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Fraud Examiner

Req ID: R017103 Remote
Submit standard RFIs for routine reviews, inclusive of requests made to external business partners such as Medicare Broker Field Marketing Offices (FMO); and Ancillary Agencies for member involved and impacted allegations of Theft and or Assault. Perform routine and basic reviews such as the...

Healthcare Analyst

NY Req ID: R016553 Hybrid
UPDATE Provide support to the Provider Organizations performance improvement work groups. -Monitor costs and revenue trends for Provider Organizations and assist in understanding trends. -Understand and analyze impacts of new program changes. -Responsible for creating, modifying, and updating...

Healthcare Analyst - TEST BG 2

NY Req ID: R016538 Hybrid
Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management. Create financial models to evaluate the impact of provider reimbursement changes. Gather data and...

HR Sr Analyst

NY Req ID: R020000 Remote
Duties & Responsibilities:Research and respond to a high volume of escalated inquiries from employees across the enterprise + HR via outlook and the HRSS Case Management tool for a variety of topics: System Troubleshooting, Reporting, Time & Absence, Technical requests etc. and...

HR Sr. Analyst

NY Req ID: R016379 Remote
Duties & Responsibilities: Research and respond to a high volume of escalated inquiries from employees across the enterprise + HR via outlook and the HRSS Case Management tool for a variety of topics: Complex System Troubleshooting, Reporting, etc. and recommends solutions or alternate...

Hyphen Employee

CT Req ID: R019916 Hybrid
Duties and ResponsibilitiesLead a team of engineers to build highly scalable solutionsAs a leader, you will help Hyphen’s products and mentor other team members in the processYou will collaborate with other engineering teams, and work autonomously to maintain existing products and participate in...

Hyphen Sr Process Specialist

CT Req ID: R021092 Hybrid
Duties//Responsibilities:Independently perform, analyze and document data profiling, source to target mapping, transformation logic specifications and process design for Hyphen product capabilitiesDevelop test cases and perform user and system testingWork with business stakeholders to understand...

Intern

NY Req ID: R020103 Hybrid
Minimum Qualifications:Undergraduate students must be a junior or senior at an accredited institution or have graduated within 12 months of the program. Graduate students must be enrolled at an accredited institution or have graduated within 12 months of the program.Will not require sponsorship...

Intern Test - PINTERN

Req ID: R016606 Hybrid
Minimum Qualifications: Undergraduate students must be a junior or senior at an accredited institution or have graduated within 12 months of the program. Graduate students must be enrolled at an accredited institution or have graduated within 12 months of the program. Will not require...

IT Associate-5

NY Req ID: R020075
Team Descriptions:There are two distinct program paths – Technical and Business. Individuals are aligned to a path and a role within one of the following participating teams for the entire duration of the program based on their technical skills and interests. IT Associates will have the...

IT Specialist

NY Req ID: R018737 Remote
Work as the cloud and enterprise network SME and member of the Shared Infrastructure Services teamProvide senior level expertise on decisions and priorities impacting the network and security environmentDrive solutions to problems impacting mission critical systems and implement required changes...

IT testing position

NY Req ID: R019841 On-site
Duties & Responsibilities: Monitor Field Service Agents during encounter with members to determine quality standards are being met including improvement of the overall member experience.Record/track quality assessment scores and provide feedback to reduce errors and improve processes and...

Kainos - QA Lead Job Requisition

NY Req ID: R016605 Remote
Business liaison SME that aligns to the business strategy and ISQA service delivery on Core strategic initiatives - Effectively align the Testing Support Services and the Testing services under the Quality Assurance Team for strategic planning as it pertains to build Vs Run - Participate in the...

KSCCOTimeTrackingReports

FL Req ID: R021472 Remote
Duties and Responsibilities:Plays a leadership role in the definition and execution of the Information Management roadmap.Supports Enterprise Data Architecture roadmap by managing architectural runway for enterprise data model, enterprise data store//warehouse, information management, and...
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