resolution Jobs in wisconsin

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Sr QNXT Analyst

Molina Healthcare

•

Waukesha, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 2 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Green Bay, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 2 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Racine, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules,
Posted 2 hours ago

SAP P2P Lead Remote Location

Sierra Business Solution LLC

•

Remote

Contract, Third Party

Atlanta GA Job Description: >> Lead the Procure-to-Pay (P2P) functional tower in the S4HANA AMS environment, ensuring timely and high-quality support. >> Serve as the SME (Subject Matter Expert) for SAP MM, including procurement, inventory management, and invoice verification. >> Provide functional support and issue resolution across SAP PM (Plant Maintenance), especially where it interfaces with procurement and inventory processes. >> Manage ticket queues, SLA adherence, root cause analysis, a
Posted 8 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Racine, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Madison, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Waukesha, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Kenosha, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Milwaukee, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

Green Bay, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

La Crosse, Wisconsin, USA

Full-time

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 Management and Operations
Posted 2 hours ago

Service Desk Analyst (Weekend/Night Shift)

Kforce Technology Staffing

•

Remote or New York, New York, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking a Service Desk Analyst in New York, NY. Summary: In this role, you will provide front-line IT support by managing and resolving Level 1 incidents and service requests. You will serve as the primary point of contact for end users, ensuring timely and effective resolution of technical issues in alignment with service level agreements (SLAs). Key Responsibilities: * Service Desk Analyst will respond to help desk calls and emails within SLA tim
Posted 12 hours ago | Updated 4 hours ago

Data Engineer - EST

Reveille Technologies

•

Remote

Full-time

Role - Data Engineer Only EST Time zone Location - Remote position (US or Canada) Experience: 6+ years Type: Full Time(No H1b) Key Objectives/Responsibilities: A strong understanding of common data integration challenges within the insurance industry, as well as the best practice technical approaches & solutions available through data integration, data warehouse, and data lake technologiesAbility to lead by example, having worked as a technical build resourceExperience in how technology solution
Easy Apply
Posted 18 hours ago

Behavioral Health Clinical Reviewer- LADC/BCBA Certification

Javen Technologies, Inc

•

Remote

Contract

Greetings from Javen Technologies Inc., Title: Behavioral Health Clinical Reviewer- (LADC/BCBA Certification) Location: Eagan, MN 100% Remote Duration: 6 months (Possible CTH) How Is This Role Important to Our Work? This job implements effective utilization management strategies including review of appropriateness of pre and post service health care services, application of criteria to ensure appropriate resource utilization, identification of referrals to a Health Coach/case management, and ide
Easy Apply
Posted 11 hours ago

Sr IT Governance Analyst

Dia Software Solutions

•

Remote

Contract, Third Party

Hi, Greetings from DIA SOFTWARE SOLUTIONS LLC! We reaching out about an exciting Direct client opportunity with one of our clients. Please review the requirements and let me know if you are interested in this position? Direct client Req:: Need Sr IT Governance Analyst VA, Remote PLEASE SEND THE RESUMES TO SKUMAR AT DIASOFTWARESOLUTIONS DOT COM ! Job Description: The Analyst will also assist in issue resolution, operationalizing Governance practices, creating and socializing IT Governance artifac
Easy Apply
Posted 17 hours ago

Power Platform Engineer

JDA TSG

•

Remote

Full-time

Power Platform Engineer US or Canadian Citizenship and Residency Required Salary Range: $100,000-$110,000 Location: Remote- United States or Canada Language: French and English Professional Fluency Required We have immediate opportunities for a Microsoft Power Platform Engineer with expertise in Power Apps, Canvas Apps, and Admin & Governance of the platform to join our team as a Customer Engineer (CE). A CE s work with some of the largest, usually F1000. The role involves assisting customers
Easy Apply
Posted 13 hours ago | Updated 13 hours ago

Senior Financial SAP Consultant

Kforce Technology Staffing

•

Remote or Irvine, California, USA

Third Party, Contract

RESPONSIBILITIES: Kforce has a client in Irvine, CA that is seeking an experienced Senior SAP Consultant with a strong background in SAP Finance (FI/CO) and Supply Chain (MM/SD/PP/WM) modules. This role is pivotal in ensuring business process alignment, operational efficiency, and continuous improvement across finance and supply chain functions. Responsibilities: * Collaborate with business stakeholders to gather requirements, map processes, and deliver SAP solutions that meet business needs *
Posted 15 hours ago | Updated 4 hours ago

Site Reliability Engineer

Capital Staffing Solutions

•

Milwaukee, Wisconsin, USA

Contract

Site Reliability Engineer- Hybrid in Milwaukee, WI 12+ month contract-to-hire Looking for engineering focused people, resiliency, code deployments, development, etc.Need 5 contractors to work hybrid in Milwaukee, WIContract to hire (must be able to convert without sponsorship)Any card or transactional based background is a plusRole and Responsibilities Reporting to Engineering, the Site Reliability Engineer will play a critical role in driving innovation and growth for the Banking Solutions, Pay
Easy Apply
Posted 10 hours ago

Senior Program Manager

Aditi Consulting

•

Remote

Contract

Payrate: $70.00 - $100.00/hr. Summary: The People Data Review Program Manager will join the People Risk, Privacy, Compliance (PRPC) team to work across our key partners to lead risk initiatives to scale our global program. Specifically, the People Data Review Program Manager will be responsible for ensuring end-to-end assessment of employment and privacy and AI risk in new and novel use cases impacting People Data. The ideal person will have proven risk management skills, be a systems thinker, a
Easy Apply
Posted 14 hours ago | Updated 5 hours ago

AI Governance Lead

Kforce Technology Staffing

•

Remote or Spring, Texas, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking an AI Governance Lead in Spring, TX. Overview: We are seeking a strategic and detail-oriented AI Governance Lead to support and enhance our enterprise AI governance framework. This role is pivotal in aligning AI initiatives with compliance requirements, operational workflows, and ethical standards. The ideal candidate will have a product management mindset, strong stakeholder engagement skills, and the ability to reconcile complex processes
Posted 12 hours ago | Updated 3 hours ago