Jobs in Woolsey Georgia
1,445 positions found — Page 6
D
Financial Analyst - Hybrid
✦ New
Salary not disclosed
DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.
Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.
Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.
Visit us at to learn more and view our open positions.
Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Vijay at (63 Title: Financial Analyst
- Hybrid Duration: 2 Months Location: Hybrid at Northbrook, IL Schedule: 8:00 AM
- 5:00 PM Note: The position reports to the Manager of Corporate Accounting, based at our Northbrook Headquarters, with flexibility to work from our Chicago office.
This is a hybrid role, requiring on-site presence three days per week.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered.
Description: Position Purpose: We are seeking a highly motivated and detail-oriented Senior Accountant to support global accounting operations, strengthen internal controls, and drive process improvements.
This role will play a key part in month-end close, cross-functional initiatives, and special projects.
The ideal candidate is analytical, proactive, and capable of operating independently in a fast-paced, collaborative environment.
Duties and Responsibilities: Lead and execute month end, quarter end, and year end close activities, including journal entries and account reconciliations Perform variance analysis and investigate discrepancies Support internal and external audit requests Support maintenance of Oracle Account reconciliation portal Maintain supporting documentation and schedules in compliance with SOX requirements Support both internal and external audits by providing requested materials and actively participating in walkthroughs and testing with auditors and internal stakeholders Contribute to various accounting and finance initiatives, including system implementations, process improvements, and other special projects as assigned Education and Experience: Bachelor's degree in accounting required Minimum 5 years of total accounting experience Knowledge of ERP: Oracle preferred, Oracle ARCS and Kyriba Experience with improvement initiatives and enhancements Ability to have a collaborative style and work with cross-functional and international teams Strong GAAP knowledge, analytical, and problem-solving skills Excellent verbal and written communication skills CPA certification preferred About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.
The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.
DivIHN is an equal opportunity employer.
DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
CPA, Oracle, GAAP, Oracle ARCS, Kyriba
Remote working/work at home options are available for this role.
Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.
Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.
Visit us at to learn more and view our open positions.
Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Vijay at (63 Title: Financial Analyst
- Hybrid Duration: 2 Months Location: Hybrid at Northbrook, IL Schedule: 8:00 AM
- 5:00 PM Note: The position reports to the Manager of Corporate Accounting, based at our Northbrook Headquarters, with flexibility to work from our Chicago office.
This is a hybrid role, requiring on-site presence three days per week.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered.
Description: Position Purpose: We are seeking a highly motivated and detail-oriented Senior Accountant to support global accounting operations, strengthen internal controls, and drive process improvements.
This role will play a key part in month-end close, cross-functional initiatives, and special projects.
The ideal candidate is analytical, proactive, and capable of operating independently in a fast-paced, collaborative environment.
Duties and Responsibilities: Lead and execute month end, quarter end, and year end close activities, including journal entries and account reconciliations Perform variance analysis and investigate discrepancies Support internal and external audit requests Support maintenance of Oracle Account reconciliation portal Maintain supporting documentation and schedules in compliance with SOX requirements Support both internal and external audits by providing requested materials and actively participating in walkthroughs and testing with auditors and internal stakeholders Contribute to various accounting and finance initiatives, including system implementations, process improvements, and other special projects as assigned Education and Experience: Bachelor's degree in accounting required Minimum 5 years of total accounting experience Knowledge of ERP: Oracle preferred, Oracle ARCS and Kyriba Experience with improvement initiatives and enhancements Ability to have a collaborative style and work with cross-functional and international teams Strong GAAP knowledge, analytical, and problem-solving skills Excellent verbal and written communication skills CPA certification preferred About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.
The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.
DivIHN is an equal opportunity employer.
DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
CPA, Oracle, GAAP, Oracle ARCS, Kyriba
Remote working/work at home options are available for this role.
Not Specified
A
Remote Prior Authorization Pharmacist {168034}
✦ New
Salary not disclosed
A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.
Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
Conduct provider outreach for additional clinical clarification when necessary.
Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
Meet or exceed departmental productivity and quality standards.
Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
Active pharmacist license in the state of residence (must provide proof).
Strong attention to detail and ability to work independently in a remote environment.
Proven ability to apply clinical judgment and interpret drug compendia resources.
Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.
Benefits Benefits available to full-time employees after 90 days.
401(k) with company match available after 1 year of service on eligibility dates.
Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.
Do you want me to do that next? .
Remote working/work at home options are available for this role.
Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
Conduct provider outreach for additional clinical clarification when necessary.
Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
Meet or exceed departmental productivity and quality standards.
Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
Active pharmacist license in the state of residence (must provide proof).
Strong attention to detail and ability to work independently in a remote environment.
Proven ability to apply clinical judgment and interpret drug compendia resources.
Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.
Benefits Benefits available to full-time employees after 90 days.
401(k) with company match available after 1 year of service on eligibility dates.
Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.
Do you want me to do that next? .
Remote working/work at home options are available for this role.
Not Specified
D
Sr Systems Security Engineer
✦ New
Salary not disclosed
The Sr.
