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Posted (Oct 16, 2026)
Remote w/ possible occasional travel Duties: The candidate selected will perform the following duties: Design, develop, and deploy AI models and algorithms. Collaborate with cross-functional ...
Duties: The candidate selected will perform the following duties: Design, develop, and deploy AI models and algorithms. Collaborate with cross-functional
This will be a remote position, the work schedule will be Monday through Friday, 10:00 AM to 6:30 PM EST. Duties: As a licensed healthcare professional employed in the Prior ...
Duties: As a licensed healthcare professional employed in the Prior
Project Manager IIPosition Summary Manage the full project lifecycle from Initiation through Closing following PMBOK (Project Management Body of Knowledge) standards. Responsible for project ...
Project Manager II
Position Summary Manage the full project lifecycle from Initiation through Closing following PMBOK (Project Management Body of Knowledge) standards. Responsible for project
Fully remote (never coming onsite) HEDIS Medical Record Review (MRR) Abstractor II Position Summary Participates in the collection and review of medical records to abstract clinical information ...
HEDIS Medical Record Review (MRR) Abstractor II Position Summary Participates in the collection and review of medical records to abstract clinical information
Posted (Oct 15, 2026)
Remote The client is seeking a Senior PeopleSoft Technical Developer from its pool of staff augmentation vendors to design, build, test, and deploy a set of student planning tools as upgrades to the ...
The client is seeking a Senior PeopleSoft Technical Developer from its pool of staff augmentation vendors to design, build, test, and deploy a set of student planning tools as upgrades to the
This is a remote position and requires the ability to effectively support a work from home environment. Responsibilities include answering inbound phone calls, processing cases and electronic ...
Responsibilities include answering inbound phone calls, processing cases and electronic
This position can work 100% remote within WI. Project Manager - Scrum Master We have an immediate opening for a Project Manager/Scrum Master. Our team is responsible for BI/Analytics, a data lake ...
Project Manager - Scrum Master We have an immediate opening for a Project Manager/Scrum Master. Our team is responsible for BI/Analytics, a data lake
This is a hybrid/remote position. The candidate will only need to come onsite a couple times a year. preference will be given to applicants residing in client location. Sample Role ...
Sample Role
Posted (Oct 14, 2026)
Remote with future possibility of onsite HEDIS This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool ...
HEDIS This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool
Remote Position - candidate preferably in Ohio, or within Eastern Standard Time zone The client supports multiple business units. The hired Architect creates and leverages Business Capability Modelling ...
The client supports multiple business units. The hired Architect creates and leverages Business Capability Modelling
Fully remote (never coming onsite) Position Summary This position is responsible for resolving coverage determination/redetermination reviews in a timely manner. There may be some interaction with the ...
Position Summary This position is responsible for resolving coverage determination/redetermination reviews in a timely manner. There may be some interaction with the
Fully remote (never coming onsite) The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan ...
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan
Remote-candidates must be in Austin TX. This position is responsible for supporting Medicare and Medicaid provider services, provider operations of individual Medicare and Medicaid providers. This ...
This position is responsible for supporting Medicare and Medicaid provider services, provider operations of individual Medicare and Medicaid providers. This
Posted (Oct 13, 2026)
Remote Description: Job SummaryDocuments and manages fiber optic network assets for inside and outside plant network. Edits and modifies network data, studies project objectives, ...
Description:
Job Summary
Documents and manages fiber optic network assets for inside and outside plant network. Edits and modifies network data, studies project objectives,
candidates cannot be in CA,NY,HI,AK put city and state on resume Enrollment/Billing Representative Strong Organizational skills, attention to detail, and results orientedData ...
Enrollment/Billing Representative
Strong Organizational skills, attention to detail, and results oriented
Data
Posted (Oct 12, 2026)
Fully remote (never coming onsite) The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals ...
The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals
Remote in any state Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral ...
Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral
Posted (Oct 09, 2026)
Remote in any state except NY, CA, AK or HI This position is responsible for making phone calls to various facilities and provider offices to retrieve large amounts of medical records. Enters tracking ...
This position is responsible for making phone calls to various facilities and provider offices to retrieve large amounts of medical records. Enters tracking
Posted (Oct 07, 2026)
Remote The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional ...
The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional
Posted (Oct 01, 2026)
Work from Home Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs ...
Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs
Posted (Sep 29, 2026)
Fully remote (never coming onsite) Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...
Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based ...
Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based
Posted (Sep 28, 2026)
Remote Required Job Qualifications: Extensive Experience in Workday Compensation and Advanced Compensation Bachelor’s degree + 4 years’ experience in HR, IT or Cloud Based ...
Required Job Qualifications: Extensive Experience in Workday Compensation and Advanced Compensation Bachelor’s degree + 4 years’ experience in HR, IT or Cloud Based
Posted (Sep 25, 2026)
Remote- candidates cannot be in CA,NY,AK,HI The purpose of the Indexing Team is to accurately identify and classify medical records and prepare them for review by the Medical Record Coding Teams within ...
The purpose of the Indexing Team is to accurately identify and classify medical records and prepare them for review by the Medical Record Coding Teams within
Fully remote (never coming onsite) Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and ...
Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and
