The Certification Lead will be responsible for providing specialized Certification leadership, knowledge, and expertise for an EVV (Electronic Visit and Verification) IT project. This position will learn and understand the client's organization and the EVV solution and will lead an organized and coordinated federal certification effort. The successful candidate for this position will work directly with contracted vendors, business users, our team, client leaders and stakeholders, and CMS to lea
Join Sky Solutions, LLC - Pioneering Digital Transformation Excellence! Welcome to Sky Solutions, LLC, a dynamic Digital Transformation Firm nestled in the vibrant heart of the Washington D.C. Metro Area. We specialize in empowering leading organizations in the Financial Services and Healthcare sectors, achieving remarkable business outcomes through cutting-edge Digital Process Automation (DPA) and innovative Low-Code/No-Code Application Development. As a certified Small Disadvantaged Business
Greetings From Photon, We hope you are staying safe. We are hiring Fullstack Architect to join our Digital Engineering team. Who are we? For the past 20 years, we have powered many Digital Experiences for the Fortune 500. Since 1999, we have grown from a few people to more than 4000 team members across the globe that are engaged in various Digital Modernization. Fullstack Architect | Las Vegas, NV (REMOTE) | Fulltime or Contract What are we looking for? Understanding of CMS structure and gather
Title: Medicaid/Medicare Claim Specialist Location: Remote (must be a resident of Illinois) Client: State of Illinois Duration: 5 years Job Description The Medicaid/Medicare Claim Specialist is responsible for the accurate and timely processing of Medicare A/B/D and Medicaid claims. This role involves ensuring compliance with all federal and state (CMS) regulations, managing claim submissions, follow-ups, and resolving any issues related to claims. The specialist will work closely with healthca
Cotiviti Technical Specialist Location: Remote Duration: 3+ months contract A person who has 1+ years of experience with Cotiviti tool.This experience must be related to using and configuring Cotiviti application and NOT related to the core development.The experience can be related to configuration, set-up, settings or as an end user experience in using the front-end application.The domain knowledge of HEDIS and CMS star measure.Hands-on experience with SQL queries will be good to have but not n
Mandatory Qualifications: RQ 1:Resource must have a minimum of two (2) years of experience, within the last five (5) years, performing organizational change management tasks using Prosci , ADKAR model, or equivalent change management methodology in support of medium to large information technology projects involving the integration of multiple systems and system interfaces, and development of new system interfaces. RQ 2: Resource must have a minimum of two (2) years of experience, within the la
The Hopkins Business of Health Initiative (HBHI) is seeking a Sr. Statistical Programmer Analyst and Data Manager to support health policy and economic research on the Hopkins Data Analytics Platform (HARP). Rank will be commensurate with qualifications and experience. The Hopkins Data Analytics Platform (HARP) is a university-wide platform at HBHI which support data-driven health care services research across JHU. The goal of the platform is to advance data-driven solutions that address nationa
DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: ;nbsp; Report Developer Candidate must have or be willing to obtain a Public Trust Clearance Key Tasks: Experience designing and developing projects including suite of report services, views, and dashboardsIn colla
Content Coordinator 3 BCforward is currently seeking a highly motivated Content Coordinator 3 for an opportunity in Redmond, WA Position Title: Content Coordinator 3 Location: Redmond WA, Remote Anticipated Start Date: - ASAP Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date. Expected Duration: 1 Months Contract Job Type: Contract and Remote Pay Range: $35/hr. - $38/hr. Please note that actual compensation m
DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: ;nbsp; Human Center Design Lead Candidate must have or be willing to obtain a Public Trust Clearance Key Tasks: Responsible for leading Human-Centered Design efforts across the project. Champion the importance of u
Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The in
Supervisor, Behavioral Health (Utilization Management) CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit s prior authorization, concurrent review processes and transition of care. The incumbent w
Position: Content Writer Location: Remote Knowledge, Skills, and Ability Website Writing and Content Management Knowledge of Sitecore or a comparable CMS Content creation for websites Expert copywriting and editing skills Content marketing SEO and analytics Knowledge/experience with project management tools (Microsoft Office Suite, Teams, Jira) Effective communication skills High emotional intelligencePreferred Skills & Qualifications Proficient in Sitecore 10.2 Bachelor's degree in UX, Web D
Our client, a world leader in the life sciences and diagnostics industry, is looking for a Senior Project Manager - Marketing Technology (100% remote - Preferred EST time zone) . Duration: Long Term Contract with a high possibility of extension Rate: $52-$55/hr on W2 Looking for an experienced Project Manager to help them mature their operational processes. Support an experienced and diverse team across MarTech, Marketing and Design who are working to improve existing sales and marketing stra
Title: Technical Product Owner Duration: until 12/31/2024 100% remote Qualifications Must haveProductOwnerexperience delivering an AEM solutionMust have Strong User Story writing skills including examples of behavior driven Story writing for a CMS user experiencePast experience as QE &/or BA technical writer for Test Driven Development level detail when authoring User Story Acceptance CriteriaStrong collaboration skills and ability to influence and drive alignment among consuming applications fo
We are currently seeking a DXP Developer for a client in New Haven, CT. REMOTE but needs to come onsite periodically. 113K - location New Haven CT Optimizely platform is a MUST OverviewThe DXP developer will develop solutions requiring analysis and research, working on small to large complex projects that requires increased skill in the Optimizely platform. Analyzes, codes, tests, documents and supports the web applications that are developed and maintained within ITS and interfacing with outsid
IT Product Manager REMOTE Knowledge of Enterprise IT Systems, system integration principles, and associated change management best practices.Has an understanding of CMS Seven Standards and Conditions and the Medicaid programDemonstrated ability to manage multiple priorities and projects, function in a fast-paced moving constantly changing, deadline driven environmentExperience working with Medicaid MMIS and Claims ProcessingSkills in persuasion, negotiation, relationship management, conflict re
Title: Salesforce Test Automation Engineer Duration: Long Term Experience: 7+ Client: GDIT Job Description: Please Note: This full-time position is 100% remote with work schedules planned from 9AM-5PM Eastern Standard Time (EST). We cannot accept candidates who are working on side-projects or other part-time roles. Our work depends on Salesforce Test Automation Engineer joining our MATS team remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Test
QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements
Front End Drupal DeveloperRemoteHolders and s per government contract We are seeking a Drupal Developer for a cross-functional web development team responsible for building enterprise level web applications in a growing Drupal team, and to work part-time for a Health and Human Services project located in Rockville, MD. This Developer is a strong communicator who excels at collaborating with team members and conveying technical concepts to other developers, managers, and clients. This developer
