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Admin/Clerical
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Credentialing Analyst / Coordinator

Admin/Clerical
 Rhode Island
06+ Months Extendable

The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities. Enrollment Coordinators interface with both individual plan members and employer group and require a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.

Microsoft Office
Outlook
MDStaff
Word
and Excel

Process Operator I

Business Support
 Florida
09-12+ Months Extendable

Ensure batch records, equipment logbooks, and other relevant records are current; performs batch record reconciliation. Maintains records of manufacturing process by recording data on batch record.

Current Good Manufacturing Practices (cGMP)
Food and Drug Administration (FDA)
and other regulatory requirements.

Application Developer

Information Technology
Remote
12 Months contract to hire

• This job takes the lead in providing more complex application development services typically as part of a project team or in an application support role. • Developers analyze, design, code, test and implement more complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. • Developers provide general support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. • May mentor less experienced team members

Net Developer and C# and SQL Server and MSMQ and Healthcare

Customer Service Rep

Customer Support
 Pennsylvania
23.00/hr on w2
4 Months

Remote position to start but candidates must live in local to Lancaster, York, Dauphin, or Cumberland counties. Field Travel Needed over 50% of the time (Travel will be reimbursable)

Customer Service or Call Center and Medical Assistant or Patient Care or Community Health or Mental Health or Behavioral Health

Technical Writer 2

Information Technology
 Delaware
12 Months + (Possible of extension)

• We are seeking a Technical Writer to join our team in Newark, DE, 19702. The ideal candidate will be responsible for designing and controlling instructional and informational tools needed to assure safe, appropriate, and effective use of science and technology, intellectual property and manufactured products and services. This individual combine multimedia knowledge and strong communication skills with technical expertise to educate across the entire spectrum of user abilities, technical experience and visual and auditory capabilities. They create and publish technical documentation and manuals and collect and interpret technical data or information and coordinate layout for publication. Produces products that conform to the company documentation and quality assurance standards.

Agile
FrameMaker
Madcap
PLM
EDMS
CAPA
Documentation

Quality Engineer II

Business Support
 Massachusetts
6 Months + (Possibilities of conversion to FTE)

We are seeking a Quality Engineer II to join our team in Marlborough, MA, 01752. The ideal candidate will be responsible for Assists in the review and improvement of existing test method validation documentation and will Supports Test Method Validation Remediation They will implement remediation plans to ensure test methods comply with current regulatory standards.

FDA
ISO 13485
validation documentation
test method validation

Engineering Maintenance Technician II

Engineering
 Ohio
12+ Months Extendable

As a Senior Automation Engineer focused on modernization initiatives, you will play a pivotal role in support of designing, developing, and implementing automation solutions that drive our modernization strategy. You will leverage your expertise to optimize existing systems, introduce new technologies, and ensure seamless integration across various platforms. Your work will be instrumental in enhancing operational efficiency, reducing manual efforts, and supporting our overall business goals. The qualified candidate shall have fundamental knowledge and experience in processing equipment for the cGMP manufacture, particularly in pharmaceutical and medical device industries.

Minimum of 7 years of experience in automation engineering
with a strong background in modernization and system integration.

Analyst I - Provider Credentialing

Business Support
Remote
06+ Months Extendable

This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis, meeting timeliness and documentation requirements for delegated payer deliverables, NCQA, TJC, CMS, Medicaid and State-Specific audits and inquiries daily.

Excel
Outlook
Word
Teams

Claims-CW - Care Manager, RN – CW

Business Support
 Delaware
3 months Contract to hire

• Contract to hire opportunity. Manager starts to look at candidates at the 3 month mark to see if they are a fit and starts considering hiring. Will extend out 3 months at a time until hired full time. • Please include candidate's conversion salary (range between ($50,200-$90,300) Position is for Kent County (candidates must be located within that county) • Must reside in Delaware Face-to-face visits will be required. • Must be willing to begin visits on week 1. • The resource will mostly, with few exceptions, be going into homes to visit home-based members (occasionally to motels, if the member is unhoused, or to hospitals, but these will be sporadic visits) • Candidate MUST complete the Care Manager assessment in Glider. Include the completed link in the candidate's submit form*** • There will be three weeks of training for this role. During the training, the candidate will be expected to utilize basic computer skills involving emails, Outlook, etc

(Care Manager or Case Manager and Registered Nurse or RN and Diseases Management or Chronic Diseases)

Accounts Receivable Specialist I

Finance
 Texas
4 Months + Possibilities of Extension

Must have SAP/Salesforce/AR Recon experience. Intermediate to advanced Excel experience Strong reconciliation skills Strong organizational skills; attention to detail Strong mathematical and analytical skills Demonstrated ability to resolve issues quickly, problem-solve and escalate appropriately.

Accounting or Finance and SAP or ERP or Salesforce and Billing or Collections or Payments

Project Manager III

Information Technology
Remote
03+ Months Extendable

Assists in the management of healthcare quality efforts by participating in quality data analysis, quality improvement projects, and regulatory compliance activities. Collaborates with the healthcare quality team to develop and implement quality measures, monitors performance metrics, and identifies areas for enhancement.

Manages all internal aspects of HEDIS MRRV and YRMRRV to ensure compliance with corporate standards and timelines.

Laboratory Assistant

Industrial
 Massachusetts
5 Months (Possible chances of extension)

We are seeking an experienced Laboratory Assistant to join our team in Marlborough, MA. We need someone who will be responsible for performing functions which support the operation of the Scientific Product Support laboratory and executes internal and cross-departmental studies for product development, new applications and failure analysis. The candidate will be responsible for maintaining laboratory instruments, equipment and maintaining log records.

Lab experience
Chemical dilutions
Lab records
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