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Program Manager

Meridian Group International, Inc

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Remote

Full-time

JOB TITLE: Program Manager REPORTS TO: Vice President of Project Business Management LOCATION: Remote DATE: May 2024 For 40+ years, Meridian IT has been helping medium and enterprise businesses solve their complex technical IT problems. Through a unique strategic perspective, deep expertise, and a personalized proactive approach, Meridian IT is the top IT solutions provider in the industry. Offering best-in-class cloud, hybrid, and on-premises data storage solutions, backup and recovery solution
Posted 21 days ago | Updated 16 days ago

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care team. The incumbent w
Posted 23 days ago

Care Manager (Transitional Care Services Maternal Health)

CalOptima

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Remote

Full-time

Care Manager (Transitional Care Services Maternal Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services Maternal Health) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Care Manager for Transitional Care Services (TCS) Maternal Health will facilitate communication and coordination among all participant
Posted 24 days ago

Supervisor, Behavioral Health (Utilization Management)

CalOptima

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Remote

Full-time

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
Posted 11 days ago

Business Analyst - Unemployment Insurance

Geographic Solutions, Inc.

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Remote

Full-time

Job Summary: This role will formulate and define system scopes and objectives based on both user needs and a thorough understanding of business systems and industry requirements. Note: All new hires will travel to GSI s headquarters in Palm Harbor, Florida for a week of new hire orientation. Qualifications Summary: The ideal Business Analyst will possess Unemployment Insurance experience. Prior BA experience is desired, however, a qualified candidate has experience in Unemployment Insurance pro
Posted 60+ days ago | Updated 12 days ago

IT Project Manager

PMO Partners, LLC

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Remote

Contract

The PM shall provide project management services to the client in support of project initiation, planning, execution, monitor and control, and closing activities for multiple projects. This includes activities to mature and support the client in its adoption of practices, processes, and tools related to agile project management, portfolio management, system development, agile development, and governance. The Project Manager (PM) will provide agile & waterfall project management services for all
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Posted 24 days ago

Clinical Auditor, Sr.

CalOptima

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Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring
Posted 21 days ago

Program Specialist, Int. (Pharmacy Management)

CalOptima

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Remote

Full-time

Program Specialist, Int. (Pharmacy Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist, Int. to join our team. The Pharmacy Program Specialist Int will handle complex assignments and issues, overseeing and coordinating departmental operations and serving as a reference to other pharmacy employees and as a representative of the Pharmacy Management department within CalOptima Health and with other agencies. Under general supervision, the incumbent
Posted 1 day ago

CSV Analyst

NTT DATA Americas, Inc

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Remote or Coffeyville, Kansas, USA

Contract

About NTT DATANTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and s
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Posted 10 days ago | Updated moments ago

Project Manager - Unemployment Insurance

Geographic Solutions, Inc.

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Remote or Palm Harbor, Florida, USA

Full-time

Job Summary: Responsible for the Software Development life cycle using the GRID methodology specifically designed for the Geographic Solutions. The ideal candidate will be accountable for leading and managing the implementation of workforce development and/or software solutions for state and regional clients. Responsibilities will also include managing workforce development and/or Unemployment Compensation software products for Virtual One Stop clients in order to assess client needs, meet and e
Posted 60+ days ago | Updated 12 days ago

Claims Recovery Specialist

CalOptima

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Remote

Full-time

Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati
Posted 24 days ago

QI Nurse Specialist (LVN)

CalOptima

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Remote

Full-time

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
Posted 21 days ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist 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 a
Posted 24 days ago

Business Analyst - Vocational Rehabilitation

Geographic Solutions, Inc.

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Remote

Full-time

Job Summary: This role will formulate and define system scopes and objectives based on both user needs and a thorough understanding of business systems and industry requirements. NOTE: All new hires must attend new hire orientation on site at our company headquarters in Palm Harbor, FL for 1 week. Work Experience / Knowledge: The ideal Business Analyst will either possess Vocational Rehabilitation (VR) experience, with emphasis on Employment and Training programs provided to disabled individua
Posted 60+ days ago | Updated 12 days ago

Data Analyst, Sr. (HEDIS)

CalOptima

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Remote

Full-time

Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,
Posted 24 days ago

Claims Processor/ Examiner

SmartIMS Inc.

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Remote

Contract

Claims Processor / Examiner Remote You will be processing both simple and complex corrections that will require research to determine next steps for correction. What youll be doing You will review, research and process simple and increasing complex corrections for the retirement plan and retirement plan participants. You will obtain needed information by communicating effectively with internal/external stakeholders while maintain a professional demeanor in all interactions. You will identify, re
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Posted 60+ days ago | Updated 6 days ago

Senior Deployment Specialist

AEG - Application Engineering Group

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No location provided

Contract

The IT Delivery Services team is responsible for deploying technology and solutions globally. This includes installation and configuration of wired and wireless LAN-connected devices, network communications equipment, and software and peripherals for all brands and all locations. We interface with the business, IT, and external service providers to ensure we deliver seamless technology deployment services. As Deployment Specialist Sr, you will be responsible for planning, coordinating, deployin
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Posted 60+ days ago

Media Technician

iSpace, Inc

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Remote

Contract

JOB DETAILS: Title: Media Technician Location: Remote Work (client is based out in Phoenix, AZ and Los Angeles, CA) Type: 12+ Months Contract (Long term - Extendable) Job Description: General Summary Clients Enterprise Media Services (EMS) department is responsible for ingestion, transformation, distribution of media for linear and non-linear broadcast workflows for all networks wholly or partially owned by client.EMS is a 24/7 mission critical operation which supports several business units
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Posted 60+ days ago | Updated 2 hours ago

Sr. JIVA Configurator required for a long term remote project

Svam International, Inc.

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Remote

Contract, Third Party

We are trying to source Sr. Jiva Configurator for our direct client for a Long Term Remote project. We need a Sr. Enterprise Configuration Analyst will be responsible for the design, configuration, testing, and maintenance of the Jiva Care Management System, KHS chosen platform for healthcare management and workflow automation. The successful candidate will work closely with various stakeholders to understand business requirements and translate them into Jiva configurations (through Clicbank) t
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Posted 60+ days ago | Updated 16 days ago

Guidewire Digital Business Analyst- Remote

Andre Global Inc

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Remote

Full-time

Andr Global Inc. is a global provider of information technology services. Since 2002, we have helped our clients in the APAC region achieve their business goals by leveraging the power of technology. In 2016, we entered the AMERICAS to re-create similar success here as well. Headquartered in New York City, we are now serving our global clients. We strive to deliver customer satisfaction through our service quality to all our clients! Our global and diverse team helps our customers achieve t
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Posted 60+ days ago | Updated 1 day ago