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Posted (May 07, 2026)
Remote Description: Position Summary: This Customer Service Representative will perform inbound and outbound calls to members that need help in finding local ...
Description: Position Summary: This Customer Service Representative will perform inbound and outbound calls to members that need help in finding local
Position Responsible for assisting the corporate auditors and the management team with audits and amended returns of corporate taxpayers by ensuring that acceptable audit methods and procedures are in ...
Under the general supervision of the Section Manager, this position is primarily responsible for the operational administration of the adult long-term care (LTC) provider enrollment system. 1. ...
SAP BRIM Functional Consultant - FICA Description of Duties Support client’s solution delivery team in coordinating SAP BRIM activities within the UBOS program Deliver functional designs and ...
Posted (May 06, 2026)
Remote Description: This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, ...
Description: This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry,
Remote Job description:The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within the client, this role focuses on ...
Job description:
The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within the client, this role focuses on
Remote Position Summary: The client is seeking an experienced Security Operations Center (SOC) Analyst with strong expertise in Endpoint Detection and Response (EDR) tools and ...
Position Summary: The client is seeking an experienced Security Operations Center (SOC) Analyst with strong expertise in Endpoint Detection and Response (EDR) tools and
Posted (May 05, 2026)
Remote – offshore (this means we expect the resource is remote and located outside of the US but should be available until 2:30 P.M. ...
Posted (May 04, 2026)
Remote Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan ...
Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan
Pharmacy Technician Senior Representative The Pharmacy Technician in the client Pharmacy Call Center will work within the Part D Medication Adherence area of the client department. This call ...
Remote Description: The Project Manager will manage vendor execution against contract scope, schedule, deliverables, and quality expectations. The Project Manager will maintain a ...
Description: The Project Manager will manage vendor execution against contract scope, schedule, deliverables, and quality expectations. The Project Manager will maintain a
Posted (May 01, 2026)
Remote Description: Sr. Program Manager: Business Readiness & Business Knowledge Transfer Your RoleThe Project Manager, Business Readiness & Business ...
Description:
Sr. Program Manager: Business Readiness & Business Knowledge Transfer
Your Role
The Project Manager, Business Readiness & Business
Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. ...
This is a remote position within our plan states, IL, TX, NM, OK, MT, TN Description: Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned ...
Nurse Case Management Senior Analyst
Delivers specific delegated tasks assigned
The position provides support to the Medicaid Care Coordination team by outreaching to Medicaid members to complete their initial health risk screening and completing door knocks when necessary to contact ...
Posted (Apr 30, 2026)
About the Role As client's businesses build and adopt AI agents at an accelerating pace, every connection those agents make to internal systems — APIs, cloud services, collaboration tools, data stores — ...
Posted (Apr 29, 2026)
Remote Description: 1.Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS) to ensure appeal process meets established ...
Description: 1.Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS) to ensure appeal process meets established
Posted (Apr 23, 2026)
Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care ...
Posted (Apr 21, 2026)
A data analyst is a highly trained individual that specializes in collecting, organizing, and analyzing data from various resources Primary tasks of this position are compilation and analysis of data ...
Posted (Apr 14, 2026)
Under the general direction of the Grievance & Appeals Nurse Manager and Grievance Supervisor, the Grievance and Appeals Coordinator is responsible for completing administrative functions and ...
Posted (Apr 10, 2026)
This is remote in any state except NY and CA Description: This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical ...
Description: This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical
Posted (Apr 09, 2026)
Remote Description: Seeking physician medical reviewer Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical necessity ...
Description: Seeking physician medical reviewer Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical necessity
Posted (Apr 02, 2026)
Remote Description: Sr. Salesforce Platform Engineer The Platform Engineer performs a critical role delivering the core capabilities and features of a strategic ...
Sr. Salesforce Platform Engineer
The Platform Engineer performs a critical role delivering the core capabilities and features of a strategic
Posted (Mar 30, 2026)
Vendor Management Specialist (Onboarding & Offboarding Focus) Job Summary The Vendor Management Specialist is responsible for overseeing the end-to-end lifecycle of third-party vendors, with a ...
Posted (Mar 26, 2026)
Atlassian Specialist (Jira and Confluence) Job Summary The Atlassian Specialist is responsible for the administration, configuration, and optimization of Atlassian tools—primarily Jira and ...
