resolution Jobs in miami, fl

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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 1 day ago | Updated 2 hours 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 3 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 26 days ago | Updated 26 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 3 days ago | Updated 3 days 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 16 days ago | Updated 16 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 3 days ago

Workday Reporting Analyst (Must UKG & Healthcare exp) :: Remote

Trebecon LLC

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Remote

Contract

Job Title: Workday Reporting Analyst Location: Remote Position Summary: We are seeking an experienced Workday Reporting Analyst to join our Workday team during the critical go-live phase of our HR and Payroll implementation. The analyst will play a key role in supporting audit, compliance, and leadership reporting needs across a large, unionized health system. This role requires strong knowledge of Workday reporting tools, attention to detail, and the ability to translate business needs into eff
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Posted 4 days ago

Workday Reporting Analyst :: Remote :: C2C/ W2

Trebecon LLC

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Remote

Contract

Job Title: Workday Reporting Analyst Location: Remote Department: HR Workforce Solutions Workday Service Delivery Team Reports To: HR Workforce Solutions: Workday Reporting Lead Position Summary: We are seeking an experienced Workday Reporting Analyst to join our Workday team during the critical go-live phase of our HR and Payroll implementation. The analyst will play a key role in supporting audit, compliance, and leadership reporting needs across a large, unionized health system. This ro
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Posted 4 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 40 days ago | Updated 4 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 3 days ago

Cerner Meditech Analyst - Remote / Telecommute

Cynet Systems

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Remote

Contract

Job Description: Responsibilities: System Configuration: Assist in configuring and customizing the Meditech Expanse solution to align with the organization's specific needs and clinical workflows. This may involve Meditech reporting and interfaces as well. User Support: Provide frontline support to clinical staff and end-users of the Meditech system, addressing inquiries, issues, and user training needs. Quality Assurance: Assist in maintaining data integrity within the Meditech system by ensuri
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Posted 2 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 11 days ago | Updated 2 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 34 days ago | Updated 3 days ago

System Specialist

Skywalk Global

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Remote

Full-time, Third Party

Computer systems specialists provide technical guidance for the development and troubleshooting of computer systems. They identify system data, hardware or software components required to meet user needs. They also develop guidelines for implementing secure systems to customers or installation teams. May require a bachelor's degree in a related area with at least at least 6 years or equivalent experience in the field or in a related area. THIS IS PART TIME FOR 1 YEAR SCHEDULE WILL BE DETERMINED
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Posted 5 days ago | Updated 3 days ago

Director, Clinical Quality Assurance

IO Associates

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Remote

Full-time

Director, Clinical Quality Assurance Location: Flexible (US-based) A rapidly growing biotech company advancing cutting-edge therapies for rare diseases is seeking a Director of Clinical Quality Assurance (CQA) to build and lead its Google Cloud Platform compliance strategy. Reporting to the Head of Quality, this is a high-impact leadership role responsible for designing and executing clinical quality systems across a portfolio of global early-phase gene therapy trials. Key Responsibilities: Le
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Posted 10 days ago | Updated 7 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 12 days ago | Updated 7 hours ago

Site-Reliability Engineer Remote Location

Sierra Business Solution LLC

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Remote

Third Party, Contract

Phoenix AZ Job Description: >> Min 3-5 years of Service reliabilityoperation experience running large scale, high performance applications in a hybrid environment (on-prem and cloud). >> Min 3-5 years of experience writing automation scripts and building dashboards for Application Performance management to manage Transaction journeys. >> 2-4 years of Experience working with Programming languages such as Go, Python, Java, Rust etc. >> Working knowledge on with one or more databases-Oracle, PL?SQ
Posted 5 days ago | Updated 4 days ago

Process / QMS Analyst (REMOTE- EST)

NetSource, Inc.

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Remote

Contract

Please note that this is a 6+ months contract position. Qualifications Position is remote; manager is open to various time zones but may prioritize EST Role is in the R&D Quality department Candidates with 5+ years of experience preferred Bachelor s degree highly preferred; Associate's degree with relevant experience will be considered Title of the role: Business Process Management Must be highly involved in business process management within the Medical Safety area Experience in creating or rev
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Posted 11 days ago | Updated 6 days ago

Business Systems Analyst Expert

Data Resource Technologies

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Remote

Contract

Key Responsibilities Lead business analysis activities for the design, implementation, and maintenance of the Medicaid Contract Compliance Tracking systemDevelop and manage system requirements, workflows, business rules, and process documentationPerform extensive data validation and data mapping.Create and execute comprehensive test cases for UAT, system integration, and regression testingEngage with internal stakeholders and end users to support user testing, feedback collection, and trainingSe
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Posted 2 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 6 days ago | Updated 4 days ago