Collaborates with stakeholders to elicit and document functional and non-functional IT system requirements. Serves as the primary interface between business units and IT teams to ensure solutions align with enterprise and data strategies.
company
77 Remote Job Openings at company
Design and implement a centralized Access Management operational model, including RBAC, identity lifecycle automation, and access reviews. Establish policies and documentation to ensure compliance with regulatory audits and PCI DSS standards.
Establish the operational model for Application and Infrastructure Security, including vulnerability management and security controls integration into SDLC/CI/CD. Implement cloud and Kubernetes security baselines and collaborate with engineering teams to remediate findings and prepare for PCI DSS audits.
Launch, manage, and scale advertising campaigns on TikTok Ads while testing new hypotheses and creatives. Analyze key metrics such as ROI, CR, and EPC to optimize advertising links and manage large budgets across various GEOs.
Launch, manage, and scale advertising campaigns on TikTok Ads while testing creatives and new hypotheses. Analyze key metrics such as AR, CR, EPC, EPL, and ROI to optimize advertising links and manage large budgets across various GEOs.
Manage the operational workflow of the Freelance Space, coordinating between freelancers and buyers to ensure SLA compliance. Monitor task progress, handle support requests, and identify opportunities to improve internal operational processes.
Implement a comprehensive employer brand PR strategy and manage external communications across various platforms and media. Coordinate speaker development, professional conference participation, and cross-functional collaboration with SMM and design teams.
The Actuarial Analyst supports Health Plan operations by establishing insurance rates, rating structures, and maintaining financial solvency. Responsibilities include performing risk management analysis, developing financial projections, and ensuring compliance with actuarial standards.
The Customer Care Advocate resolves member and provider inquiries regarding contract benefits, claim payments, and enrollment across multiple communication channels. They are responsible for documenting interactions and ensuring compliance with legislative and corporate requirements to enhance customer satisfaction.
Responsible for coordinating and monitoring the utilization of behavioral and physical health services to ensure compliance with regulatory standards. Performs clinical reviews to determine the appropriateness of services and collaborates with providers to ensure seamless member care.
Build and maintain AI automations and pipelines using N8N and APIs, integrating them with tools like Jira and Slack. Monitor pipeline performance, implement safety guardrails, and develop an internal Solution Library for the Design Innovation team.
Develop and maintain the poker product roadmap and cross-conversion strategies between casino, betting, and poker. Responsible for financial modeling of tournaments, analyzing product metrics, and managing the full cycle from concept to technical specifications.
Provide high-quality support to the bronze VIP segment and convert them into higher VIP tiers. Promote activities like tournaments and quests while gathering user feedback to increase overall customer satisfaction.
The role involves analyzing technical specifications, creating test documentation, and performing functional, regression, and acceptance testing. The engineer will also manage the STLC cycle for features and bugs and conduct product demos.
Manage the VIP client base to maintain activity and recover inactive users through personalized support. Handle incoming and outgoing communications across emails, messengers, and phone calls to ensure a positive user experience.
Monitor and analyze marketing funnels and traffic efficiency using metrics like ROI, LTV, and ARPU to optimize budget distribution. Conduct user behavior analysis, competitor research, and product experiments to improve conversion rates and user flow.
Responsible for farming Google accounts, managing proxies, and handling account verifications according to agreed scenarios. Supports media buyers by managing account costs, tracking data in CRM, and handling SMS requests.
Responsible for farming Google accounts, managing proxies, and setting up warm-up advertising campaigns. Includes handling account verifications, monitoring costs, and supporting media buyers with account delivery.
Responsible for farming Google accounts, managing proxies, and setting up warm-up advertising campaigns. This includes handling verifications, managing costs, and supporting media buyers with account delivery and SMS reception.
Responsible for farming Google Ads accounts, managing proxies, and handling account verifications. The role involves launching warm-up campaigns, managing costs, and supporting media buyers with account delivery.
