utilization management Jobs

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Solutions Architect

Gainwell Technologies LLC

•

Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent
Posted 60+ days ago | Updated 10 hours ago

Solutions Architect

Gainwell Technologies LLC

•

Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent
Posted 60+ days ago | Updated 10 hours ago

Senior EMC Engineer

Garmin

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Olathe, Kansas, USA

Full-time

Overview We are seeking a full-time Senior EMC Engineer in our Olathe, KS location. In this role, you will be responsible for leading the Electromagnetic Compatibility (EMC) Certification and/or testing for complex products and/or integrated systems and provides technical leadership for EMC project planning and programs. Aviation The Aviation team is responsible for demonstrating compliance with High Intensity Radiated Fields (HIRF) and Lightning for TSO (Technical Standard Order) to support
Posted 60+ days ago | Updated 1 hour ago

Clinical Data Governance/Informatics Lead - Cigna Healthcare - Hybrid

Cigna

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Remote or Bloomfield, Connecticut, USA

Full-time

Role Summary: Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of clinical data critical to ECHO operations, programs, and strategies. The ideal candidate should have a strong health care payer, clinical operations, and/or clini
Posted 2 days ago | Updated 1 hour ago

Inpatient Case Manager | Detroit, MI | Contract

Walker Healthforce

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Detroit, Michigan, USA

Contract

Inpatient Case Manager | Detroit, MI | Contract Walker Healthforce is seeking an Inpatient Case Manager with 5+ years of experience located in Detroit, MI. This is a 3-month contract opportunity. CORE REQUIREMENTS:Must have strong experience with Acute Inpatient Case ManagementMinimum 5 years of Inpatient Case Management experience (this does not include telephonic, utilization management, or therapy experience)Strong computer skillsEpic EMR experienceNursing degree or MSW-current valid MI RN li
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Posted 2 days ago

Associate Director, Audience & Data Solutions

IPG Mediabrands

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New York, New York, USA

Full-time

Job DescriptionPosition Summary: The Associate Director, Audience & Data Solutions is responsible for developing and supporting all aspects of our Agency and clients' marketing data strategy, data utilization, insights, analytics, and technology enablement, with a focus on audience-centric solutions. This includes direct consulting, data insights, analytics, management, and technology strategy development for activation. The role will guide the Agency and clients in developing multi-year data st
Posted 15 days ago | Updated moments ago

TEAMS Apps Engineer

Apex Systems

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Irving, Texas, USA

Full-time

Job#: 2079281 Job Description: TEAMS ENGINEER/ARCHITECT using a developmental portal and writing some code they need a TEAMS subject matter expert. The biggest part is the apps part if they dont know it skip. Being a part of a pod and doig TEAMS work is different. They dont have to be a sme with messaging but need someone with TEAMS phone side. Most of the time the custom code part the customer is building an app and they wanted to verify the code laid out was correct or could they do something
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Posted 6 days ago | Updated 2 hours ago

Super urgent position for Peoplesoft Developer/ Admin :: Remote

E-Solutions, Inc.

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Nashville, Tennessee, USA

Contract, Third Party

Job Title: PeopleSoft Developer/Admin Location: Nashville, TN (Hybrid) Type: Contract on C2c Job Summary: As a PeopleSoft Developer with Admin responsibilities, you will be part of an Agile team working on building and enhancing healthcare applications. The ideal candidate should be hands-on with PeopleTools and must adhere to industry-standard coding practices. Key Responsibilities: Support, maintain, and enhance a PeopleSoft CRM system used for Utilization Management. Participate in full
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Posted 14 days ago | Updated 4 hours ago

PeopleSoft Developer with Admin

Keypixel Software Solutions

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Nashville, Tennessee, USA

Contract

Title: PeopleSoft Developer with Admin Location: - Nashville, TN(Hybrid) Contract As anPeopleSoft Developer with Adminyou will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Responsibilities: - 1) Work on a variety of assignments to support, maintain and enhance a PeopleSoft CRM system used for Utilization Management application.2) Be involved in full life-cycle activities SDLC including enhanceme
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Posted 43 days ago | Updated 1 day ago

Omnichannel Solution Owner/Brand Manager

Pyramid Consulting, Inc.

