FULL_TIME

FEED

OTHER

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

TriWest Healthcare Alliance

Director, Population Health

equestftpin

UNKNOWN

WHAT YOU WILL EXPERIENCE IN THIS POSITION: Serve as nVent's primary on-site representative for large-scale engineered bus duct system installation projects, while also supporting outage, rebuild, and other field service projects as needed throughout North America. As demand for critical power infrastructure projects continues to grow, we're expanding our field services team to support an increasing number of installation, commissioning, maintenance, and repair projects across North America.

nVent Electric Plc

Traveling Superintendent

Technical Skills: Advanced collaboration, listening, consulting, and conflict resolution skills; experience conducting investigations; in-depth knowledge of TriWest Human Capital policies and procedures; knowledge of Human Resources management concepts; Federal, state, and local employment law; ability to maintain the confidentiality of information and maintain safeguards; presentation skills. Coaches leaders on Triest Human Capital policies and procedures, including employee relations, leadership development, exit interviews, turnover analysis, performance appraisal system, leadership training, and investigations.

Senior Human Capital Generalist

Accurately and professionally answer health care inquiries and provide resolutions to TRICARE beneficiaries & providers over the phone, chat, email or other written correspondence. • Effectively and professionally answer customer inquiries by taking ownership of issues, utilizing sound judgement and the tools at your disposal to resolve customer issues on the initial contact.

TRICARE Customer Service Rep

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

Supervisor, Utilization Management

The Pricing Analyst will focus on developing job quotes, analyzing customer pricing, and collaborating closely with our sales team to enhance our pricing strategies and profitability, and improve customer satisfaction. We honor everybody’s story and build lifelong relationships, whether with colleagues, customers, or partners, because to reach our fullest potential means empowering people to thrive.

Keystone Technologies Inc

Pricing Analyst (Remote)

clearcompany

The L3 Engineer should ensure technical escalations contain sufficient information, including business impact, affected scope, reproduction steps, errors, screenshots/logs, device/software details, recent changes, troubleshooting completed, SLA urgency, and user availability. Diagnose and resolve complex escalated issues across Intune, Entra ID, SCCM/MECM, Autopilot, Citrix, VDI, endpoint security, deployments, patching, compliance, print services, DNS, and specialized business applications.

YEAR

Cognizant is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant, a member of the NASDAQ-100, is ranked 230 on the Fortune 500 and is consistently listed among the most admired companies in the world. We're driven by a passion to help our clients build stronger, more agile and more innovative businesses. Cognizant enables global enterprises to address a dual mandate: to make their current operations as efficient and cost-effective as possible and to invest in innovation to unleash new potential across their organizations. What makes Cognizant unique is our ability to help clients meet both challenges. We help them enhance productivity by ensuring that vital business functions work faster, cheaper and better. And, our ability to conceptualize, architect and implement new and expanded capabilities allows clients to transform legacy models to take their business to the next level.

Cognizant Technology Solutions Corp

LTC Level 3 Engineer - Endpoint & Legacy Platform Support

You will: Manage and allocate multi-channel paid media budgets across Google Ads (Search, Display, P-Max), LinkedIn Campaign Manager, 6sense, and Meta Ads—continuously rebalancing based on pipeline contribution and cost-per-opportunity. Feed paid media performance data, search intent trends, and AI-discovery insights back into the content engine—partnering with creative, copywriting, and content teams so messaging continually evolves based on real-time market signals.

Appspace

Digital Marketing Manager - Americas

GreenHouseAPI

Design and document integration data flows between UKG Pro WFM Activities and third-party systems, including ERP platforms (SAP, Oracle, Microsoft Dynamics), MES systems, payroll engines, and time collection devices, collaborating with integration teams to ensure accurate and timely data exchange. Lead clients through end-to-end implementation of the UKG Pro WFM Activities module, covering the full project lifecycle: requirements gathering, gap analysis, solution design, configuration, testing, data conversion, go-live, and post-production support.

Join us at Align HCM

UKG Activities System Consultant - Contract

ea_via_bold

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

Medtronic Plc

STEP Field Sales Rep - Surgical (Tampa)

As an Operations Manager, you'll provide operational and administrative leadership for multiple onsite clinics, ensuring our teams deliver exceptional patient care, maintain strong client partnerships, and meet operational and financial goals. You'll work closely with Medcor's clinical, operational, and corporate leadership teams while serving as a trusted partner to our clients and onsite healthcare professionals.

Medcor Inc

Operations Manager - Occupational Health & Wellness Clinics

JOB SUMMARY: Polaris is seeking a Senior Business Analyst to serve as the functional SME for Supply Chain Management, Inventory, Fulfillment, Warehouse Operations, Logistics, ATP/ETA, Intercompany, Goods in Transit, and 3PL/EDI capabilities within the International Order to Cash Product Team. We work with clients across all major verticals, providing industry solutions for Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, and Public Services.

