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Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

•

Kansas City, Missouri, 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 Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 21 days ago | Updated 6 hours ago

Senior Project Manager

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 47 days ago | Updated 6 hours ago

EMR Project Manager

Encompass Health

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Birmingham, Alabama, USA

Full-time

ABOUT US Join us on the heart-warming journey with a team that is a top leader in the rehabilitation industry Encompass Health is the leader in inpatient rehabilitation industry, you'll feel the Encompass Health difference as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey. POSITION PURPOSE The EMR (Electronic Medical Records
Posted 5 days ago | Updated 17 hours ago

Facets Configuration Analyst - Hybrid

VIVA USA INC

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Mason, Ohio, USA

Contract

Title: Facets Configuration Analyst - Hybrid Mandatory skills: Facets platform, Medical Plan Benefit Configuration, Provider Network, Provider Agreement Configuration, Medicare, Medicaid, SQL, Database, SQL queries, Business Configuration, Data Analysis, member benefit configuration, surgical, Healthcare claim, benefit configuration, Fit Analysis, Gap Analysis, Feedback Assessments, Facets, claims testing, Informatica, Windows Applications, data validation, documenting requirements, process flo
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Posted 7 days ago

Collection Specialist

Software Guidance & Assistance

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San Leandro, California, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Collection Specialist for a Contract assignment with one of our premier Healthcare clients in San Leandro, CA. Responsibilities : The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital services. Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websi
Posted 6 days ago | Updated 7 hours 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

Salesforce Vlocity Developer

xFusion Technologies

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Hopkins, Minnesota, USA

Contract

Job Requirement: Core Salesforce/Vlocity Responsibilities: 9+ years of hands-on experience with Salesforce.com CRM platform across Sales Cloud, Service Cloud, Health Cloud, Data Cloud, Marketing Cloud, and Commerce Cloud. Expertise in OmniStudio (Vlocity) development, including OmniScripts, FlexCards, Integration Procedures, and DataRaptors. Designed and developed guided application flows for Medicare and retail health plans using OmniStudio tools. Integrated Salesforce with external systems usi
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Posted 14 hours ago | Updated 13 hours ago

Salesforce Vlocity Developer/Admin with DevOps Experience

MASH Pro Tech

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Minnesota City, Minnesota, USA

Contract

Core Salesforce/Vlocity Responsibilities: 9+ years of hands-on experience with Salesforce.com CRM platform across Sales Cloud, Service Cloud, Health Cloud, Data Cloud, Marketing Cloud, and Commerce Cloud. Expertise in OmniStudio (Vlocity) development, including OmniScripts, FlexCards, Integration Procedures, and DataRaptors. Designed and developed guided application flows for Medicare and retail health plans using OmniStudio tools. Integrated Salesforce with external systems using REST/SOAP APIs
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Posted 2 days ago

Clinical SAS Programmer

Katalyst Healthcares and Lifesciences

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Chicago, Illinois, USA

Full-time

Responsibilities: Lead the design, development, and maintenance of the MHN Analytic Platform. Manage, mentor, and ensure technical and analytical development of a team of analysts. Work with teams to operationalize analytic and reporting innovations. Evaluate BI and machine learning solutions. Identify opportunities for process improvement. Requirements: 6 + years of experience using Base SAS, SAS/Macros, and SQL required. Subject matter expert in healthcare data, with 5 + years
Posted 60+ days ago | Updated 10 hours ago

EMR Project Manager

Encompass Health

•

Birmingham, Alabama, USA

Full-time

ABOUT US Join us on the heart-warming journey with a team that is a top leader in the rehabilitation industry Encompass Health is the leader in inpatient rehabilitation industry, you'll feel the Encompass Health difference as soon as you join. We collaborate and provide high-quality, compassionate, individualized care for our patients, allowing us time to get to know them and help them achieve their goals during their rehabilitation journey. POSITION PURPOSE The EMR (Electronic Medical Records
Posted 23 days ago | Updated 17 hours ago

Control-M Application - W2 ONLY

nTech Solutions

•

Reston, Virginia, USA

Contract

Title: Java Developer Location: Hybrid in Reston, VA Candidates should be comfortable working onsite in Reston, VA, up to once per week. Should be comfortable for an in-person Interview Terms of Employment W2 Contract, 6 Months This position is hybrid. Candidates should be comfortable working onsite in Reston, VA up to once per week. Overview & Responsibilities We are seeking a skilled Java Developer with strong experience in healthcare claims processing and modern Java-based technologies. T
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Posted 19 days ago | Updated 12 days ago

Statistical Programming Analyst I - Palmetto GBA

BlueCross BlueShield Of South Carolina

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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
Posted 6 hours ago

Advisor Business Analyst

Gainwell Technologies LLC

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Birmingham, 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 As an Advisor Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our cl
Posted 60+ days ago | Updated 6 hours ago

CMMI Quality Assurance Auditor- CGS Administrators, LLC

BlueCross BlueShield Of South Carolina

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Nashville, Tennessee, USA

Full-time

Summary Working at CGS Administrators CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We are seeking a passionate, collaborative and experienced CMMI Quality Assurance Auditor to join our enterprise project management office team. This is an on-site pos
Posted 23 days ago | Updated 6 hours ago

Audit Project 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 28 days ago | Updated 6 hours ago

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker Healthforce

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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
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Posted 60+ days ago | Updated 14 hours ago

Security Project Manager

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 23 days ago | Updated 6 hours ago

Security Project Manager

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 23 days ago | Updated 6 hours ago

Security Project 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
Posted 23 days ago | Updated 6 hours ago

IT Help Desk Technical Writer

Leidos

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New Windsor, Maryland, USA

Full-time

Leidos has an exciting opportunity for a Technical Writer on the Knowledge team to support our customer. The role supports the End-User Centric IT Support 2 (ECIS 2) contract for the Centers for Medicare and Medicaid Services (CMS). The position is with the ECIS 2 Communications, Knowledge, and Training (CKT) team, based in Windsor Mill, MD (Baltimore). More specifically, the position supports the CMS Enterprise Service Desk by working with their knowledge base of Tier 1 troubleshooting article
Posted 10 hours ago