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Health Claim Examiner

Sureminds Solutions

Remote

Contract, Third Party

Please share Profiles at Hi, Urgent need, Health Claim Examiner Remote Role C2C or W2 Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP

Senior iOS Developer (Core/Native)

LanceSoft Inc.

Remote

Contract

About the Role We re looking for a Senior iOS Developer to join our team and contribute to the ongoing development and modernization of our consumer-facing mobile applications. You ll be part of a high-impact team responsible for performance, stability, security, and code modernization of one of the most widely used iOS applications globally. If you have a strong background in native iOS development and have launched high-download apps to the App Store, we want to hear from you! Key Responsibili

SCADA and Automation Engineer (10+ Years)

POWER Engineers, Inc

Remote or Ann Arbor, Michigan, USA

Full-time

SCADA and Automation Engineer (10 years) POWER Engineers, Member of WSP, is seeking a 10 year SCADA and Automation Engineer to join our SCADA and Analytical Services (SAS) team in our Ann Arbor office. This position offers the ability to work remotely from a mutually acceptable location (please note in the application questions where you prefer to be located). Roles and Responsibilities The successful candidate will be responsible for successful completion of assigned projects and for maintai

Change Order Writer / Specialist

Kforce Technology Staffing

Remote or Fremont, California, USA

Third Party, Contract

RESPONSIBILITIES: Kforce's client is looking for a Change Order Writer/Specialist in Fremont, CA. The Change Order Writer/Specialist will be responsible for engineering change control process as part of PLM. Beyond generating and processing Change Orders, duties will include data mining, POC for change related escalations, managing trackers, inter department reports and CIP activities in a high pace environment. Responsibilities: * Generates and manages Change Orders (CO) thru closure * Perfor

Salesforce Developer

4 Consulting Inc

Remote or Tacoma, Washington, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

GIS Tech Lead

Eliassen Group

Anywhere, US

Contract

Description: We're looking for two seasoned GIS Technical Leads to join a long-term utility project supporting iGrid initiatives. Both roles require ESRI Utility Network experience but differ slightly in focus: Role 1: GIS Tech Lead - Product-Facing Strong technical background (Python/JavaScript, ESRI stack) Experienced working with cross-functional teams No FME required Strong in business/product interactions Role 2: GIS Tech Lead - Data-Focused Strong GIS data engineering expertise FM

Safe Agile Certified Scrum Master

4 Consulting Inc

Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

Splunk Engineer

4 Consulting Inc

Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

SENIOR BA (POWER BI IS A PLUS,SQL IS REQUIRED

3Core Systems, Inc

Remote

Contract

3Core Systems, Inc is an SAP and Success Factors Partner with employees located across the United States. Our organization is dedicated to customer and employee satisfaction. We provide High Quality, Cost efficient and Competitive Solutions and Resources. 3Core Systems is looking for SENIOR BA (POWER BI IS A PLUS, SQL IS REQUIRED for one of our clients in REMOTE ROLE: SENIOR BA (POWER BI IS A PLUS, SQL IS REQUIRED LOCATION: REMOTE DURATION: 6+ MONTHS CONTRACT TO HIRE FINANCIAL RECENT AND STRONG

SAS Programmer / SAS Developer

Spar Information Systems

US

Contract

Role: SAS Developer Location: Sacramento, CA / Remote Duration: 24+ Months (Multiyear project) Job Description: Key Skills: SAS, COBOL and any Business Intelligence tool Five (5) years' experience front-end data warehouse or similar processing which includes extracting data for large files from various sources. cleansing data. and preparing the data for loading into a data warehouse. Five (5) years' experience as an analyst-programmer performing various system development life cycle functions

Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

Remote

Full-time

Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP Validation of information entered by indexer Verify coverage; evaluate eligibility

Systems Manager (Remote in US)

Gainwell Technologies LLC

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

PBM Project Manager

York Solutions, LLC

Remote or Minnesota, USA

Contract

Position Overview: These Sr PMs will support new client implementations. Must have strong PM skills (normal PM ask for managing scope, schedule, budget + RAID, stakeholder, communication, status, financial management through the project lifecycles). Project Overview: New Client Implementations Skills: Experience working with org change management will be helpful as one of the projects will impact a very large team and they will need active communication, training, buy-in, etc. Must be able to

Application Developer - Program Monitoring Support Tasks (Remote)

S2Tech

Remote

Full-time

Application Developer - Program Monitoring Support Tasks 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-

Principal Architect

HeartCentrix Solutions

Remote

Contract

Responsibilities Provide architectural oversight and technical leadership across Exchange, Copilot, Power Platform, and SharePoint platforms. Develop and implement strategic roadmaps to optimize integration and performance aligned with business goals. Design scalable, secure, and efficient enterprise solutions within the Microsoft Modern Work ecosystem. Act as the subject matter expert for Exchange, Microsoft 365 Copilot, Power Platform (Power Apps, Power Automate), and SharePoint. Collaborate w

UAT Automation Engineer IV

Centene Corporation

St. Louis, Missouri, 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: Leads and designs and development complex test cases and automated scripts, referencing acceptance criteria and business requirements. Executes these tests and coordinates with end users for f

Cloud Engineer - Virtualization and Image Focused - AVP

Citi

Remote or Irving, Texas, USA

Full-time

The Virtualization and Image-Focused Engineer is an intermediate level position responsible for a variety of engineering activities including the design, acquisition and development of hardware, software and network infrastructure in coordination with the Technology team. The overall objective of this role is to ensure quality standards are being met within existing and planned frameworks. Responsibilities: Contribute to the budgetary requirement definition for assigned product area, develop fu

Analytics Specialist SQL

4 Consulting Inc

Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

Application Developer

4 Consulting Inc

Remote or Chicago, Illinois, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

Business Systems Analyst

Kforce Technology Staffing

Maryland Heights, Missouri, USA

Contract

RESPONSIBILITIES: Kforce has a client in Maryland Heights, MO that is seeking a Business Systems Analyst. Job Summary: We are seeking a proactive and technically fluent Business Systems Analyst to join our Fortune 500 client's IT Ordering team. The selected candidate will work cross-functionally with Program and Project Managers to support reporting, documentation, dashboarding, and project coordination efforts. This individual will also partner closely with senior leadership to relieve bandwi