System Security Engineer will be essential in safeguarding the client’s critical systems and infrastructure by spearheading the design, implementation, and management of comprehensive security strategies.
In this role, the Sr.
System Security Engineer will be the hands-on and the sole System Security Engineer which demands a self-motivated and highly proactive individual capable of proactively ensuring and maintaining system and security integrity of client systems by engaging and driving efforts forward in an independent manner.
leverage deep technical expertise to build and secure robust systems that protect against evolving threats.
Day-to-day responsibilities includes the development of security solutions, ensuring the hardening of network, Linux-based, and Windows system.
strong problem-solving abilities enabling the ability to diagnose complex security issues and deliver timely, effective solutions.
securing cloud environments such as AWS, Azure, or GCP, as well as containerized platforms like Docker and Kubernetes, and ensuring that all systems meet DISA-STIG security standards work directly with other security team members in ensuring uptime and compliance of the various security tools and processes.
Exceptional analytical and problem-solving skills is required to diagnose complex security issues and deliver robust, timely solutions.
Resource must also have excellent verbal and written communication skills to effectively report security findings, communicate risk, and collaborate with diverse teams and leadership .
Minimum Qualifications Bachelor’s Degree in Computer Science, Engineering, or other Engineering or Technical discipline or equivalent relevant experience.
Master’s Degree preferred.
10+ years of experience in information systems security Candidates must be US citizens with ability to pass a federal government background investigation for access to sensitive information.
No dual citizenship allowed per agency requirements.
Other Job Specific Skills Excellent verbal and written communication skills.
Deep, hands-on experience with Linux operating systems (e.g., RHEL, CentOS, Ubuntu), including system internals, administration, Linux template hardening, and troubleshooting.
Hands-on Microsoft Windows knowledge such as Active Directory Security, System Hardening & Configuration, Windows Security Stack, and Logging and Monitoring (Windows Event Logs, Sysmon, and integration with SIEM systems for threat detection).
Hands-on experience with Infrastructure Hardening and Configuration of on premise and cloud based servers, network devices, and hypervisors.
Includes engineering and maintenance of secure networks through use of firewalls, VLAN segmentation, and ACLs configuration.
Advanced proficiency in scripting languages such as Python and Bash to automate tasks and build security tools.
Experience securing cloud environments (e.g., AWS, Azure, GCP) and containerization technologies like Docker and Kubernetes.
Strong understanding of network security, protocols (TCP/IP), firewalls, encryption, and authentication systems.
Proficiency with industry-standard security frameworks like the PCI-DSS, SOC 2, NIST, ISO etc.
Proficiency with tools for vulnerability scanning (Tenable Nessus), network tools (Cisco FMC, Extrahop,etc) , SIEM (Splunk), EDR (Trellix) and other various toolsets.
#cjpost Deep, hands-on experience with Linux operating systems (e.g., RHEL, CentOS, Ubuntu), including system internals, administration, Linux template hardening, and troubleshooting.
Hands-on Microsoft Windows knowledge such as Active Directory Security, System Hardening & Configuration, Windows Security Stack, and Logging and Monitoring (Windows Event Logs, Sysmon, and integration with SIEM systems for threat detection).
Hands-on experience with Infrastructure Hardening and Configuration of on premise and cloud based servers, network devices, and hypervisors.
Includes engineering and maintenance of secure networks through use of firewalls, VLAN segmentation, and ACLs configuration.
Advanced proficiency in scripting languages such as Python and Bash to automate tasks and build security tools.
Experience securing cloud environments (e.g., AWS, Azure, GCP) and containerization technologies like Docker and Kubernetes.
Strong understanding of network security, protocols (TCP/IP), firewalls, encryption, and authentication systems.
Proficiency with industry-standard security frameworks like the PCI-DSS, SOC 2, NIST, ISO etc.
Proficiency with tools for vulnerability scanning (Tenable Nessus), network tools (Cisco FMC, Extrahop,etc) , SIEM (Splunk), EDR (Trellix) and other various toolsets.
System Security Engineer will be essential in safeguarding the client’s critical systems and infrastructure by spearheading the design, implementation, and management of comprehensive security strategies.
In this role, the Sr.
System Security Engineer will be the hands-on and the sole System Security Engineer which demands a self-motivated and highly proactive individual capable of proactively ensuring and maintaining system and security integrity of client systems by engaging and driving efforts forward in an independent manner.
leverage deep technical expertise to build and secure robust systems that protect against evolving threats.
Day-to-day responsibilities includes the development of security solutions, ensuring the hardening of network, Linux-based, and Windows system.
strong problem-solving abilities enabling the ability to diagnose complex security issues and deliver timely, effective solutions.
securing cloud environments such as AWS, Azure, or GCP, as well as containerized platforms like Docker and Kubernetes, and ensuring that all systems meet DISA-STIG security standards work directly with other security team members in ensuring uptime and compliance of the various security tools and processes.
Exceptional analytical and problem-solving skills is required to diagnose complex security issues and deliver robust, timely solutions.
Resource must also have excellent verbal and written communication skills to effectively report security findings, communicate risk, and collaborate with diverse teams and leadership .
