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Facets / NetworX Reimbursement Specialist

Remote

•

Today

Experience: - Hands-on experience working in Facets within reimbursement or pricing functions.Strong experience with NetworX Pricer, including operation, validation, and troubleshooting.Able to interpret Provider Contract Documents (PDF/ Word formats) accurately5 10 years of experience in reimbursement operations, provider payment operations, or claims pricing for a health plan or TPA.Solid understanding of reimbursement concepts such as DRG, APC, fee schedules, cost-share impact, and payment p

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Contract, Third Party

Depends on Experience

Facets / NetworX Reimbursement Specialist

Remote or California

•

Today

Facets / NetworX Reimbursement Specialist Job Description Job Summary The Reimbursement Specialist is a subject matter expert (SME) responsible for executing, validating, and supporting reimbursement and pricing processes within the Facets/NetworX platform. This role requires the ability to accurately interpret Provider Contract documents, hands-on expertise with NetworX Pricer, and a deep understanding of provider reimbursement methodologies across commercial and government programs. The po

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Third Party

Facets / NetworX Reimbursement Specialist

Remote

•

4d ago

Required Skills & Experience(Nice-toHave): Hands-on experience working in Facets within reimbursement or pricing functions. Strong experience with NetworX Pricer, including operation, validation, and troubleshooting. Able to interpret Provider Contract Documents (PDF/ Word formats) accurately. 510 years of experience in reimbursement operations, provider payment operations, or claims pricing for a health plan or TPA. Solid understanding of reimbursement concepts such as DRG, APC, fee schedules,

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Contract

Depends on Experience

IT Specialist (INFOSEC)

Whitehall, Ohio

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Today

Summary See below for important information regarding this job. Position will be filled at any of the locations listed below. Site specific salary information as follows: Columbus, OH: $93,400 - $121,422 Richmond, VA: $93,499- $121,551 Duties Help Serves as the technical expert for enterprise-level IA and CND technology and tools used within DLA.Responsibilities include: proposing, specifying, scheduling, directing and/or personally deploying appropriate tools.Responsible for maintaining

Full-time

USD 93,400.00 - 121,551.00 per year

Software Dev, Fleet Mgmt Spec

New York, New York

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Today

Company Description Job Description NYC Department of Finance (DOF) is responsible for administering the tax revenue laws of the city fairly, efficiently, and transparently to instill public confidence and encourage compliance while providing exceptional customer service. The Finance Information Technology (FIT) Division designs, builds, and supports all facets of DOF's computer systems, including hardware, software, applications, infrastructure, telephone, and data security. FIT delivers and

Full-time

Software Dev, Integration Specialist

New York, New York

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Today

Full-time

Senior RF Spectrum Engineer

El Segundo, California

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Today

The Aerospace Corporation is the trusted partner to the nation's space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally funded research and development center (FFRDC), we are broadly engaged across all aspects of space- delivering innovative solutions that span satellite, launch, ground, and cyber systems for defense, civil and commercial customers. When you join our team, you'll be part of a special collection of problem solvers,

Full-time

USD 129,000.00 - 249,600.00 per year

Engineering TPM

Atlanta, Georgia

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Today

Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century's most innovative companies to the defense industry, Anduril is changing how military systems are designed, built and sold. Anduril's family of systems is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams into a realtime, 3D command and c

Full-time

USD 143,000.00 - 191,000.00 per year

Senior IT Service Desk Manager

Fort Belvoir, Virginia

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Today

Leidos is seeking a dynamic and experienced Senior IT Service Desk Manager to support a large, high-profile DOD contract in Fort Belvoir, VA. We are looking for a transformative leader to act as a change agent, driving cultural evolution and advancing the adoption of ITIL4 processes and ServiceNow functionality. The program provides enterprise-wide IT support to enable the agency's Information Management & Technology Directorate (ITD) to consolidate, modernize, and continuously innovate the del

Full-time

USD 82,550.00 - 149,225.00 per year

Medical Coder

Anchorage, Alaska

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8d ago

Immediate need for a talented Medical Coder . This is a Fulltime opportunity with long-term potential and is located in Anchorage,AK(Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:26-01746 Pay Range: $28 - $29/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: Review adjudicated medical claims that have been

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Full-time

28 - 29

Business Intelligence Developer - II

Edison, New Jersey

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Today

Location: Edison, NJ Salary: Negotiable Description: Our client is currently seeking a Business Intelligence Developer - II Title: BI Developer- Iii Duration: Up to 30 Months Location- Basking Ridge, NJ/Irving, TX Hybrid: 3 days/week in office Locations: Basking Ridge, NJ or Irving, TX We are looking for a highly motivated and results-oriented individual to join our team. You will be vital in leveraging data to drive strategic decisions and automate financial reporting processes. You wil

Contract

Business Intelligence Developer - II

Irving, Texas

•

Today

Location: Irving, TX Description: Job Title: Business Intelligence Developer - Ii Locations: Irving TX, or Basking Ridge NJ Working Model: Hybrid- 3 days/week in office Targeted Years of Experience: 5-7 year Responsibilities: We are looking for a highly motivated and results-oriented individual to join our team. You will be vital in leveraging data to drive strategic decisions and automate financial reporting processes. You will be responsible for developing Business Intelligence solutions to

Contract

Business Intelligence Developer - II

Irving, Texas

•

Today

Location: Irving, TX Salary: $52.00 USD Hourly - $54.00 USD Hourly Description: Position: BI Developer Locations: Basking Ridge, NJ or Irving, TX Hybrid: 3 days/week in office Roles and Responsibilities: We are looking for a highly motivated and results-oriented individual to join our team. You will be vital in leveraging data to drive strategic decisions and automate financial reporting processes. You will be responsible for developing Business Intelligence solutions to support the Finance

Contract

USD 52.00 - 54.00 per hour

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