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Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Iowa City, Iowa, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Molina Healthcare

Remote or Farmington, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. Analyze results to identify early signs of trends or other issues

Remote SAP OTC Functional Consultant Full-Time or Part-Time

CapB InfoteK LLC

Remote

Contract

For one of our ongoing Remote project we are looking for a SAP OTC Functional consultant who will engage with functions within Supply Chain and Customer Service, such as Supply Chain Planning, Distribution, Order-to-Cash, and Operations, to solve business problems with technology and process improvements. Skills: 5+ years' experience implementing Order-to-Cash solutions in SAP S4/HANA ERP2 or more implementations or robust experiences with design, configuration of OTC applications and overall pr

Cloud Enablement Data Framework / Integration Developer (451486)

Vaco by Highspring

Remote

Contract

Cloud Enablement Data Framework / Integration Developer | 451486 DETAILS Location: 100% Remote Position Type: 6M Contract (w/ likely extensions and the possibility to convert to fulltime) Hourly / Salary: BOE! Rates are flexible, based on experience. $80W2++ JOB SUMMARY Vaco Technology is currently seeking a Cloud Enablement Data Framework / Integration Developer for a 6M Contract (w/ likely extensions and the possibility to convert to fulltime) that is 100% remote. The Cloud Enablement Data Fra

Product-Systems Tester

Allstate Insurance Company

Remote

Full-time

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description The Enterprise Project/Program Management Consultant I is accountable for leading most aspects?) of multiple low complexit

Sr. Backend Developer

INSPYR Solutions

Remote or Charlotte, North Carolina, USA

Contract

Title: Sr. Backend Developer Duration: 6 month contract with potential to extend or convert Location: Remote (Charlotte, NC) Work Requirements: and Authorized to work in the USHelp us rewrite financial logic for the cloud. This role focuses on migrating business logic from SQL into scalable, testable C#/.NET 8 microservices, implementing domain models, and building resilient backend workflows. **Responsibilities:** * - Convert stored procedure logic into C# domain services * - Implement servic

Senior Data Engineer Developer - C13 - IRVING

Citi

Remote or Irving, Texas, USA

Full-time

The Applications Development Technology Lead Analyst is a senior level position responsible for establishing and implementing new or revised application systems and programs in coordination with the Technology team. The overall objective of this role is to lead applications systems analysis and programming activities. Responsibilities Partner with multiple management teams to ensure appropriate integration of functions to meet goals as well as identify and define necessary system enhancements t

Director Actuarial Services - Remote

UnitedHealthcare

Remote or Minnetonka, Minnesota, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Imagine how much went in to forming a team of actuarial talent that can keep our Fortune 4 global orga

Data Engineering Manager - Security

Netflix, Inc.

Remote

Full-time

Netflix is one of the world's leading entertainment services, with over 300 million paid memberships in over 190 countries enjoying TV series, films and games across a wide variety of genres and languages. Members can play, pause and resume watching as much as they want, anytime, anywhere, and can change their plans at any time. Securing our members' data and accounts appropriately is key to maintaining a high level of trust with our customers. In addition, securing our technology infrastructur

Sr Business Analyst

Microfolio

Remote

Full-time

We are seeking a highly skilled and experienced Senior Business Analyst with a strong background in the banking domain to join our dynamic team. The ideal candidate will be proficient in data analysis, have working knowledge of AWS Cloud and SQL, and excel at communicating business insights through visually compelling PowerPoint presentations. You will play a critical role in bridging the gap between business needs and technical solutions, driving business process improvements and supporting dig

Data Engineer (Multiple Positions)

McKesson Corporation

Remote or Irving, Texas, USA

Full-time

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patien

QNXT Configuration SME

Photon

Remote

Contract, Third Party

QNXT Configuration SME Remote Description: Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass up

Sr. Backend Developer

Y & L Consulting Inc.