Minimum Qualifications Bachelor’s Degree in Computer Science, Engineering, or other Engineering or Technical discipline or equivalent relevant experience.
Master’s Degree preferred.
10+ years of experience in information systems security Candidates must be US citizens with ability to pass a federal government background investigation for access to sensitive information.
No dual citizenship allowed per agency requirements.
Other Job Specific Skills Excellent verbal and written communication skills.
Deep, hands-on experience with Linux operating systems (e.g., RHEL, CentOS, Ubuntu), including system internals, administration, Linux template hardening, and troubleshooting.
Hands-on Microsoft Windows knowledge such as Active Directory Security, System Hardening & Configuration, Windows Security Stack, and Logging and Monitoring (Windows Event Logs, Sysmon, and integration with SIEM systems for threat detection).
Hands-on experience with Infrastructure Hardening and Configuration of on premise and cloud based servers, network devices, and hypervisors.
Includes engineering and maintenance of secure networks through use of firewalls, VLAN segmentation, and ACLs configuration.
Advanced proficiency in scripting languages such as Python and Bash to automate tasks and build security tools.
Experience securing cloud environments (e.g., AWS, Azure, GCP) and containerization technologies like Docker and Kubernetes.
Strong understanding of network security, protocols (TCP/IP), firewalls, encryption, and authentication systems.
Proficiency with industry-standard security frameworks like the PCI-DSS, SOC 2, NIST, ISO etc.
Proficiency with tools for vulnerability scanning (Tenable Nessus), network tools (Cisco FMC, Extrahop,etc) , SIEM (Splunk), EDR (Trellix) and other various toolsets.
#cjpost Deep, hands-on experience with Linux operating systems (e.g., RHEL, CentOS, Ubuntu), including system internals, administration, Linux template hardening, and troubleshooting.
Hands-on Microsoft Windows knowledge such as Active Directory Security, System Hardening & Configuration, Windows Security Stack, and Logging and Monitoring (Windows Event Logs, Sysmon, and integration with SIEM systems for threat detection).
Hands-on experience with Infrastructure Hardening and Configuration of on premise and cloud based servers, network devices, and hypervisors.
Includes engineering and maintenance of secure networks through use of firewalls, VLAN segmentation, and ACLs configuration.
Advanced proficiency in scripting languages such as Python and Bash to automate tasks and build security tools.
Experience securing cloud environments (e.g., AWS, Azure, GCP) and containerization technologies like Docker and Kubernetes.
Strong understanding of network security, protocols (TCP/IP), firewalls, encryption, and authentication systems.
Proficiency with industry-standard security frameworks like the PCI-DSS, SOC 2, NIST, ISO etc.
Proficiency with tools for vulnerability scanning (Tenable Nessus), network tools (Cisco FMC, Extrahop,etc) , SIEM (Splunk), EDR (Trellix) and other various toolsets.
Not Specified
S
Healthcare Implementation engineer :: RIS, PACS, or Diagnostic Imaging systems :: Must be in PST or MST time zone in the US
✦ New
Salary not disclosed
Summary Healthcare Implementation Engineer Remote | Contract We re hiring Healthcare Implementation Engineers to support software implementations, integrations, and troubleshooting in a fast-paced healthcare environment.
Must be in PST or MST time zone in the US What You ll Do Install, configure, and test healthcare applications and supporting systems Troubleshoot complex technical issues across Windows, IIS, SQL, and Active Directory Support production environments and customer implementations Perform log analysis, system monitoring, and workflow configuration Collaborate with project teams and provide customer-facing technical support Lead issue resolution and ensure high-quality documentation Must-Have Skills (Non-Negotiable) 3+ years in Tier II/III technical or application support Strong experience with Windows environment troubleshooting (Windows, IIS, SQL, ASP.NET, Active Directory) Experience supporting software applications and end users Ability to analyze logs and resolve complex technical issues Strong communication skills (client-facing role) Preferred Skills SQL (Select, Update, Delete queries) Network traffic analysis for performance troubleshooting Experience with RIS, PACS, or Diagnostic Imaging systems Knowledge of HL7 and/or DICOM
Must be in PST or MST time zone in the US What You ll Do Install, configure, and test healthcare applications and supporting systems Troubleshoot complex technical issues across Windows, IIS, SQL, and Active Directory Support production environments and customer implementations Perform log analysis, system monitoring, and workflow configuration Collaborate with project teams and provide customer-facing technical support Lead issue resolution and ensure high-quality documentation Must-Have Skills (Non-Negotiable) 3+ years in Tier II/III technical or application support Strong experience with Windows environment troubleshooting (Windows, IIS, SQL, ASP.NET, Active Directory) Experience supporting software applications and end users Ability to analyze logs and resolve complex technical issues Strong communication skills (client-facing role) Preferred Skills SQL (Select, Update, Delete queries) Network traffic analysis for performance troubleshooting Experience with RIS, PACS, or Diagnostic Imaging systems Knowledge of HL7 and/or DICOM
Not Specified
F
Financial Consultant
✦ New
Salary not disclosed
Take Control of Your Career in Finance, From Anywhere Are you driven, coachable, and looking for a career with flexibility, growth potential, and impact? Join our team as a Remote Financial Consultant and gain the tools, mentorship, and support to thrive in the financial industry, no prior experience required.
