project manager Jobs in boston,, ma

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Grievance & Appeals Nurse Specialist

CalOptima

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Remote

Full-time

Grievance & Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards
Posted 29 days ago

Claims Examiner

CalOptima

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Remote

Full-time

Claims Examiner CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication. Position Information: Department: Claims Administration Salary Grade: C -
Posted 29 days ago

Dynamics 365 Technical Architect

Navigant Consulting

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Remote

Full-time

Job Family : SAAS/PAAS/Cloud Consulting Travel Required : Up to 10% Clearance Required : None What You Will Do : Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system. As an Architect, you will work with the technical team to design and deliver the case management solution within a given time, identify risks and mitigate the risk during the design phase. You will be responsible for high-quality projects. You will work with the c
Posted 20 days ago | Updated 2 hours ago

SAP AD Presales Architect

HCL America Inc.

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Remote

Full-time

As a part of the North America SAP Solutions team, you will work closely with the brightest and most knowledgeable SAP experts of HCL, supported by a dedicated senior offshore team, helping our target clients become stronger leaders in their markets and industries, through business value delivered via transformation to a modern ERP Business Platform centered around SAP S/4HANA as the Digital Core. Organization You will report to our Head of SAP Solutions North America. What you can expect from u
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Posted 60+ days ago | Updated 23 days ago

QI Nurse Specialist, Potential Quality Issue (PQI) (RN)

CalOptima

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Remote

Full-time

QI Nurse Specialist, Potential Quality Issue (PQI) (RN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist, Potential Quality Issue (PQI) (RN) to join our team. The QI Nurse Specialist, Potential Quality Issue (PQI) is responsible for participating in handling the organization's quality of care grievance review process including investigation of all quality reviews for potential quality of care concerns. The incumbent will be involved with the collection
Posted 29 days ago

SAP 4/HANA Hi Tech Semi-Conductor

HCL America Inc.

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Remote

Full-time

HCLTech is looking for a highly talented and self- motivated SAP 4/HANA Hi Tech Semi-Conductor to join it in advancing the technological world through innovation and creativity. Job Title: SAP 4/HANA Hi Tech Semi-Conductor Position Type: Remote Location: Texas, USA Role/Responsibilities You will focus on and lead presales activities around Digital Core with SAP S/4HANA.You will provide strategic advice to senior stakeholders of HCL s clients, helping them.drive business value from transformation
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Posted 60+ days ago | Updated 23 days ago

Kronos Techno-Functional Analyst

Amzur Technologies, Inc.

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Remote

Contract

MUST HAVE Strong functional knowledge of Kronos modules including: Workforce Dimensions Workforce Dimensions Timekeeping Workforce Dimensions Accruals Workforce Dimensions Absence Workforce Dimensions Analytics CRT s Reporting Kronos Integration Dell Boomi Workforce Dimensions Integration Platform Overview The Kronos Techno-Functional Analyst is responsible for ensuring technology solutions address business requirements and achieve the identified business outcomes. This position primarily des
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Posted 48 days ago | Updated 9 days ago

Staff Inbound Product Manager - User Experience Platform

ServiceNow, Inc.

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Remote or San Diego, California, USA

Full-time

Company Description At ServiceNow, our technology makes the world work for everyone, and our people make it possible. We move fast because the world can't wait, and we innovate in ways no one else can for our customers and communities. By joining ServiceNow, you are part of an ambitious team of change makers who have a restless curiosity and a drive for ingenuity. We know that your best work happens when you live your best life and share your unique talents, so we do everything we can to make t
Posted 7 days ago | Updated 1 hour ago

Staff Inbound Product Manager - User Experience Platform

ServiceNow, Inc.