Remote

Full-time

C_2_C_ WILL NOT BE CONSIDERED NO VENDORS, PLEASE We re looking for a Senior Backend Software Engineer who s excited to get their hands dirty, solve real problems, and move fast. You ll play a critical role on a small, highly collaborative team working on products that directly impact our partners and customers. This isn t a siloed role we want someone who s not just comfortable, but energized by jumping into conversations with the product team, account managers, and customers. You ll help shape

Financial Data Analyst with AFS

Javen Technologies, Inc

Remote

Contract

Hi, our direct client is hiring for a Financial Data Analyst, which is remote. Please go through the requirement and reply with a suitable resume Financial Data Analyst Location: Cincinnati, OH/ Remote Experience: 5+ yrs Skills: SQL, AFS (Automated Financial Systems), ETL (Extract, Transform, Load), SDLC (Software Development Life Cycle), Data Modeling, Data Testing, Functional Design, UAT (User Acceptance Testing), Unit Testing, Release Management, Technical Documentation, Business Intelligen

Database Developer(Oracle (PL/SQL) + PostgreSQL)

Maagsoft Inc.

Remote or US

Full-time, Contract, Third Party

Database Developer (Oracle (PL/SQL) + PostgreSQL) Analyze, design, develop, and delivery/implement data solutions for OPHE applications using complex Oracle and PostgreSQL databases. Location: Albany, NY (remote) Responsibilities : Participate in the development and support of .Net/Tableau Web and Mobile Applications and services as specified by OPHE. Develop stored procedures, packages, cursors and triggers in Oracle and PostgreSQL to support applications and integrate in-house applications wi

Lead BI Analyst

Launch Potato

Remote or Pittsburgh, Pennsylvania, USA

Full-time

WHO ARE WE? Launch Potato is a digital media company with a portfolio of brands and technologies. As The Discovery and Conversion Company, Launch Potato is a leading connector of advertisers to customers at all parts of the consumer journey, from awareness to consideration to purchase. The company is headquartered in vibrant downtown Delray Beach, Florida, with a unique international team across over a dozen countries. Launch Potato's success comes from a diverse, energetic culture and high-pe

Lead BI Manager

Launch Potato

Remote or Pittsburgh, Pennsylvania, USA

Full-time

WHO ARE WE? Launch Potato is a digital media company with a portfolio of brands and technologies. As The Discovery and Conversion Company, Launch Potato is a leading connector of advertisers to customers at all parts of the consumer journey, from awareness to consideration to purchase. The company is headquartered in vibrant downtown Delray Beach, Florida, with a unique international team across over a dozen countries. Launch Potato's success comes from a diverse, energetic culture and high-pe

Sr Data Solutions Analyst

Launch Potato

Remote or Pittsburgh, Pennsylvania, USA

Full-time

WHO ARE WE? Launch Potato is a digital media company with a portfolio of brands and technologies. As The Discovery and Conversion Company, Launch Potato is a leading connector of advertisers to customers at all parts of the consumer journey, from awareness to consideration to purchase. The company is headquartered in vibrant downtown Delray Beach, Florida, with a unique international team across over a dozen countries. Launch Potato's success comes from a diverse, energetic culture and high-pe

Lead Data Analyst, Marketing

Launch Potato

Remote or Pittsburgh, Pennsylvania, USA

Full-time

WHO ARE WE? Launch Potato is a digital media company with a portfolio of brands and technologies. As The Discovery and Conversion Company, Launch Potato is a leading connector of advertisers to customers at all parts of the consumer journey, from awareness to consideration to purchase. The company is headquartered in vibrant downtown Delray Beach, Florida, with a unique international team across over a dozen countries. Launch Potato's success comes from a diverse, energetic culture and high-pe

Staff Data Scientist, Notifications

Pinterest, Inc.

Remote or San Francisco, California, USA

Full-time

About Pinterest: Millions of people around the world come to our platform to find creative ideas, dream about new possibilities and plan for memories that will last a lifetime. At Pinterest, we're on a mission to bring everyone the inspiration to create a life they love, and that starts with the people behind the product. Discover a career where you ignite innovation for millions, transform passion into growth opportunities, celebrate each other's unique experiences and embrace the flexibility