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Posted (Jul 31, 2026)
The CMA will regularly interface with various groups around the state who are providing care coordination services or supporting the services that are utilized by our membership. This can include but are ...
The Role The client is seeking an experienced Tax Manager on a contract basis to support state and federal income tax compliance and tax provision workstreams. This is a hands-on, preparation-focused ...
This position ensures that the client’s process to execute MOUs, MOAs, vendor contracts and other agreements is well organized and efficient. They will work closely with client business leads and partners ...
We are seeking an experienced and highly motivated ServiceNow Developer to join our dynamic team. The ideal candidate will have a strong background in designing, developing, and implementing ServiceNow ...
Posted (Jul 30, 2026)
Position Overview: The pharmacist will be responsible for medication therapy management (MTM) services, including outbound calls for comprehensive medication reviews (CMR) and delivering in-depth ...
Remote Description: This position leads 1) development, revision, execution, and oversight of federal Advance Planning Documents, contracts, MOAs, MOUs, BAAs and other ...
Description: This position leads 1) development, revision, execution, and oversight of federal Advance Planning Documents, contracts, MOAs, MOUs, BAAs and other
Remote (Local candidates only) Description: The client seeks to serve our community through caring, learning, and innovation for the whole person through all stages of live. While engaged ...
Description:
The client seeks to serve our community through caring, learning, and innovation for the whole person through all stages of live. While engaged
Posted (Jul 29, 2026)
The client is looking for a Software Architect - Consultant (Artificial Intelligence) Scope of the project: As an artificial intelligence (AI) subject-matter expert, this position will support ...
BASIC FUNCTION: This position is responsible for creating reports, insights, and analytics in support of the division; developing specifications for reports and analyses based on business needs; ...
Posted (Jul 28, 2026)
Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS) to ensure appeal process meets established guidelines. Adhere to accreditation and regulatory requirements ...
The client is looking for one (1) Certified Cloud Architect Purpose and Objective The client requires an expert senior technical leader and engineer to serve as a strategic advisor to the CISO ...
Posted (Jul 24, 2026)
Remote in any state except, NY, CA, HI and AK Description: Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned by a supervisor in the Nurse Case ...
Description: Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned by a supervisor in the Nurse Case
Posted (Jul 22, 2026)
Position Summary The Healthcare EDI Systems Analyst is responsible for the implementation, support, monitoring, analysis, and optimization of Electronic Data Interchange (EDI) transactions used in ...
Remote Description: The Senior EDI Application Developer is a full stack engineer who designs, develops, and integrates solutions to solve business and technical requirements across EDI ...
The Senior EDI Application Developer is a full stack engineer who designs, develops, and integrates solutions to solve business and technical requirements across EDI
Remote position in NM Description:This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, ...
This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research,
Posted (Jul 21, 2026)
Fully remote (never coming onsite) Description:Position Summary As a Clinical Pharmacist Advisor Medicare you will be directly supporting Medicare Part D ...
Position Summary As a Clinical Pharmacist Advisor Medicare you will be directly supporting Medicare Part D
Posted (Jul 20, 2026)
Remote Description:Position Summary As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related ...
Position Summary As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related
Posted (Jul 17, 2026)
Remote – work from home Description: Sales Solutions Analyst General Purpose: To investigate all sales related complaints for agents and agencies including internal and ...
Sales Solutions Analyst
General Purpose: To investigate all sales related complaints for agents and agencies including internal and
Posted (Jul 14, 2026)
The position will function as a Business Analyst on an existing development team and is responsible for working with the customer as well as the development team under the direction of a team lead to ...
Posted (Jul 13, 2026)
Manages one or more high-level, complex non-technical projects within the constraints of scope, quality, time, and cost, to deliver specified requirements. Projects may be strategic in ...
Posted (Jul 10, 2026)
Customer Care Pharmacy Tech Summary: The Customer Care Frontline Specialist serves as the primary point of contact for home dialysis customers, delivering exceptional service and support, ...
Posted (Jul 09, 2026)
Remote Description: This position is responsible for ensuring accurate and timely engagement of behavioral health cases, assisting members on the telephone, reviewing medical records, ...
This position is responsible for ensuring accurate and timely engagement of behavioral health cases, assisting members on the telephone, reviewing medical records,
Posted (Jul 08, 2026)
Position General Summary: The Client Technologies Technician provides 2nd-tier support and configuration for proprietary applications with the client organization. Specifically, the Client Technologies ...
Fully remote Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria ...
Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria
Posted (Jul 01, 2026)
Remote Description: Fiber Analyst and Project Lead Job Summary Candidates will be responsible for managing the end-to-end testing of dark fiber ...
Description: Fiber Analyst and Project Lead Job Summary Candidates will be responsible for managing the end-to-end testing of dark fiber