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HealthRules Payer Configuration Lead - NEED LOCAL TO CA CANDIDATES

Sacramento, California

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Today

Role: HealthRules Configuration Lead Location: Sacramento, CA (4 Days Onsite) Duration: Long Term Job Description: Primary Responsibilities Lead HealthRules configuration activities for commercial group products, including:Benefits configurationPricing and accumulator logicProvider contractsClaims processing rulesTriage, prioritize, and manage the configuration backlog, including:Production defectsEnhancement requestsAnnual readiness and renewal activitiesAct as the primary intake point for con

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Third Party, Contract

Depends on Experience

Technical Lead II – QICLink Configuration

Remote

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11d ago

Hi Professionals, Title:Technical Lead II QICLink Configuration Location: Remote JD: Lead QICLink benefit configuration for US healthcare applications, working in an Agile environment to design, build, and implement benefit plans aligned with business requirements. Mandatory Skills Strong QICLink Configuration experience Expertise in Benefit Plan Configuration (Products & Benefits) Knowledge of Benefit Entities (Coverage, Copay, Coinsurance, Deductible, Limits, Pre-auth) Understanding

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Third Party, Contract

Depends on Experience

Facets Configuration Analyst

Remote

•

Today

Job title: Facets Configuration Analyst Location: Remote Job type: Full time and Contract c2c Interview: Video Job Description: Facets configuration analysts with experience in product build and NetworX configuration. Required skills: on configuration experience within the product Facets module within the last 2 years. 5+ years of Facets configuration experience At least 3 years of experience in Core Functionalities of FACETS which includes Membership, Provider Management, Claim Processing, Bil

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Full-time

Depends on Experience

QNXT Benefit Configuration Analyst

Remote

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Today

Overall 8 years of experience in Information TechnologyHands-on experience with QICLink platform / QNXT and benefit plan configuration.Strong knowledge of U.S. healthcare system and payer business processes.Ability to interpret and analyze complex benefit plan documents (SPDs).Experience with plan configuration tools such as wizards and templates.Knowledge of exclusions, carve-outs, slots, riders, and benefit structures.Experience working with BlueCard home plan configurations.Prior experience i

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Contract, Third Party

Depends on Experience

License Configuration Support

Remote

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25d ago

License Configuration Support: Provide technical and operational support for enterprise software license infrastructure and vendor managed licensing environments to ensure availability, license compliance, and user provisioning. Responsibilities include: Configure and support license managers such as Flexnet, FlexLM, Sentinel RMS/Hasp, Codemeter, Ansys LM, PTC LM, Reprise, and Dassault for uptime, accessibility, and performance, including proactive monitoring and issue resolution. Manage server

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Third Party, Contract

Depends on Experience

Facets Configuration Consultant

Remote

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Today

Title: Senior Healthcare Facets Analyst OR Senior Facets Configuration Analyst Location: Remote, Duration: 12 months Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Expert hands on configuration experience in the following applications: o Facets System Administration o Security profiles o Workflow o NetworX o Product/Benefits 10+ years of Facets configuration experience Thorough understanding of set-up and functionality of the following

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Contract

Depends on Experience

Benefits Configuration Analyst - Facets

Remote

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10d ago

Benefits Configuration Analyst- Facets Role & Responsibilities: Design, analyze, and implement benefit coding change requests with a high level of precision, ensuring alignment with client specifications and regulatory requirements.Gather, interpret, and evaluate complex client requirements to assess the impact of benefit designs on claims processing; effectively communicate tailored benefit setup options to stakeholders and internal teams, thereby advising on optimal solutions.Manage non-standa

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Full-time

$55,000 - $65,000

Jira Configuration Expert & Agile Standards Lead

Remote

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5d ago

Role Summary The Jira Configuration Expert and Agile Standards Lead is a senior-level role responsible for optimizing and governing Jira platforms to support enterprise-wide agile delivery. This individual will define, implement, and standardize agile processes and best practices across multiple teams, ensuring Jira serves as a reliable system of record for delivery activities. The role requires a strategic thinker with deep technical Jira knowledge and a strong understanding of Agile methodolog

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Third Party, Contract

Depends on Experience

Jira Configuration Expert & Agile Standards Lead

Remote

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10d ago

Founded in 2001, Optima Global Solutions Inc., brings over 2 decades of experience and expertise in facilitating IT transformation within industries ranging from higher education and government to manufacturing and financial services. Sporting scalable and diverse business solutions expertise along with deep-domain based resourcing capabilities, Optima has a specialization in Automation and AI, Strategic Staffing and Custom Solutions Development, focusing on the core pillars of process, people,

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Third Party, Contract

$70 - $80

ERP/CRM Configuration SME

Remote or Cincinnati, Ohio

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Today

Description We are looking for an experienced ERP/CRM Configuration SME to support enterprise platform optimization and tailored business solutions in Cincinnati, Ohio. This Long-term Contract position will focus on translating operational needs into scalable configurations, enhancing system functionality, and partnering with stakeholders to improve platform performance. The ideal candidate brings strong technical depth in configuration, scripting, and integration work while ensuring solutions a

