- The Cigna Group (Bloomfield, CT)
- …Drive Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst. For this ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior...Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Senior Configuration Management (CM) Analyst (ECM-2024-21289) Bowhead is seeking to network with multiple highly experienced and qualified Senior ... Configuration Management (CM) Analysts for an upcoming proposal effort....context of US Government and Department of Defense (DoD) systems . This role requires a strong background in system… more
- ManpowerGroup (Eden Prairie, MN)
- …**Required Qualifications** + 4+ years of experience in TriZetto FACETS configuration of Claims Processing,Guided Benefit Configuration , Group, ... Customer service, workflow, security, etc + 4+ years of experience in Systems Analysis or Configuration Analysis, Design, Documentation, Development & testing… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Enterprise Configuration Management Proposal Landing Page (ECM-2024-21346): Bowhead is seeking to network with individuals to join our team for our ... proposal effort toprovide support in Configuration Management (CM) as it applies to hardware and software systems ; combat systems ; system of systems ;… more
- Commonwealth Care Alliance (Boston, MA)
- …& Abilities Required:** **Healthcare Claims ** Strong knowledge of healthcare claims systems and data, including payment integrity, pricing, editing, ... product(s) supported, understanding the complete technical stack, including platform configuration , end-to-end integration, business rules, underlying databases, and software… more
- Humana (Columbus, OH)
- …opportunities to mitigate claim overpayments. + Works with other departments such as Claims , Finance, Provider Services, and Provider Configuration and Load + ... caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2...based on research. + Ability to quickly learn new systems . + Proven ability to utilize analytical thinking in… more
- Elevance Health (Wallingford, CT)
- **JR124224 Business Change Director ( Quality Control Test Architect, PBM systems )** CarelonRx's Business Operations org is looking to hire a PBM Test Program ... Manager / Quality Control Test Architect. This high-performing individual contributor will...evaluation of available data in repositories, identifying gaps, alignment Configuration Management and Release Management on data needs, and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …ensure processing outcomes are in line to established rules. This individual will support quality reviews and testing of all configuration setups prior to client ... About The Role We are looking for a Senior Quality Analyst to join the team who will be...Audit configuration against contract requirements to verify configuration following source documentation. + Research claims … more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …manage public-key encryption + DISA STIG implementation and work within Configuration -Managed Environments + Analyze, design, and implement modifications to system ... files, directories, command-line environments, and documentation + Operate running systems , including booting into different run levels, identifying processes,… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** SYSTEMS ADMINISTRATOR (WINDOWS) Bowhead seeks a Systems Administrator (Windows) to provide customer support and technical assistance to users ... the Naval Surface Warfare Center Dahlgren Division (NSWCDD). **Responsibilities** The Systems Administrator will be responsible for: + Answering questions about… more
- UIC Government Services and the Bowhead Family of Companies (Stafford, VA)
- **Overview** Bowhead seeks a Systems Engineer to serve on a portfolio of IT business systems with the key duty of assisting the Government systems ... specification development, and other engineering management duties such as configuration management, risk management, cyber security, and technical assessments. The… more
- UIC Government Services and the Bowhead Family of Companies (Stafford, VA)
- **Overview** Bowhead seeks a Mid-Level Systems Engineer to join our team supporting the Program Office for Logistics Integrated Information Systems - Marine ... Corps (LI2S-MC) in Stafford, VA. The Systems Engineer will work directly with the client analyzing complex and unique technical support assignments and lead or… more
- BlueCross BlueShield of North Carolina (NC)
- …and utilizing solid functional/technical area knowledge of relevant systems /applications, the incumbent defines, evaluates, and validates requirements, business ... find technical solutions to meet their goals. + Work in some phases of systems analysis and consider the business implications of the application of technology to… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Systems Engineer (VSE-2024-21372) Bowhead is seeking a Systems Engineer in Dahlgren, VA.This position supports the Naval Surface Warfare Center, ... **Responsibilities** This position requires a flexible individual with experience in Systems Engineering and Requirements Verification. The Systems Engineer will… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …to Five years of professional experience in effective provisioning, installation / configuration , operation, and maintenance of systems hardware and software and ... **Overview** Systems Administrator (E30-2024-20850): Bowhead seeks a Systems...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Alexandria, VA)
- …and office environment, to include a complete telecommunications and computer systems capability and full logistical services. **Responsibilities** * Assist the ... access authorization, and are aware of their cybersecurity responsibilities for DoD IS systems under their purview before being granted access to those systems … more
- Sharp HealthCare (San Diego, CA)
- …processes for utilizing effective and creative problem solving techniques within Information Systems accepted framework to develop quality services and resolve ... employer business practices. **What You Will Do** The Lead Systems Analyst position provides leadership for the Application Support,...fit for you if you are EPIC Certified in Claims Administration and have experience with EPIC Tapestry in… more
- G-TECH Services, Inc. (Detroit, MI)
- …on NPS * BFM/BFAST benefit configuration experience - analysis, testing, configuration , documentation, and all quality processes. * Working knowledge of ... enhancements. Top 3 Required Skills/Experience - * Strong medical and facility claims background, understanding of the billing process, ICD codes, procedure codes,… more
- Citigroup (Irving, TX)
- …user computing services. We do this by working as one-team to deliver high quality , reliable and modern infrastructure technologies at the right cost. We drive to ... ownership for their domain, including the total cost of ownership, service quality and responsiveness. Team members within the Services functions will engineer and… more
- The Cigna Group (Nashville, TN)
- …quality and accuracy leading to CMS compliant provider directories and improved claims auto-adjudication. + Work within the Data Quality management process to ... Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework and policies to drive… more