Develop full visual assets for mobile apps on App Store and Google Play, including icons, screenshots, and internal screens. Utilize AI tools to generate graphics and automate design processes while monitoring iGaming and ASO trends.
Develop full visual designs for mobile applications in App Store and Google Play, including icons, screenshots, and internal screens. Utilize AI tools to generate graphics and optimize design processes while monitoring iGaming and ASO trends.
Create and maintain structured, user-oriented technical documentation, including API guides and system logic. Collaborate with developers, QA, and product managers to validate technical requirements and ensure documentation accuracy.
The role involves analyzing technical requirements, creating test cases and checklists, and performing functional, regression, and acceptance testing. The engineer will also manage the STLC cycle for features and bugs, conduct demos, and collaborate with other departments to analyze issues.
Manage client-aligned relationships by resolving employee concerns, leading workplace investigations, and ensuring compliance with company policies and external regulations. Oversee employee leave management programs and implement proactive employee relations strategies to improve retention and morale.
Create and maintain structured, user-oriented technical documentation including API guides, system logic, and user flows. Collaborate with developers, QA engineers, and product managers to validate technical requirements and ensure documentation consistency.
Lead a frontend game development team by managing tasks, mentoring developers, and defining the technical strategy and architecture. Develop game processes using Pixi.js, including animations, UI/UX elements, and API integrations for iGaming projects.
Lead the product vision and roadmap prioritization while mentoring Product Owners and managing delivery across multiple product lines. Act as a Product Owner for one development team and optimize shared product processes and standards.
The role involves analyzing technical requirements, creating test cases and checklists, and performing functional, regression, and acceptance testing. Additionally, the candidate will manage feature releases across environments and support the SDLC cycle.
Integrate with internal services and optimize existing services using PHP and GoLang. Develop new services to support the company's iGaming B2B solutions.
Develop and maintain product functionality across multiple domains with a focus on SSR/SSG microservices and technical SEO. Optimize Core Web Vitals and implement performance monitoring using tools like Sentry and Grafana.
The Business Systems Analyst collaborates with stakeholders to elicit and document functional and non-functional IT system requirements. They serve as the primary interface between business units and IT teams to ensure solutions align with organizational objectives.
Develop and optimize AI/ML solutions, including LLMs and generative AI, to solve business challenges and improve member health outcomes. Collaborate with data engineering and MLOps teams to build scalable data pipelines and deploy models into production.
Develop and maintain design systems, art guides, and creative assets for social media promotion. Manage corporate merchandise, event branding, and optimize internal design workflows through active communication with stakeholders.
Develop and maintain design systems, art guides, and creative assets for social media promotion. Manage corporate merchandise, event stands, and optimize internal design workflows through client communication.
Develop hypotheses, create designs, and conduct A/B tests to improve retention efficiency. Create and launch personalized push notification content for various products and countries using an internal CRM.
Develop hypotheses, create designs, and conduct A/B tests to improve retention efficiency through push notifications. Create personalized text creatives for various products, countries, and segments using an internal CRM.
The Product Owner will define the long-term vision and roadmaps for services aligned with business goals while coordinating cross-functional teams. They are responsible for managing the full product delivery process, analyzing market trends, and maintaining high-quality documentation.
Strategically manage vendor portfolios and relationships to ensure performance meets contractual obligations and business expectations. Lead sourcing, selection, negotiations, and governance activities while acting as a trusted advisor to business units.
This role plans and directs contracting activities for professional and ancillary healthcare services to ensure prudent purchasing. It involves developing reimbursement strategies, leading negotiations, and managing contractual disputes and compliance.
The role involves developing and implementing SEO strategies for iGaming projects, including the creation of PBNs, satellite sites, and parasite SEO. Responsibilities include conducting technical audits, managing link building, and optimizing content and structure to drive traffic and monetization.
Develop and maintain design systems, art guides, and creative assets for social media and corporate merchandise. Optimize work processes and collaborate with clients to implement graphic solutions for new and existing projects.
