regulatory Jobs in charlotte, nc

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Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

SanKar Inc

Remote

Contract

Position: - Sr. Business Analyst (PBM Domain and RxCLAIM experience)Location: - RemoteType: - Contract Job Description Perform comprehensive business analysis including requirement elicitation, stakeholder interviews, and gap analysis.Create detailed Business Process Maps (BPMs) and flow diagrams to visualize current and future-state workflows.Work closely with solution architects, QA teams, developers, and business users to ensure proper interpretation of Business processes.Use SQL to query da

Mirth Engineer

E-Solutions, Inc.

California, USA

Third Party

Job title: Mirth Engineer Location: New York, NY(Remote) mandatory Skills: FHIR, EPIC certification (Mandatory), Azure, HL7 v2/v3, CDA, Mirth Interface Engine, Rest API, OAuth2.0 What is in it for you? As an Mirth Engineer, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - 7+ years of experience in healthcare interface development and integration Extensive hands-on exper

.NET Junior Architect

Neo Prism Solutions, LLC

Remote

Full-time

Job title: Dot Net Full Stack Location:100% Remote Contract Length:6-12 Months with possible extension Description: Front-End Architecture experience and a background in the Accounting domain, including Audit Control and General Ledger (GL) Management Technical Stack Full Stack .NET with Architecture ExposureBackend: Strong hands-on with .NET Core / .NET 6/7, C#, Web API, Entity Framework Experience with Microservices Architecture Knowledge of Dependency Injection, Asynchronous Programming, and

Epic Rehab & LTC Application Analyst I, II, III-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Rehab & LTC roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe

Senior Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana

SAP Group Reporting Program Manager

Shimento, Inc.

Remote

Third Party, Contract

SAP Group Reporting Program Manager Remote, Travel, Carlsbad, CA Duration: - 6- 12 Months About the position The SAP Group Reporting Program Manager will lead the strategic planning and execution of SAP Group Reporting initiatives, ensuring alignment with the organization's financial consolidation, compliance, and reporting needs. This role involves managing a cross-functional team, engaging with stakeholders, overseeing financial oversight, and ensuring compliance with regulatory standards. T

Oracle Payroll Technical Specialist

Georgia IT

Remote

Contract

Job Title: Oracle Payroll Interface SME Location: Remote Job Summary: We are seeking an experienced Oracle Payroll Interface SME to lead and support the implementation, enhancement, and ongoing management of payroll integrations between Oracle Cloud HCM and various third-party payroll providers. The ideal candidate will possess deep functional and technical expertise in Oracle HCM Cloud, with a strong focus on Payroll and Inbound/Outbound integrations. Key Responsibilities: Serve as the Subject

RxCLAIM SME

Data Wave Technologies Inc

US

Contract

Job Title: RxCLAIM SME Location: Remote Duration: Long term Tax Term: W2 Key Technology: RxClaim, PBM Job Responsibilities: Act as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms. Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications. Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy,

SAP - Blueprinting Lead

NexInfo Solutions, Inc.

Remote

Contract

Title: SAP - Blueprinting LeadLocation: Remote Job Description:15+ Years of Experience, Consulting / Tech Consulting expertise, Hands on Blue Printing expertise, LifeScience / Biotech experience. Travel for key milestones / Phases.Lead the SAP blueprinting phase across functional domains (Finance, Supply Chain, Manufacturing, Quality, etc.).Manage engagement scope, deliverables, timelines, and client communications.Drive workshops to gather and validate business, process, and technical requireme

Prior Auth Nurse (RN)

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Prior Auth Nurse (RN). This is a 03+months contract opportunity with long-term potential and is located in Olympia, WA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-80708 Pay Range: $37 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Performs medical necessity and cli

Product Acceptance Engineer - Remote

Stryker

Remote or Mahwah, New Jersey, USA

Full-time

Work Flexibility: Remote Product Acceptance Engineer - Remote Stryker is hiring a Product Acceptance Engineer to act as the primary liaison between Quality Assurance and Operations within the Finished Goods Operations team. In this role, you will provide expert QA and scientific support to help achieve operational goals. You will also be responsible for ensuring sterility compliance of medical devices in accordance with regulatory standards, leading the testing, monitoring, and validation of c