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Remote or San Diego, California, USA

Full-time

Company Description At ServiceNow, our technology makes the world work for everyone, and our people make it possible. We move fast because the world can't wait, and we innovate in ways no one else can for our customers and communities. By joining ServiceNow, you are part of an ambitious team of change makers who have a restless curiosity and a drive for ingenuity. We know that your best work happens when you live your best life and share your unique talents, so we do everything we can to make t
Posted 7 days ago | Updated 1 hour ago

Community Relations Specialist (Bilingual in Vietnamese)

CalOptima

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Remote

Full-time

Community Relations Specialist (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Community Relations Specialist (Bilingual in Vietnamese) to join our team. The Community Relations Specialist will function as a representative for CalOptima Health in the community and to community-based organizations. The incumbent will plan and coordinate community outreach activities, including quarterly networking forums, community town hall meetings, stakeholder
Posted 29 days ago

Care Manager (Transitional Care Services)

CalOptima

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Remote

Full-time

Care Manager (Transitional Care Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services) to join our team. The Care Manager of Transitional Care Services (TCS) will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for members who have recently discharged from the hospital or emergency department (ED).
Posted 29 days ago

Personal Care Coordinator (HRA Outreach) (Bilingual)

CalOptima

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Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual) 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 will identify barriers to mem
Posted 16 days ago

Team Coordinator - Business Systems Integration - Remote

Sentara

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Remote or Norfolk, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health Plan is hiring for a Team Coordinator - Business Systems Integration. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following s
Posted 18 days ago | Updated 2 hours ago

Director Application Development & Support (Remote)

First Citizens Bank

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Remote or Phoenix, Arizona, USA

Full-time

Overview This position drives the development of cost-effective applications that address business needs while aligning with the Bank's long-term technology goals. Determines the needs of assigned business areas through partnership and strategic collaboration. Translates needs into functional projects and technological solutions. Oversees projects to produce effective results and to maximize the return on investment. Manages an annual budget, including forecasting, and develops a strong associa
Posted 15 days ago | Updated 2 hours ago

MOM Engineer

Sensiple Inc.

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Remote

Contract

Sensiple Inc., service offerings include contingent Staff Augmentation of IT professionals, Permanent Recruiting and Temp-to-Hire. In addition, our industry expertise and knowledge within financial services, Insurance, Telecom, Manufacturing, Technology, Media, and Entertainment, Pharmaceutical, Health Care and service industries ensures our services are customized to meet specific needs. For more details, please visit our website: We have been retained for providing recruiting assistance, for
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Posted 48 days ago | Updated 3 days ago

Care Manager

CalOptima

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Remote

Full-time

Care Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager to join our team. The Care Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member
Posted 29 days ago

Care Manager (Transitional Care Services) (Whole Child Model)

CalOptima

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Remote

Full-time

Care Manager (Transitional Care Services) (Whole Child Model) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services) (Whole Child Model) to join our team. The Care Manager for Transitional Care Services (TCS) Whole Child Model (WCM) will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for pediatric and young
Posted 29 days ago

Construction Management Estimator V, Cost Estimating (Remote In Any KP Region)

Kaiser Permanente

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Remote or Highlands Ranch, Colorado, USA

Full-time

Description: Salary Range: $60.58/hour - $71.25/hour Job Summary: In addition to the responsibilities listed below, this position is responsible for planning for the effective development and implementation of a full range of professional estimating/cost engineering and project control duties of diverse and complex scope; exercising independent judgment and discretion to develop and prepare conceptual construction cost and budget estimates for all phases of construction; providing expert prof
Posted 16 days ago | Updated 1 hour ago

Dynamics 365 CRM Technical Architect

Navigant Consulting

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Remote

Full-time

Job Family : SAAS/PAAS/Cloud Consulting Travel Required : Up to 10% Clearance Required : Ability to Obtain Secret What You Will Do : Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system. As an Architect, you will work with the technical team to design and deliver the case management solution within a given time, identify risks and mitigate the risk during the design phase. You will be responsible for high-quality projects. You
Posted 24 days ago | Updated 2 hours ago

Business Analyst/Consultant - Remote

VIVA USA INC

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Remote

Contract

Title: Business Analyst/Consultant - Remote Description: The client is looking for a Business Systems Analyst with reporting and data warehouse requirements development experience and source to target mapping. This individual MUST also be able to write SQL. Business/Systems Analyst We have an immediate opening for a Business/Systems Analyst to participate in our Data Management Program. Data is one of our most valuable assets and we strive to become a more data-literate and data-driven organiza
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Posted 1 day ago