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Provider Service Analyst, Medicaid, Remote, USA

Gainwell Technologies LLC

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Remote or Denver, Colorado, 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 We are seeking a talented individual for a Provider Services Analyst - Medicaid who provides on-site and remote account analysis
Posted 15 days ago | Updated 1 hour ago

Sr Configuration Analyst with FACETS Exp

3S Business Corporation Inc.

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Mason, Ohio, USA

Contract

Sr Configuration Analyst with FACETS ExpMason, OH 45040 5 Months -Contract W2Only Locals Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration. Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets. Serve as a subject matter expert for the Business Configuration team inter
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Posted 6 days ago

Project manager

Binary Computer Int'l Corp.

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Remote

Contract

Role: Senior IT Project Manager Prior Authorization ProjectProject Duration: August 2025 February 2027Location: Remote in the U.S. Implementation Date Target: January 1, 2027Position OverviewWe are seeking a highly experienced Senior IT Project Manager to lead the implementation of a complex initiative focused on developing and delivering a solution to meet the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). This is a high-impact role driving organizational alignment across
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Posted 20 days ago

Mid-Senior level data scientist

Softsages LLC

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US

Contract

Dear Abhay, We are delighted to reach out to you on behalf of SoftSages Technology, a rapidly expanding IT and staffing company headquartered in Malvern, PA. We take immense pride in serving critical clients across various sectors, including federal, commercial, and healthcare industries. Our commitment to excellence extends beyond just our clients, as we firmly believe that our consultants are equally vital to our success. We are currently seeking dynamic individuals like yourself to join our
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Posted 2 days ago | Updated 1 day ago

100% Remote contract Role of MongoDB Engineer With Mark Logic

Intone Networks Inc.

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Remote or Dallas, Texas, USA

Contract, Third Party

Position: MongoDB Engineer With Mark Logic Location: 100% Remote Duration: 12+months Contract C2C Job Description: Should possess unique blend of blend of technical skills and soft skills required to support end to end activities for Marklogic modernization to MongoDB. Technical Skills: Data Modeling and Schema Design: Understanding MongoDB's flexible schema model and how to design appropriate document structures (embedded and normalized models) for optimal performance and scalability. Knowle
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Posted 8 days ago | Updated 3 hours ago

Senior IT Project Manager

Binary Computer Int'l Corp.

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Remote

Third Party, Contract

Role: Senior IT Project Manager Prior Authorization ProjectProject Duration: August 2025 February 2027Location: Remote in the U.S.Implementation Date Target: January 1, 2027Ex- Elevance health Profiles .Position OverviewWe are seeking a highly experienced Senior IT Project Manager to lead the implementation of a complex initiative focused on developing and delivering a solution to meet the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). This is a high-impact role driving or
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Posted 20 days ago

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

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Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Tapestry Medical Management roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to 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
Posted 1 day ago | Updated 1 hour ago

Facets .NET Architect / Tech Lead

Talent Groups

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Remote

Third Party, Contract

Applicants must have hands-on experience with "TriZetto Facets" modules to be considered for this role Lead architecture, design, and development of enterprise applications using .NET (C#, ASP.NET, Web API, MVC, .NET Core).Collaborate with cross-functional teams to integrate Facets modules with custom .NET-based applications and services.Drive system modernization and digital transformation initiatives in healthcare payer systems.Required Skills: 12+ years of experience in software development w
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Posted 23 days ago | Updated 1 day ago

Guidewire Business Analyst with ClaimCenter

VDart, Inc.

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Jersey City, New Jersey, USA

Third Party, Contract

Title: Guidewire Business Analyst with ClaimCenter Location: Jersey City, NJ (Onsite) Duration: Long Term Job Description: Seeking a Lead Business Analyst with 10+ years of P&C Insurance domain experience (Underwriting, Claims, Reinsurance). Responsible for eliciting and analyzing business requirements through workshops and documentation. Develop comprehensive Business Requirements Documents (BRD), Use Cases, and screen prototypes. Serve as the key liaison between business and development teams,
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Posted 7 days ago

Python Software Engineer

StoneGate-Technologies LLC

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Remote

Contract

Job Title: Python Software Engineer, Data (Healthcare with Apache Airflow) Note: Must be an expert on MongoDB or Postgres Job Description: We are seeking a skilled and motivated Python Software Engineer with expertise in Apache Airflow to join our healthcare team. The ideal candidate will have a strong background in software engineering, a passion for improving healthcare outcomes through data, and experience working in a healthcare environment. You will play a critical role in building, mainta
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Posted 6 days ago

