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Director - Leader of Technical Application Support Operations team

Magellan Health Services

•

Frisco, Texas, USA

Full-time

- SME on building and creating maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic. - Understand current maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions. - Understand and decompose the design and implementation of current Edifecs solution. - Experience with AWS and strong understanding of AWS components like FSx, file processing and Queues - Excellent understanding of
Posted 14 days ago | Updated 3 hours ago

Excellent Job Opportunity || Tactical Staffing Socotra Developer || Plano, TX

Sysmind, LLC

•

Illinois, USA

Third Party, Contract

Dear Job Seeker My name is Leo and I work as a Sr. US IT Recruiter with SYSMIND. We have been serving fortune 500 clients in the industry to bridge their staffing gap since the past 25 years. I have an Excellent opportunity with one of our clients. JOB DESCRIPTION: Job Title: Socotra Developer Location: Plano, TX Duration: 9+ months with possible extension Role Overview: Roles and RESPONSIBILITIES: Participate in the software design, development, and implementation using Adobe Experience M
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Posted 33 days ago | Updated 1 day ago

Kubernetes Administrator

Empower Professionals

•

New York, New York, USA

Contract

Role: Kubernetes Administrator Locations: New York, NY (Hybrid Onsite) Duration: 12+ Months Contract F2F Interview Note: Candidate needs to be in the office 3 Days every week. Local or candidates from Nearby states only. Job Description: Kore AI implementation in Kubernetes A Kubernetes administrator is responsible for deploying, managing, and maintaining Kubernetes clusters. This includes tasks like cluster setup, configuration, troubleshooting, scaling, and ensuring high availability of appli
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Posted 2 days ago

Sr. Consultant - QNXT

Photon

•

Remote

Full-time

Job title - Sr. Consultant - QNXTLocation - RemoteFull-time, Remote We are seeking a skilled QNXT Benefits Configuration Specialist to join our dynamic team. The ideal candidate will possess in-depth knowledge of QNXT benefits configuration, along with a strong background in both commercial and government benefit claims. This role is critical for ensuring our benefits systems are accurately designed and configured to meet our organizational needs. Key Responsibilities: Configure and manage QNX
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Posted 10 days ago

SAP FICO Consultant w. Brownfield exp

Techpeople.US, Inc

•

Gaithersburg, Maryland, USA

Contract, Third Party

SAP FICO Consultant Location: Gaithersburg, MD (Onsite)Duration: 12+ MonthsClient/Domain: BFSIJob Type: Contract or C2CExperience: 12+ yearsPrimary Skills: SAP FICO, SAP (LO/SD/PP), PMP, CO-CCA, CO-PCA, SAP BW, WRICEF The Ask? Client is seeking a Sr. SAP FICO Consultant (AP, AA, GL, AR, COPA) with hands-on experience in Solution Design. Must have multiple Brownfield Implementation exp. This is an Onsite Role. Skills and Experiences SAP ERP project implementation, especially with SAP LO/SD/PP mo
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Posted 60+ days ago | Updated 27 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

•

Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 18 days ago | Updated 2 days ago

SAP Vistex Consultant - Irving, TX

ASCII Group LLC

•

Irving, Texas, USA

Contract

The following requirement is open with our client. Client : Infosys Title : SAP Vistex Consultant Location : Irving, TX (Onsite) Duration : 12+ Months Relevant Experience (in Yrs.) : 10+ Detailed Job Description: At least 10+ years of experience in Business Process Consulting, problem definition, Architecture/Design /Detailing of Processes 10+ years in business analysis, requirements definition, and building SAP systems solutions. SAP functional experience specializing in design and configuratio
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Posted 2 days ago

AI Solution Architect

Cyma Systems Inc

•

Remote

Contract

AI Solution Architect Insurance Domain (Azure & AWS)Local to TX - Remote.Role OverviewAs an AI Solution Architect specializing in Azure and AWS, you will lead the design, development, and production deployment of large-scale AI/ML solutions tailored for the insurance industry. You will work closely with cross-functional teams including data scientists, engineers, actuaries, and business leaders to transform business strategy into secure, scalable, and cost-effective AI architectures. Key Respon
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Posted 2 days ago

Lead Business Analyst with P&C Insurance domain Commercial Lines

QATOS LLC

•

Erie, Pennsylvania, USA

Third Party, Contract

Title: Lead Business Analyst with P&C Insurance domain Commercial LinesLocation: Erie, PA Day 1 onsite Duration: Long TermExperience: 10+ Years Key Responsibilities: Engage with Insurance IT, Business teams and all the internal and external stakeholders involved in implementations and rollout to determine business requirements, and to ensure the development is in line with the requirements and scope. Configure/ provide configuration of rating logic and business rules along with patterns of bus
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Posted 24 days ago

