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Remote

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2d ago

About PhotonPhoton, a global leader in AI and digital solutions, helps clients accelerate AI adoption and embrace Digital Hyper-expansion to make tomorrow happen today . We work with 40% of the Fortune 100, enabling them to stay agile and future-ready in an era of converging digital and AI boundaries. Powering billions of touchpoints a day, Photon combines AI management, digital innovation, product design thinking, and engineering excellence to drive lasting transformation for F500 clients. We

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Contract, Third Party

Depends on Experience

Sr. Consultant - QNXT

Remote

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8d ago

Job title - Sr. Consultant - QNXTLocation - RemoteFull-time, Remote We are seeking a skilled QNXT Benefits Configuration Specialist to join our dynamic team. The ideal candidate will possess in-depth knowledge of QNXT benefits configuration, along with a strong background in both commercial and government benefit claims. This role is critical for ensuring our benefits systems are accurately designed and configured to meet our organizational needs. Key Responsibilities: Configure and manage QNX

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Full-time

$0 - $0

Sr. Consultant - QNXT - Benefit configuration - Remote

Remote

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Yesterday

QNXT SME Job Description:Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass updates Perform gap

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Full-time

Depends on Experience

QNXT SME Role

Remote

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9d ago

We are Photon, one of the world s largest Digital Platform Engineering companies, blending Strategy Consulting, Creative Design, and Technology Services for a global clientele. We proudly partner with 40% of Fortune 100 companies, delivering niche products that power digital transformation. Watch more about us here: Photon Overview. Short Description: We are seeking a QNXT Subject Matter Expert (SME) with deep expertise in benefits configuration and claims processes for both commercial and gover

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Full-time, Third Party

Depends on Experience

QNXT Benefit Configuration

Remote

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7d ago

We are actively seeking QNXT Benefit Configuration Subject Matter Experts (SMEs) with a strong background in both commercial and government benefit structures. The ideal candidate will have hands-on expertise in QNXT core modules and be proficient in benefit setup, configuration, claims validation, and data migration. This position plays a critical role in ensuring accurate benefit designs and seamless integration within QNXT environments. Key Responsibilities: Configure and manage QNXT benefits

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Contract

Depends on Experience

Data Analyst - QNXT - Remote CA

Remote or Long Beach, California

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Today

Job Description JOB DESCRIPTION Job Summary Candidates must be based in CA Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers t

Full-time

Senior Data Analyst - Healthcare - CA

Remote or Long Beach, California

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Today

Job Description JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and unde

Full-time

Senior Analyst, Network Relations

Remote or Virginia

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Today

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Full-time

USD 46,988.00 - 102,000.00 per year

Senior Specialist, Provider Network Administration

Remote or Long Beach, California

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Today

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana

Full-time

Azure ETL Developer

Remote or Long Beach, California

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Today

Job Description JOB DESCRIPTION Job Summary The Azure ETL Developer is tasked with designing and developing Azure Data Factory solutions, covering projects of moderate to high complexity. This position also necessitates proficiency in Microsoft SSIS ETL solutions to support the architecture, development, and migration of legacy solutions to Azure Data Factory. Candidates should possess three to five years of experience with the Microsoft ETL stack, including experience in SSIS, SSRS, T-SQL, a

Full-time

QXNT Benefit Configuration SME

Remote

•

Today

This is a remote position. Title: QXNT Benefit Configuration SME Duration: 12+ months Location : Remote Must Haves: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data

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Contract

AI Developer GenAI & Automation (Healthcare Domain)

Remote

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Today

Role Summary:We are seeking a skilled AI Developer with 4 6 years of experience, including 2+ years in AI/ML/NLP/GenAI projects, to collaborate with Wipro s Healthcare Consulting team. The role involves designing and delivering GenAI-powered automation solutions for real-world payer and provider challenges, ensuring end-to-end solution ownership from ideation to deployment. Key Responsibilities: Develop GenAI/Agentic AI solutions for automating workflows (claims processing, summarization, task r

