resolution Jobs in houston, tx

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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 13 days ago | Updated 13 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 2 days ago | Updated 6 hours 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 28 days ago | Updated 28 days 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 5 days ago

Controls Engineer

Dover Corporation

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Rosenberg, Texas, USA

Full-time

Dover Precision Components is hiring a Controls Engineer for our FW Murphy Production Controls business located in Rosenberg, TX. We manufacture and deliver a wide range of instrumentation and control solutions for the Oil & Gas Production and Natural Gas Compression markets. Our products improve the protection, performance, and reliability of the Natural Gas Supply Chain while protecting our environment and creating systems and equipment to help producers stay in compliance and meet stringent e
Posted 14 days ago | Updated moments 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 5 days ago | Updated 5 days ago

100 % Remote-Oracle HCM Functional Consultant-W2 Only-Only for and GC

HYR Global Source Inc

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US

Full-time, Contract

Location- Fully Remote Duration:-Full Time/ Long Term Contract Note :-Fully remote but only those who are resident of the states - OH, WV, PA, MD, NJ or someone who can relocate to above states once got the offer Job Summary: We are seeking a highly experienced Oracle HCM Core HR Functional Consultant with strong client-facing skills to support a critical Oracle Cloud HCM implementation. The consultant will work closely with HR managers, directors, and administrators to document business
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Posted 13 hours ago | Updated 10 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 18 days ago | Updated 18 days 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 5 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 42 days ago | Updated 1 day 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 5 days ago

Desktop Services Help Desk Representative I

ConsultNet, LLC

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Remote or Atlanta, Georgia, USA

Full-time

Desktop Services Help Desk Representative I 12-month contract to hire Remote in Atlanta, GA until office space is secured; then hybrid (onsite Tues-Thurs) Pay Range: $20.00 - $25.00per hr. We are looking for a Desktop Services Help Desk Representative who applies the understanding and knowledge of information systems products and services to assist internal users. This role follows an 11:00 AM - 8:00 PM EST shift. In addition, you'll be part of a rotating schedule to cover Saturday mornings (
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Posted 13 days ago | Updated 6 hours 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 9 hours ago | Updated 1 hour ago

Structural Engineering

AIT Global, Inc.

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US

Contract

Job Title: Structural Engineering Location: Texas - Remote Role Overview: Client is seeking an experienced and licensed Structural Engineer with a valid P.Eng (Professional Engineer) certification in Texas join our multidisciplinary engineering team. The successful candidate will play a key role in the structural analysis and design of facilities and structures for offshore oil and gas projects. Key Responsibilities: Design and analyse steel and concrete structures including pipe racks, equipm
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Posted 1 day ago | Updated 10 hours ago

Appeals & Grievance (Claim Medicare) Analyst

Digitive LLC

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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
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Posted 36 days ago | Updated 5 days ago

Release Manager II

Lincoln Softtech LLC

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Remote

Contract

Job Title: Release Manager II Location: Los Angeles, CA (Remote) Experience: Required: At least 5 years of experience in strategic release planning and execution, including contributing to the development of release strategies and roadmaps aligned with business objectives and customer needs.Experience assisting in the execution of release plans to deliver quality software products on time.Experience implementing best practices and tools to support change and release management workflows and par
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Posted 10 hours ago

Oracle Supply Chain Integration Analyst

Dexian DISYS

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Remote

Full-time

Oracle Supply Chain Integration Analyst 100% Remote $102/K - $103/K Summary: Seeking an Oracle Supply Chain Integration Analyst with strong SQL skills and experience supporting technical teams or vendors in software design and configuration. The role focuses on Oracle Supply Chain systems, technical troubleshooting, integration support, and collaboration with business and IT stakeholders. Key Responsibilities: Support and configure Oracle Supply Chain integrations Collaborate with vendors, tec
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Posted 14 days ago | Updated 7 hours ago

Technical Lead - Java Production Support

NR Consulting LLC

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Remote

Full-time

Title: Technical Lead - Java Production Support Location: Remote Type: Fulltime Job Description: Hands on enterprise level J2EE based web application development and supportHands-on experience in SaaS Integration, Spring Boot, Full Stack and ReliabilityExperience of Pivotal Cloud Foundry (PCF) environmentExperience in troubleshooting and debugging skills.Experience in support role with numerous B2B (business to business) functions such as production monitoring of data, error analysis, client co
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Posted 25 days ago

Genesys Lead

Reveille Technologies

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Remote

Contract, Third Party

Hi, Job Title: Genesys Lead Job Location: Wilmington, DE / NY / NJ / Plano, TX / Chicago, IL / Columbus, OH / Remote Responsibilities: . Job Duties: Troubleshoot production incidents in Genesys Voice(Inbound/Outbound), Email & Chat based on priority and work to towards resolution Install and upgrade Genesys components in production environment Good Hands-on experience with Genesys Config/Management layers, Routing layer, GVP, SIP layer/Media layer Demonstrated knowledge and ability to trouble
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Posted 8 days ago | Updated 6 days ago

DATABASE ADMINISTRATORS - Multiple Positions

ICSA, Inc.

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Remote

Contract

Job Title: Database Administrator Location: Remote Positions: Multiple Positions Note: Candidate should be eligible for a Public Trust Clearence Job Description: The Database Administrator will be responsible for the administration, maintenance, performance tuning, and troubleshooting of Oracle RDBMS and other supported database platforms in a complex enterprise environment. The role requires hands-on expertise in Oracle databases along with strong proficiency in additional database technolog
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Posted 1 day ago | Updated 1 day ago