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Sr QNXT Analyst

Molina Healthcare

•

Detroit, Michigan, 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 6 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Sterling Heights, Michigan, 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 6 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Grand Rapids, Michigan, 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 6 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Ann Arbor, Michigan, 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 6 hours ago

Sr QNXT Analyst

Molina Healthcare

•

Warren, Michigan, 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 6 hours ago

Lead Engineer, EIS - Azure Cloud/Commvault/Storage - Remote

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Builds company specific systems and technology expertise across multiple infrastructure and development disciplines KNOWLEDGE/SKILLS/ABILITIES Provides expertise on systems technologies and scripting languages. Responsible for support troubleshooting and incident resolution. Contributes to on-call rotation schedules and off-hour support activities. Responsible for tactical build and configuration activities. Responsible for aligning systems implem
Posted 1 day ago | Updated 11 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

•

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 11 hours ago

Fiber Test Engineer 2

V-Soft Consulting Group, Inc

•

Remote

Contract

Fiber Test Engineer 2 (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for a Fiber Test Engineer 2 (Remote) for our premier client. Education and Experience 3-5+ Years of experience. Minimum 3 years experience within a Telecom Network Infrastructure environment. Able to use any generic office software. Familiarity with EXFO Toolbox used in the analysis of fiber test data or similar software applications. Experience with understanding vendor contractual deliverables. Min
Easy Apply
Posted 25 days ago | Updated 2 days ago

Solution Architect, Advanced PDM - Automated Data Integration/DataBricks - Remote

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description Job Description Job Summary The Solution Architect, Advanced Provider Data Management is responsible for understanding regulatory complexities, business challenges, and organizational strategy to develop new capabilities, optimize existing solutions, and formulate business strategy. The Solution Architect acts as a liaison between business units, IT, Leadership, and program managers ensuring roadmap and technical solutions align with business goals. Knowledge/Skills/Abilities
Posted 1 day ago | Updated 11 hours ago

Provider Contracts Manager

Molina Healthcare

•

Ann Arbor, Michigan, USA

Full-time

Remote and must live in Michigan JOB DESCRIPTION Job Summary Negotiates agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains pr
Posted 7 hours ago

Provider Contracts Manager

Molina Healthcare

•

Sterling Heights, Michigan, USA

Full-time

Remote and must live in Michigan JOB DESCRIPTION Job Summary Negotiates agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains pr
Posted 7 hours ago

Provider Contracts Manager

Molina Healthcare

•

Warren, Michigan, USA

Full-time

Remote and must live in Michigan JOB DESCRIPTION Job Summary Negotiates agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains pr
Posted 7 hours ago

Provider Contracts Manager

Molina Healthcare

•

Detroit, Michigan, USA

Full-time

Remote and must live in Michigan JOB DESCRIPTION Job Summary Negotiates agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains pr
Posted 7 hours ago

Provider Contracts Manager

Molina Healthcare

•

Grand Rapids, Michigan, USA

Full-time

Remote and must live in Michigan JOB DESCRIPTION Job Summary Negotiates agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. KNOWLEDGE/SKILLS/ABILITIES In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains pr
Posted 7 hours ago

Acquisition Support Specialist

V-Soft Consulting Group, Inc

•

Remote

Contract

Acquisition Support Specialist (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for an Acquisition Support Specialist (Remote) for our premier client. WHAT YOULL NEED: Technical Requirements and Certifications NCCM - North Carolina Contract Manager. CPCM - Certified Professional Contracts Manager. Knowledge, Skills and Abilities Knowledge: Comprehensive understanding of public procurement processes and regulations. Familiarity with Medicaid Enterprise Systems (MES) and
Easy Apply
Posted 51 days ago | Updated 2 days ago

Helpdesk Analyst 2nd Shift

V-Soft Consulting Group, Inc

•

Remote

Contract

Helpdesk Analyst 2nd Shift Primary Location: Durham, North Carolina V-Soft Consulting is currently hiring for a Helpdesk Analyst 2nd Shift for our premier client in Durham, North Carolina. WHAT YOULL NEED: Technical Requirements and Certifications Highly desired: Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Education and Experience Minimum of 2 years providing Epic technical support in a healthcare or clinical environment.: 2 Years. Profi
Easy Apply
Posted 46 days ago | Updated 2 days ago

Helpdesk Analyst 1st Shift

V-Soft Consulting Group, Inc

•

Remote

Contract

Helpdesk Analyst 1st Shift Primary Location: Durham, North Carolina V-Soft Consulting is currently hiring for a Helpdesk Analyst 1st Shift for our premier client in Durham, North Carolina. WHAT YOULL NEED: Technical Requirements and Certifications Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Education and Experience Minimum of 2 years providing Epic technical support in a healthcare or clinical environment.: 2 Years. Proficient with Servi
Easy Apply
Posted 46 days ago | Updated 2 days ago

Technical Specialist- Senior (Epic Security Analyst)

V-Soft Consulting Group, Inc

•

Remote

Contract

Technical Specialist- Senior (Epic Security Analyst) Primary Location: Raleigh, North Carolina V-Soft Consulting is currently hiring for a Technical Specialist- Senior (Epic Security Analyst) for our premier client in Raleigh, North Carolina. WHAT YOULL NEED: Technical Requirements and Certifications Certified by Epic in Security and Security Coordinator: 3 Years. Education and Experience Highly desired: Health information technology experience. Understands the Epic software security structu
Easy Apply
Posted 45 days ago | Updated 2 days ago

EHR Helpdesk Analyst 3rd Shift

V-Soft Consulting Group, Inc

•

Remote

Contract

EHR Helpdesk Analyst 3rd Shift Primary Location: Raleigh, North Carolina V-Soft Consulting is currently hiring for a EHR Helpdesk Analyst 3rd Shift for our premier client in Raleigh, North Carolina. WHAT YOULL NEED: Technical Requirements and Certifications Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Education and Experience Minimum of 2 years providing Epic technical support in a healthcare or clinical environment.: 2 Years. Proficient
Easy Apply
Posted 47 days ago | Updated 2 days ago

Azure ETL Developer

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary The Azure ETL Developer is tasked with designing and developing Azure Data Factory solutions, covering projects of moderate to high complexity. This position also necessitates proficiency in Microsoft SSIS ETL solutions to support the architecture, development, and migration of legacy solutions to Azure Data Factory. Candidates should possess three to five years of experience with the Microsoft ETL stack, including experience in SSIS, SSRS, T-SQL, a
Posted 17 days ago | Updated 11 hours ago