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Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

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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
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Posted 1 day ago

IT Compliance Coordinator

Elgebra

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Remote

Full-time

Title- IT Compliance Coordinator Client is looking for few profiles, with 5+ years of experience, who has practical exposure of Audit and compliance, Please share more profiles who are local to VA. Important Skillset: Knowledge of Identity and Access Management (IAM) to conduct UARs and SARs and can eventually implement IAM tool in future as needed Key Responsibility: Conducting Quarterly User Access Reviews companywide and ensuring they are completed and tickets closed on time with spot checks
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Posted 34 days ago | Updated 10 hours ago

Enterprise Solutions Architect (Life Insurance experience)

Sutherland Digital Services Inc

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Remote or Oklahoma City, Oklahoma, USA

Full-time

Qualifications: Bachelor s or Master s degree in Computer Science, Engineering, or related field.15+ years of experience in software architecture and technology leadership.Contribute code when needed to set standards and mentor teams (Java, Python, or relevant stack)Experience with target operating model and experience leading complex assessments & technology evaluationsProven experience with enterprise integration and digital transformation projects.Expertise in cloud computing (AWS, Azure, or
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Posted 20 days ago | Updated 8 days ago

QNXT Benefit Configuration

Econosoft

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Remote

Contract

We are actively seeking QNXT Benefit Configuration Subject Matter Experts (SMEs) with a strong background in both commercial and government benefit structures. The ideal candidate will have hands-on expertise in QNXT core modules and be proficient in benefit setup, configuration, claims validation, and data migration. This position plays a critical role in ensuring accurate benefit designs and seamless integration within QNXT environments. Key Responsibilities: Configure and manage QNXT benefits
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Posted 14 days ago | Updated 12 days ago

Product Owner - Pharmacy Benefit Management (PBM) - Healthcare/Pharmacy/Medical

FutureTech Consultants LLC

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Remote

Contract

Job Title: Technical Product Owner (TPO) - Pharmacy Benefit Management (PBM) Location: Remote (Preferred: EST or CST Time Zones USA) Contract: Long Term W2 Experience: 10+ Years Job Description:10+ years of experience as a Business Analyst, with 3+ years as a Technical Product Owner or similar role.Hands-on experience in Pharmacy Benefit Management (PBM) understanding of claims adjudication, benefit configuration, pharmacy network, rebates, and eligibility.Strong technical understanding of RE
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Posted 60+ days ago | Updated 5 hours ago

Data Science/ML Engineer

People Force Consulting Inc

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Remote

Contract

We are seeking a highly skilled Senior Machine Learning Engineer to join the Foundational Data Analytics (FDA) Program, a strategic initiative focused on building a modern, intelligent data ecosystem. This role will lead the design, development, and deployment of machine learning models that support enterprise-wide analytics, predictive insights, and healthcare transformation. FDA Program Objectives: Single Source of Truth (SSOT): Build standardized, high-quality data infrastructure ensuring con
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Posted 7 days ago | Updated 2 hours ago

SAP Product Owner (HCM Core HR)

Tandym Tech

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Remote

Contract, Third Party

We are seeking a strategic and technically proficient SAP Product Owner to lead the development and optimization of our SAP HCM Core and Organizational Management solutions. This role bridges HR business needs with SAP capabilities, ensuring the delivery of scalable, efficient, and user-centric solutions that support workforce planning, organizational structuring, and core HR processes. Candidates must be local to the tristate area. Key Responsibilities: Serve as the Product Owner for SAP HCM Co
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Posted 9 days ago | Updated 4 hours ago

Window Engineer with Active Directory

Hexaware Technologies, Inc

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Remote

Full-time

Position: Window Engineer with Active Directory Location: Chicago, IL (100% Remote) Hiring: Fulltime with Hexaware Technologies Key Responsibilities: Active Directory Management: Design, implement, and maintain Active Directory architecture, including forests, domains, trusts, and group policies.Perform regular health checks, troubleshooting, and optimization of Active Directory services.Manage user accounts, permissions, and security groups to ensure proper access control and compliance.Windo
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Posted 15 days ago | Updated 7 days ago

Interoperability with HL7,FHIR,EPIC AND SQL

E-Solutions, Inc.

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California, USA

Third Party

Title: Inteoperability with HL7,FHIR,EPIC AND SQL Location: Remote Responsibilities: Design, implement, and support interoperability solutions across healthcare systems. Work with HL7, FHIR, CCD/CCDA, and other healthcare data exchange standards. Collaborate with cross-functional teams to ensure seamless data integration and flow. Analyze and interpret healthcare data to support clinical and operational decision-making. Assist in EPIC data extraction, mapping, and integration efforts. Troublesho
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Posted 14 days ago | Updated 5 hours ago

EPIC Project Manager

Aroghia

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Remote

Contract

Job Title: EPIC Project Manager Industry: Healthcare Location: Remote Job Summary: We are seeking an experienced EPIC Project Manager to lead the implementation and optimization of EPIC healthcare IT systems. The ideal candidate will have a strong background in healthcare project management, EPIC certification, and excellent communication and leadership skills. Key Responsibilities: 1. Manage EPIC implementation projects, ensuring timely and within-budget delivery. 2. Collaborate with cross-func
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Posted 22 days ago

