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The candidate will perform application analysis, design solutions, maintain programs, and analyze existing systems for enhancements, ensuring timely delivery of software.

Lead actuarial initiatives for the pharmacy line of business, ensuring compliance, developing pricing strategies, and managing staff and projects.

The RN Appeals Analyst conducts clinical reviews of appeal requests to determine compliance with medical necessity guidelines, and documents findings in accordance with regulations.

This role requires monitoring and reconciling complex general ledger accounts, processing accounting activities, resolving variances, and providing guidance to junior accountants. Responsibilities include preparing reconciliations, maintaining compliance with regulations, and supporting month-end and year-end close activities.

The SAS Programming Analyst II designs, codes and maintains database programs to produce reports, assists in statistical analysis, and verifies data. The role requires analytical skills and proficiency in mathematical concepts and programming.

The role involves performing non-medical reviews, processing redetermination letters, preparing reports, and managing documentation for legal inquiries.

Responsible for reviewing, analyzing, and processing provider enrollment applications while ensuring compliance with standards and guidelines. Communicates with internal and external customers, manages provider data, and assists with improvements in the enrollment process.

Responsible for complex accounting activities, maintaining general ledger, preparing financial reports, and assisting in audits. Requires 2 years of accounting experience and a relevant Bachelor's degree.

Responsible for the provider enrollment process, ensuring compliance and integrity of provider applications, data entry, and resolving discrepancies.

This role involves managing the provider enrollment process, ensuring compliance with standards, and maintaining provider data integrity while providing customer service.