Lead and mentor the DevOps/SRE team while developing technical strategies and engineering culture. Focus on scaling the gaming platform, improving observability, and automating infrastructure processes to ensure high availability.
Case Manager, RN or Licensed Behavioral Health (Multiple Openings!)
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Full Time
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21 days ago
company
Conducts comprehensive case management activities to identify, assess, and coordinate care for members to ensure optimal health outcomes. Collaborates with interdisciplinary teams and community resources to develop and implement member-centric care plans.
Conducts comprehensive case management activities to identify, assess, and coordinate care for members to ensure optimal health outcomes. Collaborates with interdisciplinary teams and community resources to develop and implement member-centric care plans.
Responsible for the accounting and financial reporting of company investments, including GAAP and statutory reporting and monthly close processes. Collaborates with internal finance teams and external custodians to ensure accuracy of financial data and resolve discrepancies.
The Medical Director oversees utilization and case management activities, including clinical reviews and the development of medical policies. They act as a liaison between the organization and the medical community while ensuring compliance with state and federal mandates.
Lead the development of high-quality game mathematics and mechanics for slots in collaboration with game designers. Perform simulations, competitive analysis, and rapid prototyping to ensure games meet target performance indicators.
The specialist will control payment reconciliation processes to ensure accuracy and timeliness while managing funds reporting and communication with payment providers. They will also optimize payment control processes and participate in the approval of provider contracts.
Maintain and optimize existing services written in PHP and Golang. Develop new services using Golang and perform code reviews.
The IT Cloud Engineer Security III designs and deploys security solutions for public and private cloud infrastructures to ensure trust and risk management. They focus on automation workflows, system analysis, and mentoring junior engineers to maintain a secure and resilient environment.
Provide analytic support for pharmacy and medical drug information to drive strategy, growth, and affordability. Collaborate with multidisciplinary teams to deliver actionable insights and ensure compliance with governmental and corporate guidelines.
The PR Manager will build and maintain long-term relationships with journalists and industry media, initiate collaborations, and represent the brand at key industry events. They will also plan and launch PR campaigns to enhance brand recognition and manage PR activities' effectiveness.
Design, implement, and maintain distributed public and private cloud platforms to support business requirements and infrastructure deployment. Collaborate with IT teams to deliver secure, resilient, and cost-effective PaaS, SaaS, and on-premises solutions.
Resolves customer inquiries regarding contract benefits, claim payments, and enrollment via multiple communication channels. Ensures member and provider satisfaction by responding professionally and adhering to legislative and corporate requirements.
Develops and maintains code for electronic publishing and transactional statements using variable data composition systems. Analyzes system issues, creates workflows, and ensures compliance with design specifications through rigorous testing.
Enrollment Specialist I/II/III/IV (Government Programs: CHP/QHP- Multiple Positions Available)
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Full Time
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2 months ago
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Perform core enrollment processing and servicing for government and employer group health plans in accordance with HIPAA and regulatory guidelines. Manage member and group inquiries via phone, email, and in-person while ensuring accuracy and adherence to service level agreements.
Provides administrative support and customer service for Utilization Management workflows, including handling inbound and outbound calls and creating authorizations. Acts as a primary contact for providers and members regarding regulatory requirements and authorization requests.
Conduct negotiations with streamers and bloggers to launch products and develop strategies for attracting new influencers. Analyze partner statistics against KPIs and optimize budgets to improve collaboration performance.
Drive traffic to projects with an ROI greater than 50% and monitor the effectiveness of advertising campaigns. Analyze profitable combinations, track KPIs, and collaborate with designers to create high-performing creatives.
Community Connections Representative I/II (Central New York Region)
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Full Time
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2 months ago
company
This role bridges the gap between health plan members and clinical operations through home visits and community outreach to address social determinants of health. It involves educating members on healthcare benefits and assisting with the enrollment and recertification process for various health insurance products.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)
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Full Time
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2 months ago
company
The analyst is responsible for auditing acute inpatient claims to ensure coding accuracy and clinical documentation compliance with MS-DRG and APR-DRG systems. They also manage case volumes, provide mentorship, and support departmental strategies through complex audits and data analysis.
