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Business Analyst - SQL - Hybrid

Gainwell Technologies LLC

Roseville, 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 As a Business Analyst - SQL - Hybrid at Gainwell, you can contribute your skills as we harness the power of technology to help

Medicaid Data Warehouse Specialist

TEKsystems c/o Allegis Group

Springfield, Illinois, USA

Full-time

Our Enterprise Client is seeking highly experienced and knowledgeable Medicaid Subject Matter Expert (SME) to support a State Enterprise Data Warehouse and the State Medicaid program. This role requires deep expertise in Medicaid Enterprise Systems, data warehousing, and healthcare analytics. The SME will provide strategic guidance and technical direction to ensure the successful implementation, maintenance, and enhancement of Medicaid data systems. Key Responsibilities: Provide strategic dire

IT - SCDHHS - Quality Assurance Analyst

Apex Systems

Columbia, South Carolina, USA

Full-time

Job#: 2083365 Job Description: Job Posting: Quality Assurance Tester - Advanced We are seeking a Quality Assurance Tester - Advanced to support a large-scale modernization initiative focused on transforming Medicaid Management Information Systems (MMIS). This role is ideal for professionals who thrive in complex, change-driven environments and are passionate about improving healthcare outcomes through technology and innovation. About the Program This MMIS modernization effort is a major trans

Senior Application Architect

Humana Inc

Remote

Full-time

Become a part of our caring community and help us put health first Join our innovative team as a Senior Application Architect and play a pivotal role in transforming healthcare technology! You'll lead the design and integration of cutting-edge solutions on the Salesforce Health Cloud platform, driving impactful projects that enhance patient care and operational efficiency. If you're passionate about advancing digital health and thrive on architecting scalable, high-impact applications, we want t

Project Manager

Cyber Resource Provider LLC

Richmond, Virginia, USA

Full-time, Part-time, Third Party, Contract

Engagement Type Contract Short Description Deadline to submit 4 pm est on Tues 8/12 DMAS - Project Manager 2 One-year engagement expected hybrid on-site/telework (3 days in the office). Parking is NOT provided for contractors Complete Description Deadline to submit 4 pm est on Tues, 8/12 (earlier is best) DMAS - Project Manager 2 One-year engagement, hybrid on-site/telework (3 days in the office). Parking is NOT provided for contractors ABOUT THE ROLE The Project Manager will report direct

Senior Business Analyst - Medicaid Claims

Gainwell Technologies LLC

Milwaukee, Wisconsin, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Business Analyst - Medicaid Claims

Gainwell Technologies LLC

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 Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technology to he

Senior Business Analyst - Medicaid Claims

Gainwell Technologies LLC

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 Senior Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technolog

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker Healthforce

Remote

Contract

Utilization Management Appeals Nurse | 2 years experience | Remote | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 2 years of experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: 6/1/2025 HOURS/SCHEDULE: 8am-5pm EST Monday- Friday WORKER TYPE: W2 CORE REQUIREMENTS: Requires Prior Authorization Experience Minimum of two (2) years clinical experience 3 - 5 years of experience with a background

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

Medicaid/CMS PM

Innosoul inc

Richmond, Virginia, USA

Contract, Third Party

Job ID: VA-774278 Hybrid/Local Medicaid/CMS PM (PMP/15+) with Agile/Waterfall, MITA, APD, MS Project and Vendor management experience Location: Richmond, VA (DMAS) Duration: 10 Months Position: 1(1) Skills: Exp with Agile and Waterfall software development concepts Required 10 Years Exp with sr level Project Management practices and principles; Project Management Life Cycle (PMLC) Required 10 Years Exp with Systems Development Life Cycle (SDLC) Required 10 Years Experience with successfully lea

Lead Detection Engineer(remote)

Humana Inc

Remote

Full-time

Become a part of our caring community and help us put health first The Lead Detection Engineer position is responsible for building and curating custom cyber threat detection content for the Humana enterprise environment. This role works closely with EIP's Threat Management and Response teams as well as other IT and EIP teams. The Lead Detection Engineer role is responsible for technical execution and delivery of services provided by the Detection Engineering team. This team provides oversight o

Advisor Business Analyst - Medicaid

Gainwell Technologies LLC

Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Statistical Programming Analyst I - Palmetto GBA

BlueCross BlueShield Of South Carolina

Columbia, South Carolina, USA

Full-time

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also ha

Software Architect

InterSources Inc.

Menands, New York, USA

Full-time, Contract

Software Architect Location: Menands, NY 12204 Duration: 2 years Contract Position Requirements: 84 months of experience in Information Technology analyzing and supporting complex business processes, software systems and applications. 84 months of experience documenting, proposing and developing system architectures and software solutions for large scale enterprise systems. 84 months of experience researching, documenting, communicating, and validating requirements throughout the system, process

Manager, Data Analytics & Reporting

Centene Corporation

Nevada, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Oversee and ensure accurate, timely, and efficient reporting related to all core business functions Ensure the timeliness and accuracy of internal and external report deliverablesManage schedu

Data Analyst - Quality Management (Remote)

S2Tech

Remote

Full-time

Data Analyst - Quality Management Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a str

Infrastructure & Cloud Service Senior Manager

Gainwell Technologies LLC

Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Infrastructure & Cloud Service Senior Manager

Gainwell Technologies LLC

Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Infrastructure & Cloud Service Senior Manager

Gainwell Technologies LLC

Austin, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have