Develop and assess Oracle-based architecture options to modernize federal HR, payroll, and personnel management systems for the DoD. Create modernization roadmaps and provide strategic recommendations to senior government executives.
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Responsible for the accurate entry, review, and resolution of medical claims in alignment with CMS guidelines and client policies. This includes validating provider information and determining whether claims should be paid or denied.
Conduct technical discovery and infrastructure assessments for enterprise data center environments to identify risks and modernization opportunities. Support pre-sales activities by developing solution recommendations, executive reports, and statements of work.
Oversee the successful execution of client programs from kickoff to completion as the primary point of contact. Manage project timelines, operational risks, and cross-functional coordination to ensure delivery within scope and budget.
The Account Manager oversees the end-to-end execution of client programs, serving as the primary point of contact for clients and internal teams. They are responsible for managing project timelines, budgets, and operational risks to ensure high client satisfaction and efficient delivery.
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Azure Solutions and Security Architect
Ascend Technologies
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Full Time
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2 Days Ago
Ascend Technologies
Design and deliver secure enterprise Azure cloud solutions while serving as the Agile Product Owner for infrastructure and security services. Lead the implementation of regulatory compliance controls and provide technical guidance to cross-functional teams and executive stakeholders.
Manage a portfolio of large enterprise clients to ensure retention, growth, and overall satisfaction. Lead renewal strategies and execute Quarterly Client Business Reviews to maximize the value clients derive from products.
Define critical markets and develop strategic relationships to drive solution selling and demand creation within the assigned territory. Manage customer satisfaction regarding supply chain services and lead quarterly business reviews to unlock new sales opportunities.
The Associate Principal Customer Success Manager owns large, complex health plan accounts to ensure successful outcomes and drive customer retention. This involves coordinating across engineering and product teams to resolve issues and managing executive-level client relationships.
Independently manage revenue opportunities and drive pipeline creation through consultative, value-based selling within assigned accounts. Partner with Account Representatives and cross-functional teams to execute growth strategies and expand customer adoption.
Quality Auditor II
Horizon Blue Cross Blue Shield of New Jersey
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Full Time
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2 Days Ago
Horizon Blue Cross Blue Shield of New Jersey
Conducts quarterly and monthly file audits to ensure clinical operations comply with NCQA, URAC, and CMS regulatory standards. Analyzes audit outcomes to identify error trends and provides recommendations for process improvement and staff education.
Responsible for delivering study start-up and managing initial and ongoing submissions within established timelines and quality standards. This includes driving site activation, managing document submissions to central IRBs, and maintaining CTMS and eTMF data.
Lead the development and implementation of Strategic Business Plans for federal accounts including VA, DoD, and IHS. Collaborate cross-functionally to remove barriers to product access and nurture relationships with key oncology stakeholders.
Dual Special Needs Plan VP, BlueCare
BlueCross BlueShield of Tennessee
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Full Time
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2 Days Ago
BlueCross BlueShield of Tennessee
The VP will own the full Profit & Loss for the BlueCare Plus D-SNP business and set the strategic direction for market positioning and operational efficiency. This includes overseeing bid development, ensuring regulatory compliance with CMS and TennCare, and leading high-performing teams to improve member outcomes.
Lead the development and implementation of Strategic Business Plans for federal oncology accounts in the Northeast region. Collaborate cross-functionally to remove barriers to product access and nurture relationships with key VA/DoD stakeholders.
Integrated Care Manager - Remote
Blue Cross Blue Shield of Arizona
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Full Time
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2 Days Ago
Blue Cross Blue Shield of Arizona
Promote continuity of care by assessing, planning, and coordinating healthcare services for members to ensure quality and cost-effective outcomes. Handle a high volume of customer calls and analyze medical records to determine the appropriateness of benefit requests.
Act as a trusted advisor to enterprise customers by designing, validating, and deploying VMware Kubernetes Service (vKS) solutions on VMware Cloud Foundation. Collaborate with sales and product teams to drive platform adoption through technical discovery, workshops, and the creation of reference architectures.
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Maintain accounts and ledgers for research grants and contracts, including setup, oversight, and close-out. Prepare financial reports for federal and non-federal sponsors while ensuring compliance with regulations.
Drive profitable growth in sales revenues through B2B sales development and proactive engagement with current clients. Utilize CRM to manage daily routes and build long-lasting relationships through face-to-face and electronic communication.
Services Project Coordinator (Remote) CST
Lowe's Companies, Inc.
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Full Time
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2 Days Ago
Lowe's Companies, Inc.
Facilitate end-to-end oversight and support for customers purchasing installation jobs by tracking progress and documenting interactions. Coordinate between customers, service providers, stores, and vendors to ensure projects are scheduled and completed within SLAs.
Senior Director, Medicaid Compliance
Centene Corporation
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Full Time
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2 Days Ago
Centene Corporation
Lead the Compliance Advisory & Research and Compliance Response & Escalation teams to provide strategic direction across complex compliance functions. Partner with senior leadership to ensure business initiatives align with federal, state, and contractual requirements for the Medicaid line of business.
Execute B2C medical device sales and drive territory strategy to achieve yearly revenue targets for cochlear implants. Manage candidate nurturing, professional partner relationships, and local consumer marketing initiatives across the Mid South region.
Director, Customer Experience Strategy & Solutions
College Board
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Full Time
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2 Days Ago
College Board
Lead the design and execution of scalable customer support strategies to ensure a seamless experience for students and educators. Drive cross-functional alignment between Program, Product, and Operations teams to translate business goals into actionable support models.
Lead end-to-end global payroll operations across multiple countries, ensuring accuracy, compliance, and timely processing. Manage third-party providers and partner cross-functionally with HR, Finance, and IT to optimize payroll processes and employee experience.
Manage full-cycle recruitment for licensed clinical and non-licensed positions to build human capital capacity. Partner with hiring managers to identify requirements, source diverse talent, and manage the candidate flow through the ATS.
Claims Assistant 2
Association County Commissioners of GA
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Full Time
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2 Days Ago
Association County Commissioners of GA
Performs intermediate administrative support by entering insurance and workers' compensation claims into the database and processing related invoices. Handles office activities including answering telephones, maintaining confidential records, and providing customer support to local government officials.
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Design and build backend services, APIs, and runtime infrastructure to coordinate work orchestration and job execution within the Alteryx Cloud. Lead technical designs for distributed systems and mentor engineers on production-engineering practices.
Inside Sales Representative
Monolithic Power Systems, Inc.
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Full Time
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2 Days Ago
Monolithic Power Systems, Inc.
Manage customer forecasts, bookings, and backlog analysis while interfacing between regional sales teams and the factory. Oversee NPI launch preparations, customer service functions, and the RMA material returns process.
Manage the full enterprise sales lifecycle from lead generation to closing, focusing on infrastructure monetization and energy upgrades. Collaborate with internal legal, finance, and engineering teams to structure bankable and profitable deals for Fortune 2000 companies.
Manage and grow a portfolio of institutional healthcare accounts across the Americas through renewals, upselling, and new business acquisition. Collaborate with cross-functional teams to deliver value and influence product roadmaps based on customer insights.
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