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Claims Examiner - Workers Compensation

TAJ Technologies, Inc.

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Remote

Contract

Its a remote position. Mandatory: Work comp claims handling experience is needed; loss time. Minimum 6+years of relevant WC experience required. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation
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Posted 15 days ago | Updated 15 days 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 4 days ago | Updated 11 hours ago

Operations Manager, Project Management - Remote / Telecommute

Cynet Systems

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Remote

Contract

Job Description: Pay Range: $57.06hr - $62.06hr Responsibilities: Lead and coordinate operational projects, ensuring milestones, deliverables, and timelines are achieved. Organize and synthesize survey feedback, extracting actionable insights to drive operational and customer-focused improvements. XXgn, implement, and optimize workflows and business processes. Maintain clear communication and seamless collaboration between Account Candidateagers, Business Operations, Analytics, and other cross-f
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Posted 22 hours ago

Technical Engineering Manager - GenAI - Remote / Telecommute

Cynet Systems

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Remote

Contract

Job Description: Join a groundbreaking Generative AI team focused on transforming the insurance industry through innovative artificial intelligence solutions. As the Technical Engineering Candidateager, candidates will lead a talented global team of engineers, driving the development of scalable, cloud-native applications across the full Software Development Lifecycle (SDLC). This role provides the opportunity to contribute meaningfully to cutting-edge AI initiatives at the core of AIG's future
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Posted 1 day ago

IT Business Systems Analyst Expert

3i People, Inc.

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Remote

Full-time, Third Party

We have a position for a IT Business Systems Analyst Expert with one of our clients in Remote for an initial contract duration of 2 years. s and all those authorized to work in the US are encouraged to apply. Client is seeking a skilled Expert Business Analyst to lead the implementation and ongoing support of a Contract Compliance Tracking System. This role is central to ensuring compliance with federal and state Medicaid managed care oversight requirements through effective system design, stake
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Posted 6 days ago

GainSight Consultant / Architect

Dawar Consulting

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Remote

Contract

Our client, a global leader in providing governance, risk, and compliance (GRC) solutions, is looking for a GainSight Consultant / Architect (100% remote). Job Duration: 6+ months (possibility of further extension) Job Summary: In this role, the consultant will focus on improving product usage tracking, creating customer health scores, and supporting various administrative tasks in Gainsight. This position is vital for building and optimizing automated customer health scoring systems, integratin
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Posted 30 days ago | Updated 30 days 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 7 days ago | Updated 7 days ago

SAP PMMO Consultant-s or !

Care IT Services Inc

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Remote

Contract

Job Title: SAP PMMO Consultant Location: Remote Duration: 6-12 Months Important: Job Description: As an SAP PMMO (GPD experience as a minimum if no PMMO) resource, you will play a pivotal role in optimizing AD project-based manufacturing processes within the S4 SAP ecosystem. Your expertise will contribute to efficient material requirements planning (MRP), project systems, logistics optimization, and streamlined project execution. Requirements: Knowledge of Work Breakdown Structure (WBS) and A
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Posted 6 hours ago

SAP Business Data Migration Lead S/4HANA Program - Remote

I3GlobalTech, Inc.

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Remote

Full-time

Job Description: The Business Data Migration Lead will be responsible for driving business-side data migration activities as part of the S/4HANA transformation program for a leading Asset Under Management (AUM) client. This role serves as the key liaison between the business, IT, and data migration teams to ensure the successful identification, cleansing, transformation, and validation of data aligned with the future state operating and reporting model. The lead will work across functions to sup
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Posted 20 days ago | Updated 20 days ago

SAP PMMO Consultant

Tek Inspirations LLC

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Remote

Third Party, Contract

Job Description - Title: SAP PMMO Consultant Location: Remote Role Overview: As an SAP PMMO (GPD experience as a minimum if no PMMO) resource, you will play a pivotal role in optimizing AD project-based manufacturing processes within the S4 SAP ecosystem. Your expertise will contribute to efficient material requirements planning (MRP), project systems, logistics optimization, and streamlined project execution. Requirements: Knowledge of Work Breakdown Structure (WBS) and Assembly Processing Co
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Posted 1 day ago

Research Analyst

SmartIMS Inc.