We offer comprehensive training and licensing support, and as you progress, the opportunity to build and lead your own remote financial agency.
What You’ll Gain Remote Flexibility – Work from anywhere with a schedule you control Comprehensive Training – Step-by-step licensing and onboarding Performance-Based Income – Commission, bonus opportunities, and uncapped potential Career Advancement – Build your own agency and grow your income over time Work-Life Balance – Freedom to structure your day around what matters most Team Support – Learn from experienced leaders and mentors in the industry Compensation & Benefits Commission Pay + Bonuses Referral Program Flexible Schedule Ready to Build a Career That Works for You? Apply now and take the first step toward a flexible, rewarding career in finance.
Whether you're looking for a side hustle or a long-term business opportunity—we’ll give you the training and support to succeed.
What You'll Do Client Services Meet with clients virtually to understand their financial goals and risk tolerance Design tailored strategies for investing, retirement, and protection Conduct regular check-ins and portfolio reviews to ensure progress Market & Strategy Monitor economic trends and market conditions Offer data-backed recommendations to help clients maximize returns Ethics & Compliance Maintain client confidentiality and adhere to industry regulations Complete all required licensing and stay up to date on industry standards Leadership & Business Growth (Optional Path) Build your own remote brokerage as you grow in your career Recruit and train a team of professionals Expand your client network and drive business growth Who We're Looking For No Experience Required – Full training and licensing provided Background in finance, sales, customer service, or leadership is a plus Strong communication skills (written and verbal) in virtual settings Self-motivated and goal-oriented, with a desire to grow into leadership Committed to integrity, professionalism, and lifelong learning
We offer comprehensive training and licensing support, and as you progress, the opportunity to build and lead your own remote financial agency.
What You’ll Gain Remote Flexibility – Work from anywhere with a schedule you control Comprehensive Training – Step-by-step licensing and onboarding Performance-Based Income – Commission, bonus opportunities, and uncapped potential Career Advancement – Build your own agency and grow your income over time Work-Life Balance – Freedom to structure your day around what matters most Team Support – Learn from experienced leaders and mentors in the industry Compensation & Benefits Commission Pay + Bonuses Referral Program Flexible Schedule Ready to Build a Career That Works for You? Apply now and take the first step toward a flexible, rewarding career in finance.
Whether you're looking for a side hustle or a long-term business opportunity—we’ll give you the training and support to succeed.
What You'll Do Client Services Meet with clients virtually to understand their financial goals and risk tolerance Design tailored strategies for investing, retirement, and protection Conduct regular check-ins and portfolio reviews to ensure progress Market & Strategy Monitor economic trends and market conditions Offer data-backed recommendations to help clients maximize returns Ethics & Compliance Maintain client confidentiality and adhere to industry regulations Complete all required licensing and stay up to date on industry standards Leadership & Business Growth (Optional Path) Build your own remote brokerage as you grow in your career Recruit and train a team of professionals Expand your client network and drive business growth Who We're Looking For No Experience Required – Full training and licensing provided Background in finance, sales, customer service, or leadership is a plus Strong communication skills (written and verbal) in virtual settings Self-motivated and goal-oriented, with a desire to grow into leadership Committed to integrity, professionalism, and lifelong learning
Not Specified
P
Data Entry 1
✦ New
Salary not disclosed
Immediate need for a talented Data Entry 1 .
This is a 03 months contract opportunity with long-term potential and is located in U.S(Remote).
Please review the job description below and contact me ASAP if you are interested.
Job ID:26-08963 Pay Range: $22
- $23/hour.
Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities: Submit a minimum of 8 submission per 8-hour shift.
This can change as we are going to process changes.
Review request, research, and submit changes per regulation/business rules.
The main function of a data entry specialist is to operate data entry devices, such as a keyboard or computer, to verify and input data.
A typical data entry specialist is responsible for accurate information documentation and personal project management.
Read source documents such as practitioner profiles, emails, and enter data in specific data fields or onto tapes or disks for subsequent entry, using keyboards or scanners.
Compile, sort and verify the accuracy of data before it is entered.
Locate and correct data entry errors or report them to supervisors.
Compare data with source documents, or re-enter data in verification format to detect errors.
Maintain logs of activities and completed work.
Key Requirements and Technology Experience: Key Skills;Technical skills include documentation skills and time management.
Health plan experience, data entry experience, Previous experience with computer applications, such as Microsoft Word and Excel.
3-5 years of data entry experience is required.
A High School Diploma or GED is required.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.
If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc.
provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc.
and its affiliates, and contracted partners.
Frequency varies for text messages.
Message and data rates may apply.
Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
You can access our privacy policy here .
This is a 03 months contract opportunity with long-term potential and is located in U.S(Remote).
Please review the job description below and contact me ASAP if you are interested.
Job ID:26-08963 Pay Range: $22
- $23/hour.
Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities: Submit a minimum of 8 submission per 8-hour shift.
This can change as we are going to process changes.