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Contract, Third Party

Depends on Experience

IS Application Systems Administrator II

Bozeman, Montana

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Today

Pay & Benefits Estimated hiring range $90,225 - $110,275 / year, 5% bonus target, full benefits. ;br> Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Application Systems Administrator II Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title IS Application Support Manager Department Business Intelligence Requisition 25000 Pay & Benefits Estimated hiring range

Full-time

Compensation information provided in the description

Senior IKA Configuration Analyst

Remote

•

Today

Job Title: Senior IKA Configuration Analyst Location: Remote (Occasional travel to Long Beach, CA) Employment Type: Contract to Hire (3-6 months) Required Skills and Qualifications: Bachelor's degree in Healthcare Administration, Information Systems, Business, or a related field (or equivalent experience).5+ years of experience in healthcare IT, claims administration, or health plan operations, with at least 3 years configuring ikaSystems' software (ikaEnterprise, ikaClaims, or similar).Deep exp

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Contract

Up to $60

Remote QA Manager with Healthcare Payer and Claims exp

Remote

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7d ago

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Summary: We are looking for an experienced QA Healthcare Manager to lead the quality assurance team in ensuring the reliability, security, and compliance of healthcare applications. The ideal candidate should have a strong background in healthcare software testing, regulatory compliance (HIPAA, CMS, FDA), test automation, and team leadership. Key Responsibilities: we need someone who understand healthacre paye

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Full-time

Depends on Experience

SDET(Software Development Engineer in Test)

Remote or Jersey City, New Jersey

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Today

This is a remote position. Job Description ? SDET (Software Development Engineer in Test) Location- Remote Position Overview: We are looking for a highly skilled and motivated SDET (Software Development Engineer in Test) to join our growing QA Automation team. In this role, candidates will be responsible for designing, developing, and maintaining robust automated test frameworks and scripts that ensure the reliability and performance of our software applications. The ideal candidate will have de

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Contract

DO-178C Project Manager

Remote

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4d ago

Object Technology Solutions, Inc (OTSI) has an immediate opening for a DO 178C Project Manager Location: Remote Responsibilities Primary customer interface and responsible for maintaining customer focus and managing the customer interaction during discovery and evaluation of requirementsManages execution on the opportunity and maintains inter-group relationships throughout pre-sales life cycleResponsible for delivery of proposal packages including Statements of Work (SOW), project plan, detailed

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Contract

Depends on Experience

Project Manager (DO-178C)

Remote

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4d ago

OTSI (Object Technology Solutions, Inc), we have an immediate opening for a Job Title Project Manager (DO-178C) with one of our direct clients. Job Title: Project Manager (DO-178C) Work Location: Remote Duration: Long Term Contract Job Description: We are seeking a Senior level Project Manager with solid embedded software technical skills. Your contributions in the role play a critical part in the success of our North America Professional Services team, having project ownership with a wide rang

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Contract

$60 - $65

Senior Software Systems Engineer - Autonomous Vehicles

Remote or Santa Clara, California

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Today

Our ADAS Platform team is responsible for building a scalable and modular software stack that powers advanced driver-assistance systems across a diverse range of product lines and OEMs. We are looking for a highly motivated Senior Software Systems Engineer with a strong foundation in software architecture. This role is ideal for someone who thrives on working across multiple layers of the software stack to drive modularization, improve abstraction, and enable extensibility and reuse. You will pl

Full-time

USD 184,000.00 per year

Senior Software Systems Engineer - Autonomous Vehicles

Remote or California

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Today

Shape the Future of Autonomous Driving with NVIDIA! Join NVIDIA's DRIVE Road Structure, Online Mapping, and Context Fusion team as we build the next generation of autonomous vehicle technology. We are seeking a highly skilled Senior Software Engineer to architect, develop, and optimize the software stack powering our advanced 3D world modeling, map-perception fusion, and context-aware navigation systems. In this role, you'll collaborate with leading experts across perception, planning, and mappi

Full-time

USD 184,000.00 per year

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