regulatory Jobs in raleigh, nc

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

SanKar Inc

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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
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Posted 11 days ago | Updated 1 day ago

SAP QM Consultant with Aerospace & Defense Domain Experience (VISA INDEPENDENT CANDIDATES ONLY)

SumasEdge Corporation

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Remote

Third Party, Contract

Job Summary: The SAP QM Solution Specialist will drive implementation of Quality Management processes to engender compliance with Aerospace Industry standards. MUST HAVES: A&D / Discrete Manufacturing experienceExperience as a Value Stream Lead involving a US deployment of an SAP S/4HANA global design with localization in US geographyA minimum of eight (8) years prior professional consulting or equivalent business process industry experienceAt least eight (8) years of hands-on systems configurat
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Posted 6 days ago | Updated moments ago

Compliance Communication Specialist (pharmacy)

TalTeam

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Remote

Contract

This role ensures that all external and member-facing pharmacy materials meet compliance standards. Responsibilities include: - Monitor updates to federal and state regulations (e.g., CMS, URAC, state mandates) and ensure pharmacy content remains current. - Review and approve all pharmacy-related communications for compliance, accuracy, and timeliness. - Coordinate with legal, regulatory, and compliance teams to validate communication strategies and mitigate risk. - Maintain documentation and ve
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Posted 1 day ago | Updated 1 day ago

Data Governance Foundation Lead Analyst, Vice President, New York

Citi

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Remote or New York, New York, USA

Full-time

This is a hybrid role within the Credit & Price Risk Execution Volcker Rule Office (VRO) covering a variety of front office support and data governance responsibilities. The Data Governance Foundation Lead Analyst will be responsible for interfacing with Trading, Business Unit Managers, Operations and Product Legal representatives as well as contributing to the directional strategy and assisting in creation and modification of Enterprise Data Governance Strategy, and/or Data Risk and Control Fra
Posted 45 days ago | Updated 6 hours ago

Microsoft 365 Administrator with Purview and Copilot

Hexaware Technologies, Inc

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Remote

Full-time

Position: Microsoft 365 Administrator with Purview and Copilot Location: Chicago, IL (Remote) Hiring: Contract / Fulltime Mandatory Skills: Purview and Copilot Job Summary: We are seeking a skilled Microsoft 365 (M365) Administrator with specialized expertise in Microsoft Purview to oversee and manage our organization's Microsoft 365 ecosystem. The candidate will play a crucial role in ensuring the security, compliance, and governance of our data using the tools provided by Microsoft Purview, al
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Posted 7 days ago

Clinical Data manager

Intone Networks Inc.

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Remote

Third Party, Contract

Need stronger with working on Data Acquisition, DTAs and vendor relations. Responsibilities: Support the planning, setup, and acquisition of external clinical data at the study level, assisting in managing study start-up, conduct, and closeout activities.Assist in creating external data transfer agreements, ensuring alignment with Takeda Standards and specifications to support data integration, analysis, and reporting.Provide support in setting up infrastructure for external data to flow into T
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Posted 25 days ago | Updated 20 days ago

Oracle APEX developer 3

Rapisource LLC

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Remote or Austin, Texas, USA

Contract, Third Party

Solicitation Reference Number: 2503 Direct Client: Office of Consumer Credit Commissioner Working Title: Oracle APEX developer 3 Work Location: Austin, Tx - 2601 N. Lamar Blvd.. The working position is Telework. JD: The Office of Consumer Credit Commissioner (O) requires an Oracle APEX developer ( Developer or Successful Respondent ) to design and develop additional features in an APEX application for future regulatory needs. The Developer is responsible for upgrading a custom APEX application
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Posted 20 hours ago | Updated 2 hours ago

Oracle Payroll Technical Specialist

Georgia IT

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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
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Posted 13 days ago | Updated 13 days ago

Mirth Engineer

E-Solutions, Inc.

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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
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Posted 8 days ago | Updated moments ago

Workday Security Consultant

Sansar Tec

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Remote

Full-time

Position: Workday Security ConsultantLocation: Remote Description: Workday Security Consultant will be focused on optimal security design and configuration of the Workday Finance ERP and Workday HRIS platforms. They will be responsible for designing, implementing, and maintaining a secure Workday environment, ensuring compliance with organizational policies and regulatory requirements.Key Responsibilities:Designing and Implementing Security Frameworks: Defining and implementing security models
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Posted 28 days ago | Updated 28 days ago

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Required Experience: Communications and Training 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-re
Posted 26 days ago | Updated 18 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

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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
Posted 10 days ago | Updated 6 hours ago

Oracle APEX Developer

Bansar Technologies Inc.

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Remote

Contract, Third Party

DirectClient: Office of Consumer Credit Commissioner(O) Solicitation Number: 2503 Title: Oracle APEX Developer Location: 2601 N Lamar Blvd, Austin, TX 78705 Duration: Until 8/31/2026 with possible extension Last date for submission: August 26, 2025 (2.00 PM-CST) Work type: Part-time Contract Important Note: The working position is Telework. DESCRIPTION OF SERVICES: The Office of Consumer Credit Commissioner (O) requires an Oracle APEX developer ( Developer or Successful Respondent ) to design
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Posted 2 hours ago

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

PIH Health

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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
Posted 2 days ago | Updated moments ago

Transmission & Interconnection Project Manager

R Cube Creative Consulting Inc

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Remote

Full-time

Transmission & Interconnection Project Manager Location: Remote (U.S. West Region focus) Department: Transmission & Interconnection Employment Type: Full-time About the RoleWe are seeking an experienced Transmission and Interconnection Project Manager to lead and support interconnection and transmission activities for large-scale renewable energy projects, with a strong focus on LGIA implementation during the engineering, procurement, and construction (EPC) phase. The ideal candidate will have a
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Posted 2 days ago

Prior Auth Nurse (RN)

Pyramid Consulting, Inc.

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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
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Posted 8 days ago

Oracle APEX Developer - 2503 - REMOTE - State of TX (Direct Client)

MeganSoft

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Remote

Contract, Third Party

Title: Oracle APEX Developer - 2503 Location: Austin TX (REMOTE) Duration: 3+ months Project MOI: MS Teams Direct Client: State of MI Note: **Three Professional reference with there contact details is mandatory **Passport Number mandatory** Mandatory Certifications: Oracle APEX Developer Certified Expert Oracle PL/SQL Developer Certified Associate I. DESCRIPTION OF SERVICES The Office of Consumer Credit Commissioner (O) requires an Oracle APEX developer ( Developer or Successful Respondent ) t
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Posted 1 hour ago

RxCLAIM SME

Data Wave Technologies Inc

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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,
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Posted 2 days ago | Updated 5 hours ago

Senior Organizational Change Manager

Randstad Digital

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Remote or New Jersey, USA

Contract

job summary: Join an organization that has made tremendous investments in Change Management across its enterprise where you will be supported by robust methods, practice &, tools. Role expectation will include developing and executing the change strategy to support the processes, tools and techniques in managing the people side of the change in order to achieve the required business objectives and outcomes of the Project or Program and accountable for the interlock of people change for the proj
Posted moments ago

Python Architect

Everest Technologies

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Remote

Contract, Third Party

Job Summary: This role will be joining a large retail project development team to move and ingest data as needed. This role will be building Python services within a distributed highly available system, leveraging and possibly updating CI/CD pipelines and incorporating automated testing using Pytest. This includes crafting the logic that solves data problems that come up when dealing with disparate systems, like data ingress, quality, governance, and transformation. Key Responsibilities: Develo
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Posted 2 days ago