Review request, research, and submit changes per regulation/business rules.
The main function of a data entry specialist is to operate data entry devices, such as a keyboard or computer, to verify and input data.
A typical data entry specialist is responsible for accurate information documentation and personal project management.
Read source documents such as practitioner profiles, emails, and enter data in specific data fields or onto tapes or disks for subsequent entry, using keyboards or scanners.
Compile, sort and verify the accuracy of data before it is entered.
Locate and correct data entry errors or report them to supervisors.
Compare data with source documents, or re-enter data in verification format to detect errors.
Maintain logs of activities and completed work.
Key Requirements and Technology Experience: Key Skills;Technical skills include documentation skills and time management.
Health plan experience, data entry experience, Previous experience with computer applications, such as Microsoft Word and Excel.
3-5 years of data entry experience is required.
A High School Diploma or GED is required.
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.
If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc.
provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc.
and its affiliates, and contracted partners.
Frequency varies for text messages.
Message and data rates may apply.
Carriers are not liable for delayed or undelivered messages.
You can reply STOP to cancel and HELP for help.
You can access our privacy policy here .
Not Specified
D
IT Solution Architect (Financial Systems) - Remote
✦ New 🏢 DivIHN Integration Inc
Salary not disclosed
DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.
Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.
Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.
Visit us at to learn more and view our open positions.
Please apply or call one of us to learn more For further inquiries about this opportunity, please contact one of our Talent Specialists, Amit, at 224 507 1290 Title: IT Solution Architect (Financial Systems)
- Remote Location: Remote (Candidates local to Corning, NY and Charlotte, NC are preferred.
Open to candidates in other locations; candidates must be willing to work EST time zone) Duration: 12 Months with possibility of extension based on demand.
Schedule: Full-time, M-F, 8 AM
- 5 PM.
Some potential flexibility may be required for after-hours work, as needed.
Travel
- up to 25% for travel to Corning, NY.
Estimated as one week per month based on project need.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered Position Summary The IT Solution Architect for Supply Chain and Finance is responsible for designing, developing, and guiding the implementation of enterprise technology solutions that support client's financial and supply chain processes.
This role collaborates closely with business stakeholders and cross-functional IT teams to ensure systems are scalable, secure, and aligned with organizational strategy.
The architect enables operational excellence by shaping solution roadmaps, ensuring platform integrity, and driving continuous improvement across finance and supply chain applications.
Key Responsibilities Solution Architecture and Design Develop end-to-end architectural designs for finance and supply chain systems in alignment with business objectives.
Assess existing application landscapes and recommend improvements, modernization opportunities, and integration strategies.
Ensure solutions comply with security, data governance, and enterprise architecture standards.
Business Partnership and Collaboration Engage with Finance, Supply Chain, and IT partners to understand business needs and translate them into technical requirements.
Participate in recurring strategic and operational touchpoints, including cFIN review sessions and architecture-focused team meetings.
Provide subject matter guidance on financial systems such as OneStream and other platforms influencing client's digital finance ecosystem.
Technical Leadership and Support Serve as the technical lead for solution implementations, enhancements, and integrations across finance and supply chain domains.
Address escalated issues, provide root-cause analysis, and ensure long-term stability of assigned applications.
Partner with engineering and operations teams to ensure solution resilience, performance, and sustainability.
Governance, Standards and Documentation Contribute to the development of architecture standards, design patterns, and best practices.
Maintain accurate architectural documentation, including roadmaps, diagrams, functional specifications, and integration models.
Continuous Improvement and Innovation Evaluate emerging technologies and recommend opportunities to enhance process efficiency, automation, and system capabilities.
Support modernization initiatives that strengthen client's digital transformation objectives in the finance and supply chain organizations.
Required Qualifications
- Education and Experience Bachelor's degree in Information Technology, Computer Science, Engineering, or related field (minimum required).
5 years of experience as a Solution Architect with financial systems.
Proven experience architecting solutions in enterprise finance and/or supply chain environments.
Deep knowledge of financial systems (e.g., OneStream, SAP cFIN (Central Finance), or similar platforms).
Familiarity with SAP finance and supply chain modules.
Strong understanding of systems integration, data flows, and enterprise application ecosystems.
Ability to translate complex technical concepts into clear business language.
Key Competencies Strategic Thinking Ability to design future-focused, scalable solutions.
Technical Expertise Strong architecture and platform skills across finance and supply chain.
Communication and Influence Effectively collaborates with technical and non-technical stakeholders.
Problem Solving Skilled at diagnosing complex issues and proposing durable solutions.
Execution Ability to manage multiple priorities and deliver high-quality outcomes.
Preferred Qualifications Experience working in a global, matrixed organization.
Understanding of data governance, security protocols, and architecture frameworks.
Demonstrated ability to lead collaborative solution workshops and stakeholder discussions.
Interview Process: Two rounds.
First round phone screen with direct manager.
Second round video panel interview, including technical review.
About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.
The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.
DivIHN is an equal opportunity employer.
DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
SAP cFIN, OneStream
Remote working/work at home options are available for this role.
Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.
Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.
Visit us at to learn more and view our open positions.