Azure Cloud Security Architect

Medix IT Staffing Solutions

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Remote

Contract

Job Title: Azure Cloud Security Architect - Zero Trust - 243573 Work Location: 100% Remote in the US (EST Hours) Position Type: Contract to Hire (3-6 months, then full time conversion) Compensation Range: $180,000 - $200,000 annually Bonus: 10-15% annual ABOUT OUR CLIENT / ABOUT THIS ROLE Medix is currently seeking an Azure Cloud Security / ZTA Architect for an exciting opportunity with one of our top healthcare clients. Our client is a non-profit healthcare services organization that owns an
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Posted 28 days ago | Updated 4 hours ago

Workday HRIS Analyst

VertexBlue India Private Limited

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Remote

Contract

We are seeking an experienced and strategic Senior Workday HRIS Analyst to lead the optimization, support, and enhancement of our Workday HCM platform. The ideal candidate will bring over 10 years of HRIS experience, including deep expertise in Workday configuration, reporting, integrations, and cross-functional stakeholder engagement. This role requires both technical acumen and a strong understanding of global HR processes. Key Responsibilities: Act as the subject matter expert (SME) for Workd
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Posted 13 days ago | Updated 1 day ago

Software Engineer

Rivago infotech inc

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Remote

Contract, Third Party

Title: Software Engineer Location- Remote Any Visa will work Job Overview We are seeking a skilled Software Engineer with expertise in GPU Infrastructure, Ubuntu operating systems, and automation to design, build, maintain, and optimize machine images across a variety of cloud platforms. In this role, you will play a key part in delivering standardized, secure, and high-performant images, including those deployed on GPU Bare Metal and GPU droplet (VM) images You will focus on automating the imag
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Posted 5 hours ago

Junior SDET with Playwright - Only local to Michigan

DATAMAXIS, Inc

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Remote or Okemos, Michigan, USA

Contract, Third Party

Job Summary: Under the general direction of a more experienced team member, responsible for contributing to the creation, execution, automation, and maintenance of tests to support the validation of functionality in an agile environment. Utilizes company approved tools to independently develop and maintain automated test scripts and develops SQL scripts to extract data from the database to execute test cases. Primary Job Responsibilities: Build, maintain, and evolve test automation
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Posted 35 days ago | Updated 3 hours ago

Sr. Workato Lead/Architect

Envision Technology Solutions

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Remote

Full-time, Contract

Hello , Hope you are doing well. I am Asif Khan, Technical Recruiter with Envision Technology Solutions, I've got a job requirement for you with my client across the USA. If you are available for the new roles, please revert me with the updated resume or you can reach me on my email Job Title : Senior Workato Consultant MuleSoft Migration Location: Remote Experience : 15+ Years Job Type: Full Time Healthcare experience is MUST About the Role We are seeking a Senior Workato Consultant to
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Posted 1 day ago | Updated 2 hours ago

Enterprise Risk Manager

DFND Security

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Remote

Contract

We are looking for a enterprise risk manager for a position expected to be a work from home, est hours, long term contract or could turn into a permanent position. Some details are below. This hybrid role is responsible for leading the enterprise risk management program and ensuring the organization s operational resilience. The role owns the business continuity and disaster recovery frameworks, coordinates risk assessments, maintains the risk register, and ensures readiness for business disrupt
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Posted 60+ days ago | Updated 20 days ago

Python Backend Engineer

Ledgent Technology

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Remote

Full-time

No C2C / No Third-Party Agencies Sr Python Backend Engineer Remote - Must be U.S. based $150,000 -$175,000 (DOE) : Full-Time, Direct Hire . We're hiring on behalf of a fast-growing AI/ML company revolutionizing healthcare staffing and operations. Their cutting-edge platform leverages Generative AI and voice biomarker technology to reduce administrative burdens and improve patient care. What You'll Do: As a Senior Backend Engineer, you'll play a key role in building and scaling Python micros
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Posted 1 day ago | Updated 4 hours ago

Lead Data Engineer / Lead Data Architect

Bossini Technologies

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Remote

Contract

Job Title: Lead Data Engineer / Lead Data ArchitectLocation: Remote (Preference for US-based candidates)Start Date: ASAP Must have 12+ years of overall IT exp. No OPT or CPT candidates H1B Transfers are encouraged to apply Must be authorized to work in the U.S. without sponsorship (unless H-1B transfer) Job Summary:We are seeking a highly skilled Lead Data Engineer / Lead Data Architect with strong experience in Python and Databricks, preferably with a background in pharmaceuticals or supply cha
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Posted 16 days ago

Senior Technical Product Owner

Endava

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Remote

Full-time

Remote (anywhere in UK) What You Will DoServe as the domain expert in US healthcare, including core medical and supplemental insurance products, understanding nuances in claims workflows, policy rules, and regulatory implications.Manage and prioritize the product backlog for cloud-based claims processing platforms, including features for claim intake, adjudication, provider integration, and member communications.Work with engineering and DevOps teams to deliver performant and compliant solutions
Posted 19 days ago | Updated 5 days ago

ServiceNow Developer - GRC

Arohak Inc

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Remote

Contract, Third Party

Job Title: ServiceNow GRC Consultant/Developer Location: Remote Job Type: Long Term Contract Job Summary: We are seeking a skilled ServiceNow GRC professional to join our team to design, configure, and implement GRC modules including Policy & Compliance, Risk Management, Audit, and Vendor Risk Management. The ideal candidate will have hands-on experience in implementing and supporting ServiceNow GRC/IRM solutions across enterprise environments, with a strong understanding of risk and compliance
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Posted 51 days ago | Updated 8 days ago