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Remote

Full-time

Research Analyst Remote General Purpose: To accurately process all requests for new Agreements or Amendments to selling agreements based upon the established workflows and processes and within our established service delivery timeframes. Job Competencies or Expectations: Communication Dependability Job Knowledge Productivity Quality Resiliency Critical Thinking Responsibilities: *Responsible for supporting retirement and insurance product distribution channels through the coordination of Sellin
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Posted 5 hours ago

Expert Business Analyst Medicaid Contract Compliance System (100% Remote work)

COOLSOFT

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Remote

Full-time

Now Hiring: Expert Business Analyst Medicaid Contract Compliance System Work Mode: 100% Remote Duration: 24+ Months (Long-Term Contract) Role OverviewA state health and human services agency is seeking an experienced Business Analyst to lead the implementation and support of a Contract Compliance Tracking System for Medicaid Managed Care programs. This system plays a critical role in meeting federal and state oversight requirements and enhancing accountability through dashboards, workflows, a
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Posted 7 days ago

Windchill Consultant

Teknikoz

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Sunnyvale, California, USA

Contract, Third Party

PTC Arena Consultant Job Description:We are seeking a skilled and proactive PTC Arena Consultant with a minimum of 3 years of hands-on experience in Arena PLM/QMS systems. The ideal candidate will play a key role in supporting, configuring, and enhancing Arena PLM to meet our product development and compliance needs. You will collaborate with cross-functional teams including Engineering, Quality, Regulatory, and Manufacturing to ensure smooth implementation and ongoing optimization of Arena s
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Posted 21 days ago

PROVIDER NETWORK CONTRACTING REPRESENTATIVE

TalTeam

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Remote or Baltimore, Maryland, USA

Contract

Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives. Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid, Commercial and DSNP contracts. Assists functional teams daily to ensure all requests are handled in a timely and customer focused, professional manner. ESSENTIAL FUNCTIONS: 35% Manage Contracting email boxes. Work
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Posted 44 days ago | Updated 2 days ago

ForgeRock Support Engineer

CiraInfoTech

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Remote

Contract

Hi, We have an immediate opening for our client .Please let me know if you will be interested in the below opening. Position : ForgeRock Support Engineer location : Plano, TX (Remote) Duration : 12 Months contract Note : Occasional evening and weekend work may be required as job duties demand. Job Responsibilities: Responsible for supporting the operational stability, integration, and strategic development of IAM solutions. Manage incident resolution, lead architecture and roadmap planning, and
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Posted 7 days ago

Senior ServiceNow Developer

Biztec Global LLC

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San Jose, California, USA

Contract

Position: Senior ServiceNow Developer Location: San Jose, CA Job Description: We are seeking a skilled Senior ServiceNow Developer to join our team in San Jose, CA. The ideal candidate will be responsible for developing, configuring, and maintaining various modules within the ServiceNow platform, including custom applications and workflows. This role requires a mix of technical expertise, problem-solving ability, and collaboration with stakeholders to deliver scalable solutions. Key Responsibili
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Posted 9 days ago

Confluent Cloud Kafka Developer

MANDO TECHNOLOGIES INC

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Remote

Full-time, Contract

At Mando Technologies, we specialize in helping organizations unlock the full value of their data. From acquiring and organizing information to analyzing and delivering insights and ultimately integrating that intelligence into day-to-day operations we support the entire Business Intelligence journey from start to finish.Confluent Cloud Kafka DeveloperLocation: RemoteType: 6M Contract Summary: Client is seeking a seasoned Confluent Cloud Kafka Developer to lead the design and implementation of r
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Posted 2 days ago | Updated moments ago

IT Project Manager

Spotline

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Alameda, California, USA

Part-time

Position: IT Project Manager Location: Alameda, CA (hybrid) Position type: Part time (20 hrs a week, 2-3 days onsite/week) Job description: Leads cross-functional project teams and works with business process owners to determine and translate business requirements into technology solutions. This includes responsibility for planning, directing and coordinating projects from initiation through to implementation.Accountable for the delivery of the Contract Management solution including processes,
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Posted 8 days ago

SAP OTC Business Systems Analyst EDI Returns Automation

DynPro Inc.

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Santa Clara, California, USA

Contract, Third Party

Job Overview: We are seeking a seasoned SAP OTC Business Systems Analyst to lead the design, configuration, and implementation of automated Return Material Authorization (RMA) processes with a focus on EDI integration. The ideal candidate will bring deep expertise in SAP SD configuration, strong experience in EDI (IDoc/X12/EDIFACT), and a track record of delivering large-scale order-to-cash (OTC) transformations in complex environments. Key Responsibilities: Gather and document detailed business
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Posted 2 days ago

Network Reliability Engineer - Network Engineering

APN Software Services, Inc

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Santa Clara, California, USA

Contract

Job Title - Network Reliability Engineer Location - Santa Clara CA Length - Contract (12 Months+) Network Reliability Engineer (NRE) is primarily focused on applying an engineering approach to measure and automate a network's reliability to align with Organization's service-level objectives, agreements, and goals. The duties of the NRE team entail promptly responding to network disruptions, pinpointing the underlying cause, and collaborating with internal and external stakeholders to fully resto
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Posted 31 days ago | Updated 13 days ago