Please apply or call one of us to learn more For further inquiries about this opportunity, please contact one of our Talent Specialists, Amit, at 224 507 1290 Title: IT Solution Architect (Financial Systems)
- Remote Location: Remote (Candidates local to Corning, NY and Charlotte, NC are preferred.
Open to candidates in other locations; candidates must be willing to work EST time zone) Duration: 12 Months with possibility of extension based on demand.
Schedule: Full-time, M-F, 8 AM
- 5 PM.
Some potential flexibility may be required for after-hours work, as needed.
Travel
- up to 25% for travel to Corning, NY.
Estimated as one week per month based on project need.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered Position Summary The IT Solution Architect for Supply Chain and Finance is responsible for designing, developing, and guiding the implementation of enterprise technology solutions that support client's financial and supply chain processes.
This role collaborates closely with business stakeholders and cross-functional IT teams to ensure systems are scalable, secure, and aligned with organizational strategy.
The architect enables operational excellence by shaping solution roadmaps, ensuring platform integrity, and driving continuous improvement across finance and supply chain applications.
Key Responsibilities Solution Architecture and Design Develop end-to-end architectural designs for finance and supply chain systems in alignment with business objectives.
Assess existing application landscapes and recommend improvements, modernization opportunities, and integration strategies.
Ensure solutions comply with security, data governance, and enterprise architecture standards.
Business Partnership and Collaboration Engage with Finance, Supply Chain, and IT partners to understand business needs and translate them into technical requirements.
Participate in recurring strategic and operational touchpoints, including cFIN review sessions and architecture-focused team meetings.
Provide subject matter guidance on financial systems such as OneStream and other platforms influencing client's digital finance ecosystem.
Technical Leadership and Support Serve as the technical lead for solution implementations, enhancements, and integrations across finance and supply chain domains.
Address escalated issues, provide root-cause analysis, and ensure long-term stability of assigned applications.
Partner with engineering and operations teams to ensure solution resilience, performance, and sustainability.
Governance, Standards and Documentation Contribute to the development of architecture standards, design patterns, and best practices.
Maintain accurate architectural documentation, including roadmaps, diagrams, functional specifications, and integration models.
Continuous Improvement and Innovation Evaluate emerging technologies and recommend opportunities to enhance process efficiency, automation, and system capabilities.
Support modernization initiatives that strengthen client's digital transformation objectives in the finance and supply chain organizations.
Required Qualifications
- Education and Experience Bachelor's degree in Information Technology, Computer Science, Engineering, or related field (minimum required).
5 years of experience as a Solution Architect with financial systems.
Proven experience architecting solutions in enterprise finance and/or supply chain environments.
Deep knowledge of financial systems (e.g., OneStream, SAP cFIN (Central Finance), or similar platforms).
Familiarity with SAP finance and supply chain modules.
Strong understanding of systems integration, data flows, and enterprise application ecosystems.
Ability to translate complex technical concepts into clear business language.
Key Competencies Strategic Thinking Ability to design future-focused, scalable solutions.
Technical Expertise Strong architecture and platform skills across finance and supply chain.
Communication and Influence Effectively collaborates with technical and non-technical stakeholders.
Problem Solving Skilled at diagnosing complex issues and proposing durable solutions.
Execution Ability to manage multiple priorities and deliver high-quality outcomes.
Preferred Qualifications Experience working in a global, matrixed organization.
Understanding of data governance, security protocols, and architecture frameworks.
Demonstrated ability to lead collaborative solution workshops and stakeholder discussions.
Interview Process: Two rounds.
First round phone screen with direct manager.
Second round video panel interview, including technical review.
About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.
The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.
DivIHN is an equal opportunity employer.
DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.
SAP cFIN, OneStream
Remote working/work at home options are available for this role.
Not Specified
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Remote PBM Prior Authorization Pharmacist (Looking for PBM experience)
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U.S.) Schedule: Business hours between 7:00 AM – 8:00 PM EST Monday–Friday and 7:00 AM – 4:30 PM EST Saturday & Sunday (rotating schedule) Training Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST for the first 8 weeks Position Overview We are seeking a Licensed Registered Pharmacist to join our team as a Clinical Pharmacist Advisor – Medicare .
In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.
This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .
High-performing contractors may have the opportunity for full-time employment based on performance .
Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.
MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.
In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.
This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .
High-performing contractors may have the opportunity for full-time employment based on performance .
Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.
MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.
Not Specified
S
Instructional Designer III
✦ New
Salary not disclosed
Stellar Consulting Solutions is a boutique business and technology consulting company headquartered in Atlanta, GA.
We deliver high quality, agile, and experienced workforce for niche technology projects of any scale.
We help forward thinking clients to solve specific problems by understanding their needs and align talent that can move fluidly to match skill supply and demand on a real-time basis.
Stellar Consulting has a unique combination of technical and digital skills to recruit, engage, and retain qualified talent.
We have a stellar reputation for striving to achieve high ethical standards.
Our use of Innovative techniques and industry best practices has made us one of the fastest growing boutique firms delivering to enterprise business.