Employee Strength : 223,000 on March 31, 2025  Countries of Operation : 60 Countries
Consolidated Revenues: US $13.8B ,for 12 months ending March 2025
HCLTech is a global technology company, home to more than 223,000 people across 60 countries, delivering industry-leading capabilities centered around digital, engineering and cloud, powered by a broad portfolio of technology services and products. We work with clients across all major verticals, providing industry solutions for Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, and Public Services. Consolidated revenues as of 12 months ending March 2025 for $13.8 Billion. To learn how we can supercharge progress for you, visit <a href="https://urldefense.com/v3/__https://linkprotect.cudasvc.com/url?a=https*3a*2f*2fhcltech.com&c=E,1,YLM9eqRIWyisk6rzUtt-TC_a-5aSuyJgSIT9CeUPKnlUHPWiaGYFDbJcWWbmdqug2u98u_CZS5tci2GRD6BvXZTPh12d-2kJzo-lftXy4J-mjXTUYg05Rpqg&typo=1&ancr_add=1__;JSUl!!D1XWH5In!V6bxMmyaEl7QJGSlh0iumVpbseS84s_GjLWkU6RQjIykjc44OxVMj5Sr1w3fm5uNyDwFqsjk5jjMgYOjuAHsToBXuSQi39UvC78$" target="_blank" rel="noopener" shape="rect">hcltech.com</a>.

HCL Technologies Ltd

Senior Business Analyst

Medicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.

Direct Contracting Manager

Thrive in GAI's corporate culture that empowers employee advancement with support for career and professional development and engages with staff to build mutual trust and respect and consideration for diverse perspectives, people, experiences, and ideas. GAI Consultants is seeking a Designer for Substation Physical Design that will perform physical design related tasks and technical guidance/training/mentoring of lower-level CAD staff.

GAI Consultants Inc

Substation Physical Designer

Communication skills are essential to this position, as an Assistant Engineering Manager will need to effectively coordinate with internal and external clients as well as their Engineering Division Manager, Business Sector Leader, and other engineering discipline leads (such as mechanical, electrical, process, environmental, and geotechnical engineering). Job Duties: Plans, designs, and facilitates civil engineering project design tasks such as site grading and drainage design; access road design; erosion and sediment pollution control design; stormwater management design; report preparation; and permitting.

Assistant Engineering Manager

We invest in our people with long term career advancement- Ongoing market exposure / deal complexity for long‑term career growth with a clear path for increased responsibility and influence within a top‑performing team. The role is responsible for managing a broker’s book of business in-house using deep knowledge of initial risk assessments to secure the best coverage and place it smoothly in the right market.

Ryan Specialty

Wholesale Inside Broker or Senior Inside Broker

Stay informed about evolving laws related to estate planning, environmental law, tribal regulations, securities law, workers' compensation law, immigration law, landlord-tenant law, family law, patent law, and statutory legal research. This role involves representing clients in vehicle defect disputes, advocating for consumer rights, and navigating complex legal processes related to automobile warranty claims.

Viper Staffing Services

Lemon Law (Litigation) Attorneys (Remote)

LPC, Counselor, Telehealth, Virtual Mental Health Therapist, LIMHP, Remote LCSW, Psychologist, Behavioral Health, Telehealth Counseling, Remote, Psychotherapist, LMHC, LMSW, Remote, Virtual, Counselor, Telehealth Therapist, Virtual LMFT, LCSW, Remote, LMHP, Mental Health Counseling, Remote, Social Worker, LISW, LICSW, Psychotherapy, LPC, Telehealth, Social Worker, Remote, Virtual, Psychotherapist). Active state license (LMHC, LCSW, LMFT, LPC, LMHP, or Psychologist).

Social Worker

At Opulence Home Equity, we combine innovative technology with a collaborative, team-oriented environment to deliver exceptional service to our clients while modernizing the mortgage experience. This role is ideal for a mortgage professional who thrives in a fast-paced environment, has strong communication skills, and understands the unique process of reverse mortgage lending.

Remote Jobs in Saint Petersburg, FL

Director, Population Health TriWest Healthcare Alliance

Traveling Superintendent nVent Electric Plc

Senior Human Capital Generalist TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Pricing Analyst (Remote) Keystone Technologies Inc

LTC Level 3 Engineer - Endpoint & Legacy Platform Support Cognizant Technology Solutions Corp

Digital Marketing Manager - Americas Appspace

UKG Activities System Consultant - Contract Join us at Align HCM

STEP Field Sales Rep - Surgical (Tampa) Medtronic Plc

Operations Manager - Occupational Health & Wellness Clinics Medcor Inc

Senior Business Analyst HCL Technologies Ltd

Direct Contracting Manager TriWest Healthcare Alliance

Substation Physical Designer GAI Consultants Inc

Assistant Engineering Manager GAI Consultants Inc

Wholesale Inside Broker or Senior Inside Broker Ryan Specialty

Lemon Law (Litigation) Attorneys (Remote) Viper Staffing Services

Social Worker GHC

Reverse Mortgage Loan Processor Opulence Funding LLC

Similar Job Searches

Stand out to leading employers.