Business Objects/SQL Developer

Advansys Inc

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Remote

Contract

Job Title: Business Intelligence (BI) Business Objects/SQL Developer (2 positions) Location: Telecommute (with occasional travel to Springfield, IL) Rate: Depending on experience We are seeking a skilled and experienced BI BusinessObjects/SQL Developer to design, develop, and maintain business intelligence solutions using SAP BusinessObjects and SQL. This role supports Medicaid/CHIP claims and other healthcare data systems, ensuring accurate reporting and data integrity for state and federal sta
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Posted 8 days ago | Updated 6 days ago

Looking for Program Manager Sr (Digital Product Manager) -DC/MD/VA

ProCorp Systems Inc.

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Remote

Contract

Program Manager Sr (Digital Product Manager) Location: DC/MD/VA only. Primarily remote, 2 meetings per month in Reston VA. Must be drivable distance Contract Length: T2P -12+ months Transition to perm: No Must haves: Safe certification is required. Any sort of Product MGT certification would be a big plus. Dedicated Digital Product MGT background. Min 5 years. Full understanding of Digital Product MGT lifecycle. Must be the roadmap/visionary level (not looking for a Product Owner for requirement
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Posted 6 days ago

Talent Acquisition Consultant (CX & Healthcare) - Greater Sacramento

Gainwell Technologies LLC

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West Sacramento, California, 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 We're looking for a strategic Talent Acquisition Consultant (CX & Healthcare) - Greater Sacramento to lead high-impact recruit
Posted 12 days ago | Updated 1 hour ago

Health Claim Examiner

Sureminds Solutions

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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
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Posted 7 days ago

Software Development Engineer, Customer Support & Claims

Tesla Motors

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Fremont, California, USA

Full-time

Tesla service software team at Tesla powers all internal service applications used in Tesla service centers, collision centers, global customer relationship management, tesla insurance claims etc. At Tesla, you'll collaborate with some of the most brilliant Engineers globally, engaging in cutting-edge web application development. The team is seeking a Front-End Software Engineer proficient in Angular to join the team and work on building a better experience for users of our claims' ecosystem. Th
Posted 5 days ago | Updated 5 hours ago

Pega Senior Software Engineer (LSA) - REMOTE

DriveTime

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Remote or Tempe, Arizona, USA

Full-time

What's Under the Hood DriveTime Family of Brands includes SilverRock, which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative services encompassing everything from GAP coverage to vehicle theft and GPS tracking to dealership fleet management. Our ancillary product expertise is proven with over 1 million service contracts, products, and warranties, and over $300 million in claims. That's
Posted 28 days ago | Updated 1 hour ago

APD Manager - REMOTE

Chandra Technologies, Inc.

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Remote

Contract

Job Description: Crop to Crop resumes are accepted This is not a new role, rather a new req for an increase in pay due to new responsibilities. Advanced Planning Manager and Advanced Planning Contract Liaison, this is a dual role. This position is a managerial position responsible for the strategic planning, daily operations, and management oversight of the Advanced Planning Writing Team within the Advanced Planning Office (APO). This office oversees the federal funding expenditure to remain a
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Posted 1 day ago

Claims Systems Delivery Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Milwaukee, Wisconsin, 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 Claims Systems Delivery Manager (Remote in US) at Gainwell, you can contribute your skills as we harness the power of tec
Posted 19 days ago | Updated 1 hour ago

Manager/Contracts Liaison

V-Soft Consulting Group, Inc

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Remote

Contract

Manager/Contracts Liaison (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for a Manager/Contracts Liaison (Remote) for our premier client. Education and Experience CMS regulations as they pertain to the contracts, amendments, and Advanced Planning Documents.: 7 Years. Technical and detailed writing, editing, and proofreading contracts, grants, RFP, etc.: 10 Years. Experience preparing healthcare information technology proposals or working in the healthcare technology e
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Posted 6 hours ago | Updated 4 hours ago

Conlan Analyst

Gainwell Technologies LLC

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San Diego, California, 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 Summary: As a Conlan Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clie
Posted 16 days ago | Updated 1 hour ago