Job Name: Instructional Designer III Job Location: Remote Duration: 6 months Project Job Description : Leads and executes the design, development and evaluation of complex training curricula, materials, and programs to meet strategic organizational initiatives.
Manages relationships with business partners and clients; may mentor peers.
Monitors emerging training and development trends and standards for adoption.
Develops assessments and evaluations and analyzes results to determine return on investment of programs.
Job Responsibilities Leads and executes the design and development of complex training curricula, materials, and programs including instructor-led, virtual, online, and blended to meet strategic organizational initiatives.
Designs new and evaluates existing training curriculum, applying proven instructional design principles Establishes training standards and ensures all material is consistent and aligned with learning and development guidelines.
Manages relationships with business partners and consults with clients to perform training needs analysis and determine business and/or performance needs.
Manages multiple projects at a time, requiring strong project planning and stakeholder management.
May serve as a mentor for peers.
Prepares training plan to recommend, design, develop, implement and evaluate learning solution.
Recommends method for delivery such as instructor led, e-learning, combination or other media taking into account audience, business needs, and requirements.
Monitors emerging technologies, training and development trends and standards and makes recommendations for adoption.
Develops learning assessments and training evaluations, analyzes results, makes recommendations, and works with business to determine return on investment (ROI).
Job Requirements Bachelor's degree in relevant field (TandD, HRD, Org.
Psych, English) or equivalent experience required Master's degree preferred 4-6 years of instructional design and development experience required Expertise with e-learning tools (Storyline, Captivate, Camtasia) required Experience working with Adobe Creative Suite tools Experience designing instructor-led training virtual or in-class Knowledge of training and development practice and methods, including needs assessment and instructional design for instructor-led, virtual, and online training Knowledge of training theories and principles, including adult learning theory and established industry models of evaluation Ability to mentor others Excellent writing skills Strong project management skills, with the ability to organize, manage and lead multiple projects Knowledge and ability to recommend and measure learning solutions Professional written and verbal communication skills including influencing and persuading others Attention to detail and analytical skills Skill in Microsoft Office and Zoom software applications Knowledge of general business principles and practices Physical Demands and Working Conditions The physical demands are representative of those that must be met by an employee to perform the essential function to this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Incumbent must be prepared to: Move up to 10 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
Sitting for long periods of time while using office equipment such as computers, phones and etc.
Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment.
Express or exchange ideas with others through the use of spoken word, quickly, accurately, and at an easily audible volume, and receive detailed information through oral communication at usual speaking levels without correction, and/or make fine discriminations in the nature of sounds in the environment.
Incumbent is required to have: Close visual acuity to perform detail oriented activities at distances close to the eyes, as well as visual acuity to perform activities at or within arm's reach with skill, control, and accuracy, such as preparing and analyzing data, viewing computer screen and expansive reading.
Incumbent will be subject to: Inside working conditions: The change of building environment such as with or without air conditioning and heating.
If working remotely, incumbent must be suitably equipped with the right infrastructure for success, including high speed internet, cell-phone, and working space.
We deliver high quality, agile, and experienced workforce for niche technology projects of any scale.
We help forward thinking clients to solve specific problems by understanding their needs and align talent that can move fluidly to match skill supply and demand on a real-time basis.
Stellar Consulting has a unique combination of technical and digital skills to recruit, engage, and retain qualified talent.
We have a stellar reputation for striving to achieve high ethical standards.
Our use of Innovative techniques and industry best practices has made us one of the fastest growing boutique firms delivering to enterprise business.
Job Name: Instructional Designer III Job Location: Remote Duration: 6 months Project Job Description : Leads and executes the design, development and evaluation of complex training curricula, materials, and programs to meet strategic organizational initiatives.
Manages relationships with business partners and clients; may mentor peers.
Monitors emerging training and development trends and standards for adoption.
Develops assessments and evaluations and analyzes results to determine return on investment of programs.
Job Responsibilities Leads and executes the design and development of complex training curricula, materials, and programs including instructor-led, virtual, online, and blended to meet strategic organizational initiatives.
Designs new and evaluates existing training curriculum, applying proven instructional design principles Establishes training standards and ensures all material is consistent and aligned with learning and development guidelines.
Manages relationships with business partners and consults with clients to perform training needs analysis and determine business and/or performance needs.
Manages multiple projects at a time, requiring strong project planning and stakeholder management.
May serve as a mentor for peers.
Prepares training plan to recommend, design, develop, implement and evaluate learning solution.
Recommends method for delivery such as instructor led, e-learning, combination or other media taking into account audience, business needs, and requirements.
Monitors emerging technologies, training and development trends and standards and makes recommendations for adoption.
Develops learning assessments and training evaluations, analyzes results, makes recommendations, and works with business to determine return on investment (ROI).
Job Requirements Bachelor's degree in relevant field (TandD, HRD, Org.