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Contract

License Configuration Support

Remote

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24d ago

Job Title : License Configuration Support Duration: 6+ Months Location: Remote Provide technical and operational support for enterprise software license infrastructure and vendor managed licensing environments to ensure availability, license compliance, and user provisioning. Responsibilities include: Configure and support license managers such as Flexnet, FlexLM, Sentinel RMS/Hasp, Codemeter, Ansys LM, PTC LM, Reprise, and Dassault for uptime, accessibility, and performance, including proactiv

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Contract

Depends on Experience

Lead OpenPages Configuration Engineer - Remote

Remote or Armonk, New York

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Today

RESPONSIBILITIES: Kforce has a clien is seeking a Lead OpenPages Configuration Engineer for a remote role. Summary: We are seeking a remote Lead OpenPages Configuration Engineer to support an in-flight OpenPages implementation currently in the solution decision phase across multiple modules. This role focuses on converting approved solution decisions into executable configuration deliverables using out-of-the-box OpenPages functionality, with a strong emphasis on avoiding customization. The ide

Contract

$90 - $95 hourly

REMOTE - Facets Configuration Analyst

Remote

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5d ago

Job Description: Facets configuration analysts with experience in product build and NetworX configuration. Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Hands-on configuration experience within the product Facets module within the last 2 years. 5+ years of Facets configuration experience At least 3 years of experience in Core Functionalities of FACETS which includes Membership, Provider Management, Claim Processing, Billing, Plan/Produ

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Contract

Depends on Experience

Senior Facets Configuration Analyst

Remote

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3d ago

Senior Facets Configuration Analyst Location: Remote Duration: 12+ months Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Expert hands on configuration experience in the following applications: o Facets System Administration o Security profiles o Workflow o NetworX o Product/Benefits 10+ years of Facets configuration experience Thorough understanding of set-up and functionality of the following processes: o Provider o Membership o Claims

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Full-time

Depends on Experience

Senior Guidewire Configuration Developer

Remote

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10d ago

Job Title: Senior Guidewire Configuration Developer Location: Remote/WFH Duration: 12 months+ contract Description: Strong handson expertise withGuidewire Cloud, including policy configuration and environment management. Proficiency inPolicyCenter (PC) configurationto support complex business requirements. Solid development experience usingGosufor business logic customization. Experience working withAPD (Advanced Product Designer)for product modeling and configuration. Strong knowledge

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Contract, Third Party

Depends on Experience

License Configuration Support Specialist

Remote

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25d ago

Position: License Configuration Support Specialist Duration: 6+ Months Location: Remote License Configuration Support: Provide technical and operational support for enterprise software license infrastructure and vendor managed licensing environments to ensure availability, license compliance, and user provisioning. Responsibilities include: Configure and support license managers such as Flexnet, FlexLM, Sentinel RMS/Hasp, Codemeter, Ansys LM, PTC LM, Reprise, and Dassault for uptime, accessi

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Contract

Depends on Experience

License Configuration Support Specialist

Remote

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25d ago

Job title: License Configuration Support Specialist Duration: 6+ Months Location: Remote License Configuration Support: Provide technical and operational support for enterprise software license infrastructure and vendor managed licensing environments to ensure availability, license compliance, and user provisioning. Responsibilities include: Configure and support license managers such as Flexnet, FlexLM, Sentinel RMS/Hasp, Codemeter, Ansys LM, PTC LM, Reprise, and Dassault for uptime, accessib

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Contract

Depends on Experience

ServiceNow Configuration Analyst

Remote or Hybrid

•

Today

Our Fortune 100 client is looking for a ServiceNow Configuration Analyst with strong knowledge of Employee Service Management applications including HR Service Delivery, Employee Relations, Employee Center, Journey Management, etc. The role will entail leading application process improvements and system enhancements as well as providing support for service requests, defects, and change requests. This is a fully remote position but follows an EST work schedule. Candidates must live and work in

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Contract

DOE

Workday Configuration Consultant

Remote

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2d ago

Workday Configuration Consultant 9 months contract 100% Remote Will prefer candidates who have experience with Workday Object Transporter and Kainos Top Skills: Workday HCMEIBsData Migration using EIBsPreferred Qualifications will get submitted firstExperience with Workday Object Transporter.Experience with Kainos. Position Overview We are seeking an experienced Workday Configuration Consultant to join our Workday Center of Excellence team on a 9month contract. This role will play a critical pa

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Contract

$70 - $75

FACETS Consultant (with Pre-Auth/UM configuration)

Remote

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24d ago

Position: FACETS Consultant (with Pre-Auth/UM configuration) Location: Remote Employment: Contract Job Description: We are looking for a FACETS UM Consultant with strong experience in Utilization Management (UM) and Pre-Authorization (Prior Authorization) configuration within the FACETS platform. Key Responsibilities: Analyze and review existing FACETS Pre-Auth/UM rules (core & custom) Evaluate rule logic for authorization routing, benefit limits, and medical necessity Identify ga

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Contract, Third Party

$55 - $57

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