You will be responsible for maintaining and optimizing existing services built on PHP and Golang. Additionally, you will develop new services using Golang and participate in code reviews.
The Software Engineer IV is responsible for directing software system validation, testing, and programming initiatives while assisting with system design and architecture. This role involves collaborating with cross-functional teams to communicate project statuses and implementing strategies to mitigate technical risks.
The PR Manager will build and maintain relationships with media and partners while executing PR campaigns to increase brand awareness. They will also manage industry event calendars, prepare award submissions, and analyze the effectiveness of PR initiatives.
The Customer Retention Specialist will analyze customer behavior to develop and implement automated retention campaigns and personalized offers. They will also manage A/B testing, optimize retention funnels, and collaborate with cross-functional teams to achieve key performance indicators.
The Middle PR Manager will build and maintain relationships with media and partners while planning and executing PR campaigns to increase brand awareness. They will also manage industry event participation, coordinate with internal teams, and analyze the effectiveness of PR initiatives.
The specialist will be responsible for developing, launching, and optimizing Apple Search Ads campaigns to meet specific KPIs. They will also conduct market research, analyze competitor trends, and collaborate with ASO, design, and development teams.
This role provides medical leadership for utilization management, quality improvement, and cost containment activities within the behavioral health business unit. The director assists in establishing clinical policies, overseeing physician advisors, and ensuring compliance with regulatory and accreditation standards.
The Product Analyst will analyze key product metrics, user behavior, and sales funnels to generate actionable insights. They will also plan and evaluate A/B tests while maintaining analytical dashboards and supporting product decision-making.
The role involves developing and maintaining product functionality across multiple domains, focusing on SSR/SSG microservice development and implementing technical SEO tasks like indexing, canonicalization, and hreflang setup. Responsibilities also include performance optimization targeting Core Web Vitals and setting up performance and SEO monitoring.
This role involves the accurate and thorough clinical investigation of potential fraud, waste, and abuse (FWA) across all lines of business, adhering strictly to compliance and regulatory mandates. Key activities include substantiating referrals, conducting clinical reviews of medical records for billing accuracy and care appropriateness, interviewing witnesses, and developing corrective action plans.
The role involves developing and maintaining product functionality across multiple domains, focusing heavily on technical SEO tasks such as indexing, canonicalization, and hreflang implementation. Responsibilities also include optimizing performance metrics like Core Web Vitals and setting up monitoring and alerting for performance and SEO.
The Software Engineer is responsible for working on projects currently being visualized or developed, involving the Software Development Life Cycle methodology, directing system validation/testing, and leading programming initiatives. This role requires close communication with clients and cross-functional departments regarding project statuses and proposals.
The role involves developing and evolving product features within a Vue 3 application utilizing SSR, focusing on business-critical scenarios like registration, login, profile, and cashier functions. Responsibilities also include integrating the frontend with APIs, maintaining frontend architecture (Pinia, routing, SSR/prefetch), optimizing performance, and participating in code reviews and CI/CD processes.
The Senior Frontend Developer will be responsible for developing and evolving product features within a Vue 3 application utilizing SSR, focusing on business-critical scenarios like registration, login, profile, and cashier functions. Key tasks also include integrating with APIs, maintaining frontend architecture (Pinia, routing, SSR/prefetch), optimizing performance, participating in code reviews, and ensuring product stability across various geo-configurations.
This role is responsible for the accurate and thorough clinical investigation of potential fraud, waste, and abuse (FWA) across all lines of business, adhering strictly to compliance and regulatory requirements. Key activities involve substantiating referrals, conducting clinical reviews of medical records for billing accuracy and care appropriateness, interviewing witnesses, and developing corrective action plans.