Psych, English) or equivalent experience required Master's degree preferred 4-6 years of instructional design and development experience required Expertise with e-learning tools (Storyline, Captivate, Camtasia) required Experience working with Adobe Creative Suite tools Experience designing instructor-led training virtual or in-class Knowledge of training and development practice and methods, including needs assessment and instructional design for instructor-led, virtual, and online training Knowledge of training theories and principles, including adult learning theory and established industry models of evaluation Ability to mentor others Excellent writing skills Strong project management skills, with the ability to organize, manage and lead multiple projects Knowledge and ability to recommend and measure learning solutions Professional written and verbal communication skills including influencing and persuading others Attention to detail and analytical skills Skill in Microsoft Office and Zoom software applications Knowledge of general business principles and practices Physical Demands and Working Conditions The physical demands are representative of those that must be met by an employee to perform the essential function to this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Incumbent must be prepared to: Move up to 10 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
Sitting for long periods of time while using office equipment such as computers, phones and etc.
Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment.
Express or exchange ideas with others through the use of spoken word, quickly, accurately, and at an easily audible volume, and receive detailed information through oral communication at usual speaking levels without correction, and/or make fine discriminations in the nature of sounds in the environment.
Incumbent is required to have: Close visual acuity to perform detail oriented activities at distances close to the eyes, as well as visual acuity to perform activities at or within arm's reach with skill, control, and accuracy, such as preparing and analyzing data, viewing computer screen and expansive reading.
Incumbent will be subject to: Inside working conditions: The change of building environment such as with or without air conditioning and heating.
If working remotely, incumbent must be suitably equipped with the right infrastructure for success, including high speed internet, cell-phone, and working space.
Not Specified
A
Medicaid Business Analyst (Remote)
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Title: Technical Medicaid Business Analyst Location: Work from Home Schedule: Mon – Fri, 8:30AM – 5:00PM EST Note: This is a W2 contract role – C2C, 1099, & 3 rd party candidates WILL NOT be considered The Technical Medicaid Business Analyst serves as a critical bridge between Medicaid business operations and technical delivery teams.
This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.
The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.
Position Responsibilities: · Medicaid Business & Regulatory Analysis o Analyze federal and state Medicaid regulations, contract requirements, and policy guidance, and translate them into clear business and functional requirements o Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance o Interpret CMS, state agency, and contractual changes and assess operational and system impacts · Technical Requirements & Solution Design o Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs o Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs o Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse) · Data & Integration Support o Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers) o Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting) o Assist with data validation, reconciliation, and root-cause analysis for Medicaid data issues · Stakeholder & Cross-Functional Collaboration o Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors o Facilitate requirements workshops, design sessions, and stakeholder reviews o Clearly communicate complex technical concepts to nontechnical stakeholders and business priorities to technical teams · Testing & Implementation Support o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT) o Validate that solutions meet Medicaid business and regulatory requirements prior to deployment o Support golive activities and postimplementation issue resolution · Documentation & Governance o Maintain clear, auditready documentation of requirements, decisions, and approvals o Ensure alignment with Medicaid governance, SDLC, and change management processes o Support audits, regulatory reviews, and compliance inquiries, as needed Position Qualifications: · 5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience · Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements · Experience translating business requirements into technical specifications · Experience working with IT teams, system vendors, and data/reporting teams · Strong analytical, documentation, and problem-solving skills · Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs preferred · Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms preferred · Experience with data analysis, SQL, or data warehouse concepts preferred · Knowledge of CMS reporting, state encounter submissions, or quality programs preferred · Experience with Agile, SAFe, or traditional SDLC methodologies preferred · A minimum of a Bachelor’s Degree in Business, Information Systems, Health Administration, Public Health, or other related field .
Remote working/work at home options are available for this role.
This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.
The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.
Position Responsibilities: · Medicaid Business & Regulatory Analysis o Analyze federal and state Medicaid regulations, contract requirements, and policy guidance, and translate them into clear business and functional requirements o Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance o Interpret CMS, state agency, and contractual changes and assess operational and system impacts · Technical Requirements & Solution Design o Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs o Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs o Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse) · Data & Integration Support o Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers) o Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting) o Assist with data validation, reconciliation, and root-cause analysis for Medicaid data issues · Stakeholder & Cross-Functional Collaboration o Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors o Facilitate requirements workshops, design sessions, and stakeholder reviews o Clearly communicate complex technical concepts to nontechnical stakeholders and business priorities to technical teams · Testing & Implementation Support o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT) o Validate that solutions meet Medicaid business and regulatory requirements prior to deployment o Support golive activities and postimplementation issue resolution · Documentation & Governance o Maintain clear, auditready documentation of requirements, decisions, and approvals o Ensure alignment with Medicaid governance, SDLC, and change management processes o Support audits, regulatory reviews, and compliance inquiries, as needed Position Qualifications: · 5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience · Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements · Experience translating business requirements into technical specifications · Experience working with IT teams, system vendors, and data/reporting teams · Strong analytical, documentation, and problem-solving skills · Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs preferred · Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms preferred · Experience with data analysis, SQL, or data warehouse concepts preferred · Knowledge of CMS reporting, state encounter submissions, or quality programs preferred · Experience with Agile, SAFe, or traditional SDLC methodologies preferred · A minimum of a Bachelor’s Degree in Business, Information Systems, Health Administration, Public Health, or other related field .
Remote working/work at home options are available for this role.
Not Specified
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