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Wilmington, Delaware, USA

Contract

Immediate need for a talented Omnichannel Solution Owner/Brand Manager. This is a 06+months contract opportunity with long-term potential and is located in Wilmington, DE (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-75314 Pay Range: $40 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Transform
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Posted 15 days ago

Corporate Governance - Analyst, Regulatory Compl Sr

Lumen Solutions Group Inc.

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N/A

Contract

Now Hiring: Sr. Regulatory Compliance Analyst - PBM Communications Compliance Location: Remote (USA) Contract-to-Hire | Opportunity to Transition to Permanent Role Employment Type: Full-Time Industry: Pharmacy Benefit Management (PBM), Healthcare Compliance About the Role: We re seeking a Senior Regulatory Compliance Analyst who specializes in pharmacy communications compliance. In this critical role, you will review and ensure all member and provider-facing materials meet regulatory standards f
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Posted 14 days ago | Updated moments ago

Program/Policy Analyst Sr (Medi-Cal Compliance)

CalOptima

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Orange, California, USA

Full-time

Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Sp
Posted 20 days ago

Data Engineer, Infrastructure Services

Apple, Inc.

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No location provided

Full-time

Imagine what you could do here. At Apple, new ideas have a way of becoming great products, services, and customer experiences very quickly. Bring passion and dedication to your job and there's no telling what you could accomplish. The Infrastructure Services Programs and Solutions team is looking for a passionate, self-motivated, and hard-working engineer to be part of a diverse, fast-paced, and high-energy team. We are seeking a Data Engineer to help build robust data and analytics solutions us
Posted 50 days ago | Updated 1 hour ago

Operations Manager

BYK USA Inc.

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Wallingford, Connecticut, USA

Full-time

Job DescriptionDirects all operational activities for plant production, maintenance and warehousing on site. Develops teams, drives safety, quality and accountability, productivity and execution of operational objectives. Prepares financial and/or operational analyses, budgets and reports. As the operational excellence champion, creates and drives vision, aligns organization to continuous improvement needs of operations, implements timely plans and actions, and audits key processes through KPIs
Posted 15 days ago | Updated 1 hour ago

HPE Ezmeral -100% Remote

Intone Networks Inc.

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New Jersey, USA

Third Party, Contract

HPE Ezmeral Consultant 100% Remote 6-12 months can be extended for much longer Linkedin with profile picture NO H1B No USC Job Description:- need someone with HPE Ezmeral experience. Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field (or equivalent work experience). 5+ years of experience in managing and supporting large-scale distributed data platforms. 3+ years of hands-on experience with HPE Data Fabric (MapR) administration, including upgr
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Posted 58 days ago | Updated 6 hours ago

Regulatory Compliance Specialist

Northwire, Inc.

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Santa Teresa, New Mexico, USA

Full-time

Job DescriptionSummary/Objective: The Regulatory Compliance Specialist monitors business activities for compliance with applicable rules and regulations and ensures compliance to external customer regulatory compliance requests. Assists in the development and implementation of compliance programs and data management for the organization. Responds to inquiries from customers and subsidiaries on a global scale and completes required compliance documentation. Ensures operating manuals and procedura
Posted 15 days ago | Updated moments ago

Regulatory Compliance Specialist

Northwire, Inc.

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Osceola, Wisconsin, USA

Full-time

Job DescriptionSummary/Objective: The Regulatory Compliance Specialist monitors business activities for compliance with applicable rules and regulations and ensures compliance to external customer regulatory compliance requests. Assists in the development and implementation of compliance programs and data management for the organization. Responds to inquiries from customers and subsidiaries on a global scale and completes required compliance documentation. Ensures operating manuals and procedura
Posted 15 days ago | Updated moments ago

Chief Engineer

JLL

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Woodcliff Lake, New Jersey, USA

Full-time

JLL empowers you to shape a brighter way. Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant e
Posted 24 days ago | Updated 1 hour ago