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Reposted 2 Months AgoSaved
In-Office or Remote
2 Locations
Junior
Junior
Insurance
Support healthcare and operational analytics by extracting, validating, and analyzing claims, pharmacy, lab, and operational data. Develop and maintain reports and dashboards using SQL, Excel, and BI tools, document workflows, meet regulatory reporting needs, and present insights and recommendations to stakeholders.
Top Skills: Business Intelligence (Bi) ToolsCrystal ReportsExcelMedinsightSQLSql Server Reporting Services (Ssrs)
2 Months AgoSaved
Remote
United States
Senior level
Senior level
Insurance
Owns the vision, backlog, prioritization, delivery, and lifecycle of EDI solutions and technical products. Translates stakeholder and regulatory needs into requirements, epics, features, and user stories; leads Agile ceremonies; accepts delivered work; and partners with engineering, QA, data, architecture, operations, health plans, compliance, legal, and audit teams. Monitors product outcomes, mitigates risks, supports modernization, and ensures documentation, controls, security, and regulatory requirements remain audit-ready.
Top Skills: AgileAPIsAzure DevopsEdifecsJIRAQnxtRallyScrumSQL
2 Months AgoSaved
Remote
United States
Senior level
Senior level
Insurance
Supports health plan finance through monthly close, budgeting, forecasting, regulatory reporting, financial modeling, variance analysis, and ad hoc leadership reporting. Evaluates financial information, investigates discrepancies, develops finance policies and procedures, and recommends actions related to investments, operations, product development, and regulatory initiatives. Collaborates with technical and non-technical stakeholders and manages multiple deadlines.
Top Skills: DatabricksExcelMS OfficeMicrosoft PowerpointSQL
Reposted 2 Months AgoSaved
In-Office or Remote
6 Locations
Mid level
Mid level
Insurance
Manage MMISR program activities including configuration, testing, workflows, governance, vendor practices, budgets, performance tracking, and stakeholder coordination. Produce requirements, test plans, training materials, and recurring reports while driving process improvements and adoption of program guardrails.
Top Skills: JIRAMicrosoft ProjectMmisrVisio
2 Months AgoSaved
Remote
United States
Senior level
Senior level
Insurance
Lead a configuration/product team delivering and maintaining enterprise configuration and claims solutions. Own product vision, backlog, and delivery; partner with stakeholders, engineering, QA, compliance, and health plans to ensure scalable, compliant solutions and operational efficiency.
Top Skills: APIsAzure DevopsConfiguration ToolsIntegrationsJIRARallySQL
3 Months AgoSaved
Remote
United States
Senior level
Senior level
Insurance
Lead enterprise data architecture and platform engineering efforts using Databricks Lakehouse. Design scalable cloud-native data platforms, implement medallion architectures, enable data governance and AI/ML workloads, build automation and CI/CD for Databricks, and mentor teams while collaborating with stakeholders on strategy and delivery.
Top Skills: SparkAutomated TestingAWSAzureCi/CdDatabricksDatabricks LakehouseDelta LakeFhirGoogle Cloud PlatformHedisHl7Infrastructure As CodeMedallion ArchitecturePysparkPythonSQLX12
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