backend (Java) Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who love to solve real problems and meet real customer needs. We are seeking Back End Software Engineers who are passionate about marrying data with emerging technologies. As a Cap
Posted 1 day ago | Updated 7 hours ago

Lead Software Engineer, Back End

Capital One

•

New York, New York, USA

Full-time

Lead Software Engineer, Back End Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who love to solve real problems and meet real customer needs. We are seeking Back End Software Engineers who are passionate about marrying data with emerging technologies. As a Capital One
Posted 1 day ago | Updated 7 hours ago

Lead Software Engineer, Back End

Capital One

•

New York, New York, USA

Full-time

Lead Software Engineer, Back End Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who love to solve real problems and meet real customer needs. We are seeking Back End Software Engineers who are passionate about marrying data with emerging technologies. As a Capital One
Posted 2 days ago | Updated 3 hours ago

Lead Software Engineer (Bank Tech)

Capital One

•

New York, New York, USA

Full-time

Lead Software Engineer (Bank Tech) Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who love to solve real problems and meet real customer needs. We are seeking Back End Software Engineers who are passionate about marrying data with emerging technologies. As a Capital On
Posted 1 day ago | Updated 7 hours ago