The associate will provide quality customer service by answering questions regarding Medicaid eligibility and program information. They are responsible for gathering documentation and accurately entering information into various systems.
The architect will define end-to-end solutions using the Microsoft Power Platform and establish governance frameworks to ensure secure, scalable implementations. They will also lead integration efforts with enterprise applications and mentor development teams to drive organizational digital transformation.
The specialist will bridge business needs and technology solutions by configuring Microsoft Power Pages, Power Apps, and Dataverse. They will also facilitate requirements gathering, manage stakeholder communication, and oversee user acceptance testing for digital transformation initiatives.
The Senior ETL Developer will design, develop, and maintain efficient ETL workflows to facilitate data integration and warehousing. They will collaborate with cross-functional teams to ensure data accuracy, performance, and reliability while mentoring junior developers.
Provide one-on-one telephone assistance to Medicaid applicants and beneficiaries while accurately documenting enrollment requests. Maintain knowledge of program rules and policies to deliver clear, objective information to customers.
The supervisor leads a team of rebate professionals to ensure accurate and timely Medicaid drug rebate invoicing, payment processing, and dispute resolution. They are responsible for maintaining compliance with CMS regulations, managing client relationships, and driving operational process improvements.
The role involves partnering with stakeholders to gather requirements and investigating system defects to identify root causes. You will also collaborate with technical teams to design, test, and validate system enhancements while ensuring compliance with Medicaid policies.
The role involves partnering with stakeholders to gather requirements, investigate system defects, and translate regulatory policies into effective technical solutions. You will also collaborate with cross-functional teams to validate system enhancements and ensure operational efficiency within Medicaid claims processing.
Lead complex government pursuits from qualification through award support, shaping capture strategy, competitive positioning, and customer and partner engagement. Coordinate cross-functional teams and partners, guide pricing and proposal activities, and maintain strategic alignment through reviews, presentations, negotiations, and lessons learned.
The Technical Delivery Manager is responsible for overseeing the end-to-end delivery of healthcare products, including design, deployment, and implementation support. They will lead cross-functional teams, manage project budgets and schedules, and ensure adherence to stakeholder goals and technical standards.
The Senior Java Developer is responsible for designing, developing, and supporting mission-critical applications for pharmacy benefit management and point-of-sale platforms. This role involves building scalable microservices, troubleshooting production issues, and collaborating with cross-functional teams in an Agile environment.
The Senior Oracle Database Administrator will manage the full lifecycle of Oracle database systems, ensuring high availability, performance, and data security across on-premises and cloud environments. Responsibilities include installing and configuring Oracle RAC, managing backups, applying security patches, and providing 24x7 on-call support.
The Senior Business Analyst will serve as the Claims Domain lead for MMIS healthcare projects, driving claims module processes and business requirements. They will collaborate with development and architecture teams to define platform requirements while troubleshooting application issues and conducting milestone demos.
The developer will design, develop, and maintain enterprise applications supporting Point-of-Sale and batch processing environments. They are also responsible for troubleshooting technical issues, collaborating with cross-functional teams, and providing on-call production support.
The Senior Business Analyst will lead the claims domain for MMIS healthcare projects by driving process improvements and performing detailed business requirement analysis. They will coordinate with customers and development teams to ensure quality documentation, troubleshoot application issues, and facilitate implementation decisions.
Lead business and functional requirements for the MMIS Financial Management module from initial gathering through implementation and production validation. Collaborate with cross-functional teams to analyze financial lifecycles, define system needs, and ensure accurate claims payment and reconciliation.
The Senior Business Analyst will lead the claims domain for MMIS healthcare projects, driving process improvements and business requirements. They will coordinate with customers and development teams to ensure quality implementation and troubleshoot application issues.
The representative will handle high-volume inbound calls to assist Kentucky residents with health benefits such as SNAP, Medicaid, and TNAF. Responsibilities include navigating government online tools, inputting data into client systems, and providing accurate information while adhering to strict scripts and performance goals.
The Lead Quality Analyst will manage a team of analysts while driving the adoption of AI and automation to modernize quality operations. This role involves serving as the primary client point of contact for quality activities and ensuring alignment between client expectations and QA team deliverables.
The role involves administering, monitoring, and troubleshooting Linux-based workloads and Azure platform services. You will collaborate with DevOps teams to support CI/CD deployments, infrastructure as code, and secure platform patterns.
Manage the end-to-end delivery of healthcare products from design to deployment, ensuring alignment with business requirements and strategic goals. Lead and supervise technical teams, including Scrum Masters, while overseeing budgets, schedules, and resource allocation.
Manage the end-to-end delivery of healthcare products from design to deployment, ensuring alignment with business requirements and strategic goals. Lead and supervise technical teams, including Scrum Masters, while overseeing budgets, schedules, and resource allocation.
The role involves designing, developing, and debugging software systems throughout the full development life cycle. The developer will act as a technical expert, creating specifications and evaluating new technologies to meet business needs.
Act as the Claims Domain lead for MMIS healthcare projects, driving the claims module process and providing domain expertise. Responsible for analyzing business requirements, developing documentation, and coordinating with customers to ensure quality implementation.
The role involves leading the design and implementation of payer-centric interoperability platforms, focusing on building secure, scalable FHIR R4 services that expose member, coverage, claims, and clinical data. Responsibilities include designing and maintaining FHIR servers, mapping payer data to FHIR formats, developing microservices with Spring Boot, and ensuring HIPAA compliance.