QNXT SME Role

Photon

•

Remote

Full-time, Third Party

We are Photon, one of the world s largest Digital Platform Engineering companies, blending Strategy Consulting, Creative Design, and Technology Services for a global clientele. We proudly partner with 40% of Fortune 100 companies, delivering niche products that power digital transformation. Watch more about us here: Photon Overview. Short Description: We are seeking a QNXT Subject Matter Expert (SME) with deep expertise in benefits configuration and claims processes for both commercial and gover
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Posted 11 days ago

Healthcare Business analyst

Serenity Info Tech, Inc.

•

Columbia, South Carolina, USA

Contract

Title: Business analyst Healthcare Location: Hybrid (1 day remote per week) Duration: 12 months Job Description: COMPANY / DEPARTMENT CULTURE (why do you enjoy working for the company selling points for potential candidates): The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. This program is focused on the replacement of the State s Medicaid Management Information System (MMIS). The program is a major undertaking for SCDHHS and re
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Posted 3 days ago | Updated 2 days ago

Project Manager / Business Analyst

Info Origin Inc.

•

Seattle, Washington, USA

Contract

Job Description The Client is looking for a highly skilled Functional Business Analyst with deep expertise in the insurance domain, specifically focused on Disability and Absence Benefits. The ideal candidate should have hands-on experience with FINEOS, ClaimVantage, claims data (eligibility & status), and ideally some exposure to APIs and system integrations. The candidate will serve as the bridge between business stakeholders and technical teams to drive effective solutions in a complex insura
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Posted 6 days ago

System Administrator- Vertafore MGA System

Peterson Technology Partners

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Remote

Contract

Job Summary: We are seeking an experienced System Administrator to manage and support the Vertafore MGA System. This role is responsible for maintaining system stability, configuring workflows, troubleshooting issues, and optimizing system performance to support underwriting, policy administration, and operational processes. The ideal candidate has hands-on experience administering the Vertafore MGA platform and a strong understanding of insurance workflows. Key Responsibilities: Administer, con
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Posted 60+ days ago | Updated 2 days ago

Desktop Support Technician

MCI Companies

•

Wichita, Kansas, USA

Full-time

POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. We are a rapidly growing, industry leading business process outsourcing and software development organization. As a high growth organization with an entrepreneurial culture we are committed to a high o
Posted 60+ days ago | Updated 3 hours ago

Business Analyst -medicaid

TechNix LLC

•

Columbia, South Carolina, USA

Contract, Third Party

Hi, I hope you are doing well! I have reached out to you regarding an urgent requirement for our direct client (State of SC). If you are available for this position, kindly share your updated resume. Position: Business Analyst - Consultant Duration: 1 year with extension possible Location: Columbia, SC (Hybrid 1 day remote per week) Client: State of SC Agency: Department of Health & Human Services Job ID: 7514 (Local Candidate of SC Only) The South Carolina Department of Health & Human S
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Posted 5 days ago | Updated 1 day ago

SAP Vistex Functional Consultant with Royalties and Pricing

Vbeyond Corporation

•

Portland, Oregon, USA

Full-time

Hi Job Seekers, Hope you are doing great!! Currently, we have a job opening of SAP Vistex Functional Consultant with Royalties and Pricing for a Full time Permanent role with our client. If you are interested then please reply me with your updated resume. Responsibilities Certified SAP SD/VISTEX functional consultant with extensive experience on SAP SD with at least 5 to 6 years of experience on SAP Vistex. Experience working in the areas of VISTEX solutions of transitional and composite in the
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Posted 46 days ago | Updated 2 days ago

EPIC Analyst(Billing & Claims and Remittance)

Zenox Global, LLC

•

San Francisco, California, USA

Contract, Third Party

Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and modifications. This position is responsible for workflow configurations, go-live suppo
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Posted 17 days ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

•

Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 17 days ago

Application Analyst - Epic Resolute Professional Billing & Claims and Remittance

AgreeYa Solutions

•

San Francisco, California, USA

Third Party, Contract

Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Location: San Francisco/Sacramento CA or Alpharetta, GA Duration: 12 + Months Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and modificati
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Posted 18 days ago | Updated 13 days ago

Pharmacy Business Analyst - Conversion & Prior Auth SME

Gainwell Technologies LLC

•

Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Business Analyst - Conversion & Prior Auth SME at Gainwell, you can contribute your skills as we harness the powe
Posted 10 days ago | Updated 11 hours ago