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Health Segment Technology Lead

Navigant Consulting

Remote

Full-time

Job Family: Executive Management Travel Required: Up to 50% Clearance Required: Ability to Obtain Public Trust The Health Segment Technology Lead (STL) is the senior-most technology executive within the Guidehouse health industry segment. This leader is accountable for driving technology growth, aligning segment-specific strategy, and ensuring delivery excellence. The STL acts as a CTO-equivalent for the segment, bringing deep industry expertise, fostering ecosystem relationships, and ensurin

Health Claim Examiner

Sureminds Solutions

Remote

Contract, Third Party

Please share Profiles at Hi, Urgent need, Health Claim Examiner Remote Role C2C or W2 Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP

Epic Health Information Management Application Analyst I, II, III-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Health Information Management roles will be based on experience and qualifications. PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to a

Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

Remote

Full-time

Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP Validation of information entered by indexer Verify coverage; evaluate eligibility

Safety and Health Lead

Booz Allen Hamilton

Remote

Full-time

Job Number: R0222199 Safety and Health Lead The Opportunity: Are you looking for an opportunity to combine your technical skills with big picture thinking to make an impact in Human Space Domain? You understand your customer's environment and how to develop the right systems for their mission. Your ability to translate real-world needs into technical specifications makes you an integral part of delivering a customer focused engineering solution. As a leader in systems engineering, we're looking

Behavioral Health Care Coordinator | Texas | Contract to Hire

Walker Healthforce

Remote

Contract

Behavioral Health Care Coordinator | 3+ Years of Experience | Remote in Texas - Austin, San Antonio, Dallas, Fort Worth or New Mexico | Contract to Hire Walker Healthforce is seeking a Behavioral Health Care Coordinatorwith 3+ Years of Experience to support a Healthcare Payor Client based out of Texas - Austin, San Antonio, Dallas, Fort Worth or New Mexico. This is a 3 month contract to hire opportunity. MUST BE LOCAL TO:Texas - Austin, San Antonio, Dallas, Fort Worth or New Mexico START DATE:

Health and Data Analytics Developer

Ztek Consulting

Remote or Austin, Texas, USA

Full-time

Primary Focus: Using Oracle/Cerner data for clinical insights and reporting Key Duties: Extract data from Cerner HealtheIntent, Millennium, or PowerInsight Build dashboards and analytics pipelines (Oracle, Tableau, Power BI) Work with HEDIS, STAR, and quality metrics Contribute to AI/ML initiatives using structured health data

Salesforce Health Cloud Consultant

Navigant Consulting

Remote

Full-time

Job Family: SAAS/PAAS/Cloud Consulting (Digital) Travel Required: Up to 10% Clearance Required: None Guidehouse has an exciting opportunity for Salesforce Consultants in a high-growth practice. You will be a key contributor on the consulting team that helps discover and define the problem statement, evaluates the solution options and makes recommendations. You will create detailed design, architecture and process artifacts and implement the deployment plan. You will also support knowledge tra

AI/ML Health Data Scientist

Navigant Consulting

Remote

Full-time

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Business Development Identify policy and/or business problems and successfully capture from sourcing through award/close.Perform research on key accounts and clients to effectively qualify and scope new business opportunitiesDiscuss and develop solutions with client service teams and existing/new clientsActively engage within target accounts and relevant market(

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp

Senior Manager, Network Management, National Behavioral Health

CVS Health

Connecticut, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Senior Network Product Management & Development Manager (Meritain Health)

CVS Health

Remote or New York, New York, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Associate Director - Hematology, Oncology Data Sciences & Digital Health

Johnson & Johnson

Remote or New Brunswick, New Jersey, USA

Full-time

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn m

Principal Software Development Engineer - Signify Health

CVS Health

Remote

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Director Application Development - Animal Nutrition and Health (hybrid)

Cargill

Remote or Wayzata, Minnesota, USA

Full-time

Job Purpose and Impact The Director of Application Development will create and execute the Digital Technology and Data Strategy for Cargill Animal Nutrition and Health's (ANH) North America business, aligning with the Americas Regional strategy, while also considering the needs of the market and the customers served. It is responsible for maintaining, integrating, and implementing software applications within North America. This role will partner with business and digital technology leadership t

Ab Initio Administrator (GKE) remote

Hirex

Remote

Contract

Title: Ab Initio Administrator (GKE) REMOTE MUst haves (hard requirements) Background in ETL tools/data/metadata/data lakes3+ years with Ab Initio doing installations, upgrades, configurations, and maintenance2+ years experience with containers/containerizations tools (Docker, Kubernetes, OpenShift, etc) 2+ years implementing Ab Initio Platform using GKEStrong knowledge of LinuxKnowledge of on-prem and cloud (Google Cloud Platform) installations3+ years hands on experience with Ab Initio ETL t

Technical Writer

DP Professionals Inc

Remote or Tallahassee, Florida, USA

Contract

DPP is seeking a Technical Writer for a remote work opportunity with our client in Tallahassee, Florida. The project: Our client is undergoing a multi-year transformation to modernize the current Medicaid technology using a modular approach, while simultaneously improving overall Agency functionality and building better connections to other data sources and programs. The Technical Writer is needed to support the work of this multi-year project. Work arrangement: Remote is acceptable for this pos

Trailer Technician - Day Shift

XPO

Romulus, Michigan, USA

Full-time

What you'll need to succeed as a Trailer Mechanic at XPO Minimum qualifications: 1 year of verifiable experience in heavy-duty maintenance and/or time in an entry-level Technician roleA valid driver's licenseAble to perform safety inspections of equipment and prepare safety documentationBasic computer skillsAvailable to work a variety of shifts, including days, evenings, nights and weekendsBrake inspection qualified as defined in the Federal Motor Carrier Safety Administration regulations, Sect

Electrical & Mechanical Systems Specialist

INSPYR Solutions

Detroit, Michigan, USA

Full-time

Title: Electrical & Mechanical Systems Specialist Duration: FTE Travel: Could be up to 50% at times Salary: 75-85kRole Overview Join our growing team as we expand across the US! You'll be the technical expert ensuring our collaborative mobile robots deliver maximum uptime and performance at customer manufacturing facilities. This is a hands-on role where you'll work directly with our cutting-edge mobile robots while building strong customer relationships. Location: Detroit, MI Travel: 50-60% Va

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Detroit, Michigan, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause