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SQL Claims Analyst

Apex Systems

•

Montgomery, Alabama, USA

Full-time

Job#: 2069329 Job Description: Position: SQL Claims Analyst - Medicaid Location: ONSITE - 501 Dexter Ave, Montgomery, AL 36104 Duration: 12-month Contract-to-Hire Pay Rate: $50 - $60/hr. Overview: AL EDS is the new Alabama Medicaid Data warehouse, This position will support the Agency in the rollout and usage Responsibilities: Support the Agency with their Analytic StaffProvide on-site help desk supportCreate Power BI reports at the request of the AgencyProvide data analysis at the request
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Posted 60+ days ago | Updated 19 hours ago

Configuration Analyst

Apex Systems

•

Lafayette, Louisiana, USA

Full-time

Job#: 2080286 Job Description: Apex Systems is hiring a Business Analyst for a major Healthcare client! FULLY REMOTE anywhere in the US. 12 months contract to hire 4-6 years experience in the following (preferably in the healthcare space): Benefits and Payment Configuration // Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experi
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Posted 18 days ago | Updated 19 hours ago

Senior Business Analyst / Tester (Lead) LTSS

Gainwell Technologies LLC

•

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 As a Senior Business Analyst / Tester (Lead) LTSS at Gainwell, you can contribute your skills as we harness the power of techno
Posted 33 days ago | Updated 3 hours ago

Senior Business Analyst / Tester (Lead) LTSS

Gainwell Technologies LLC

•

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 As a Senior Business Analyst / Tester (Lead) LTSS at Gainwell, you can contribute your skills as we harness the power of techno
Posted 33 days ago | Updated 3 hours ago

System Manager (Hybrid in Montgomery, AL)

Gainwell Technologies LLC

•

Montgomery, Alabama, 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 The Systems Manager will lead and oversee system operations, application environments, and service management for a large-scale
Posted 6 days ago | Updated 3 hours ago

Advanced Planning Document (APD) Writer - Remote

VIVA USA INC

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Remote

Contract

Title: Advanced Planning Document (APD) Writer - Remote Mandatory skills: APD, Advanced Planning Documents, Microsoft Project Suite, MS Teams, Zoom, PowerPoint, Medicaid Enterprise System, MES, RFP, RFI, grant, contract, financial proposal, budget, writing, proofreading, editing, Medicaid Eligibility, Medicaid policies, CMS regulations, project management, project collaboration, stakeholder engagement, stakeholder collaboration, business engagement, technical liaising, standard operating proced
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Posted 8 hours ago

Senior Business Analyst / Tester (Lead)- LTSS

Gainwell Technologies LLC

•

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 As a Senior Business Analyst / Tester (Lead)- LTSS at Gainwell, you can contribute your skills as we harness the power of techn
Posted 41 days ago | Updated 3 hours ago

IBM Curam Software Engineer

U.S. Tech Solutions Inc.

•

Columbia, South Carolina, USA

Contract

Job Description: Candidates with significant development experience with design, development, and implementation (DDI) of Curam s HCR and CGIS products is mandatory. Vendors please do not submit candidates without DDI experience in Curam s HCR and CGIS products. The candidate is expected to utilize their knowledge of Curam framework in developing new functionalities and resolve defects. This position will also utilize technical expertise to develop Technical Design Documents (TDS) and develop/u
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Posted 6 days ago

IT Project Manager- CGS Administrators, LLC

BlueCross BlueShield Of South Carolina

•

Nashville, Tennessee, USA

Full-time

Summary Join the Team Powering Medicare Innovation - Project Manager Wanted in Nashville, TN! Are you a dynamic leader with a passion for healthcare and technology? Do you thrive in fast-paced environments where your project management skills make a real impact? If so, CGS Administrators, LLC (CGS) wants YOU on our team! As part of BCBSSC 's Celerian Group of companies, CGS plays a vital role in supporting the health and well-being of over 8.7 million Medicare beneficiaries and 103,000 health
Posted 13 days ago | Updated 3 hours ago

Senior Professional Business Analyst

Gainwell Technologies LLC

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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
Posted 56 days ago | Updated 3 hours ago

Lead Technology Leadership for Human Resource Systems

Humana Inc

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Remote

Full-time

Become a part of our caring community and help us put health first The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity ranging from moderate to substantial. Work on solving complex business and technical problems, have functional knowledge on critical HR systems, manage leadership communication, work with project management
Posted 3 days ago | Updated 7 hours ago

Senior Data Engineer

Humana Inc

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Remote

Full-time

Become a part of our caring community and help us put health first Do you consider yourself a data connoisseur? Does empowering healthcare consumers and patients to feel confident about how their data is stored, shared, and used sound exciting? Do you want to transform the industry by integrating cutting edge technologies into common business processes? Do you crave new challenges and solving hard customer problems? As a Senior Data Engineer at Humana, you will merge the latest state, federal, a
Posted 3 days ago | Updated 7 hours ago

Data Analyst

Apex Systems

•

Okemos, Michigan, USA

Full-time

Job#: 2080953 Job Description: Role: Data Analyst Location: Hybrid - 2 days/week onsite in Greater Lansing, MI area Duration: Long-term contract Job Summary: We are seeking a highly skilled data science/analytics contractor with hands-on experience in SQL, DBT, and Tableau, and a strong understanding of Medicaid and Medicare dental data. This individual will help drive insights, automation, and model development in support of utilization-based scoring, claims optimization, and policy evaluat
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Posted 21 days ago | Updated 19 hours ago

Lead Business Architect

Gainwell Technologies LLC

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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
Posted 54 days ago | Updated 3 hours ago

Lead Business Architect

Gainwell Technologies LLC

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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
Posted 54 days ago | Updated 3 hours ago

Lead Business Architect

Gainwell Technologies LLC

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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
Posted 54 days ago | Updated 3 hours ago

Software Architect

InterSources Inc.

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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
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Posted 34 days ago | Updated 1 hour ago

Systems Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Oklahoma City, Oklahoma, 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 The Systems Manager will lead and oversee system operations, application environments, and service management for a large-scale
Posted 37 days ago | Updated 3 hours ago

Business Analyst MES Modernization

InterSources Inc.

•

Columbia, South Carolina, USA

Contract

Job Title: Business Analyst MES Modernization Location: Columbia, SC (Onsite) Duration: 12+ Months Contract Project Overview: This role is part of the Delivery of Automated Systems for Healthcare (DASH) Program, which manages the MES Modernization effort. The program focuses on reengineering core business functions and integrating modern technologies to support managed care, enhance service delivery, and meet evolving state and federal healthcare mandates. Role Summary: The Business Analyst
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Posted 12 days ago | Updated 1 hour ago

System Integration/Interfaces Manager

Gainwell Technologies LLC

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Little Rock, Arkansas, 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
Posted 60+ days ago | Updated 3 hours ago