Business Architect

Pentangle Tech Services

Remote

Contract, Third Party

Job Title: Business Architect (Life and Annuity Domain) Location: Oklahoma, USA (Initially 4weeks at client location then REMOTE) Duration: Long term Contract Job Description: Key Responsibilities Enterprise Architecture & Strategy Define and evolve future-state enterprise architecture across business, technology, and integration domains.Translate strategic business goals into enterprise-level architectural plans and domain-specific blueprints.Facilitate the creation of target operating models a

Tosca Engineer

PamTen Inc

Remote

Contract, Third Party

Project descriptionWe are seeking a highly skilled Senior Tricentis Tosca Automation Engineer to lead test automation initiatives using the Tricentis Tosca platform. The ideal candidate will have extensive experience in test automation, a strong understanding of software testing lifecycle, and the ability to work collaboratively with cross-functional teams to ensure high-quality software delivery. Tosca Engineer will join a team of Tosca and Hogan technical consultants to support the automation

Forensics Analyst - FA 0804 DIR#01

Compu-Vision Consulting, Inc.

Remote

Contract, Third Party

Job Title: Forensics Analyst Location: Remote Contract Duration: 6 Months Employment Type: Contract Position Overview: We are seeking a skilled Forensics Analyst to join our remote team on a 6-month contract. The ideal candidate will be responsible for performing comprehensive digital forensic investigations involving system artifacts, memory, file systems, email, malware, and social media forensics. This role plays a crucial part in identifying, analyzing, and documenting cybersecurity incident

Technical Project Manager with Mainframe

MindFore Inc

Remote

Contract

Job Title: Technical Project Manager with Mainframe Location: Austin, TX Remote Job Description: Project Management: Lead the end-to-end management of Mainframe Transformation and Azure-based technical initiatives.Stakeholder Engagement: Facilitate communication between technical teams, business units, and leadership to ensure alignment.Technical Oversight: Understand and manage technical solution roadmaps in Azure, including DevOps CI/CD and software integration strategies. Agile Delivery: App

Mobile Architect-W2

Cyma Systems Inc

Remote

Contract

Position: Mobile Architect Type: Contract W2 100 % remote Key Responsibilities: Lead the end-to-end technical architecture for mobile and frontend systems across POS devices and platforms. Define architecture patterns (MVVM, Redux, Clean Architecture, etc.) and enforce coding standards and best practices. Design and implement offline-first mobile solutions with secure local data storage and sync capabilities. Collaborate with backend architects to integrate APIs, security protocols, and middlewa

Appeals & Grievance (Claim Medicare) Analyst

Digitive LLC

Remote

Contract

Job Title: Claim Processor Location: 100% Remote Contract: 12+ Months Job Description Responsible for reviewing and resolving provider disputes and communicating resolution to provider in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Job Responsibilities: Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from providers and related outside agencies to ensure that internal and/or

Infor M3 CloudSuite Architecture

Nsight

Remote

Contract

We are seeking a highly skilled M3 CloudSuite Architect to lead the design, implementation, and optimization of ERP solutions that support our mission of delivering high-quality firearm parts, gunsmithing tools, and tactical gear to professionals and enthusiasts. This role will be critical in aligning our ERP architecture with the operational needs of a complex, compliance-driven, and customer-focused distribution and manufacturing environment. Looking for an individual with the ability to analy

Fircosoft Developers

TQUAL SOLUTIONS

Remote

Contract

JD for the Fircosoft Developers: Opportunity for a Fircosoft developer in the OFAC compliance space. The candidate will be a significant contributor to a globally diverse team which is responsible for enhancing and maintaining our sanction screening platform. Challenges will include the deployment of a new Fircosoft Continuity V6 platform, back-end rule writing, OFAC screening of real-time financial messages, configuring, testing, and deploying product enhancements, building new utilities and

Senior Technical Program Manager AI/ML, Enterprise Infrastructure & Compliance

Shimento, Inc.

Remote

Contract

Senior Technical Program Manager AI/ML, Enterprise Infrastructure & Compliance Duration Long Term Location: Remote (60 70% Travel Required; Travel Expenses Paid) Industry: Financial Services / Banking Employment Type: Contract Job Summary: Seeking a highly accomplished Senior Technical Program Manager with over 10 years of experience leading enterprise-scale technology initiatives with a strong focus on AI/ML integration, infrastructure development, and regulatory compliance. The ideal candidat