- Crowley Maritime Corporation (Jacksonville, FL)
- …development, and reviews with the product owner; 3 years of experience with Pega platform, including solution design, case management concepts, SDLC and leading a ... team of developers to achieve the business needs; 2 years of experience collaborating with various business units on projects to ensure successful implementation and delivery of integration of operational systems with new web-based customer/employee business… more
- Molina Healthcare (Miami, FL)
- …as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as ... required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina… more
- Citigroup (Jacksonville, FL)
- …Marketing/Servicing or Marketing Management, Project Management skills + Experience with Pega platform is highly desirable (any other platforms like Salesforce is ... a plus) + Experience with marketing campaigns is a must + Demonstrated customer focus and past achievement in applying a customer mindset to shape solutions and approach to realize marketplace potential and meet financial goals. + Digital experience and… more
- American Express (Sunrise, FL)
- …complex, large scale enterprise applications using BPM software like Camunda, PEGA , Activiti, Appian. + Extensive experience in object oriented design, full ... stack web development and building REST APIs in Java. + Responsible for technical aspects of software engineering including design, developing prototypes, and coding assignments + Establish and accepts responsibility for engineering practices across teams. +… more
- Elevance Health (Tampa, FL)
- …& CIW; WEBSTRAT; Authorization Overwrite Tool (AO Tool) .Net UI; Claims Workstation Pega UI. + Have sound claims process and data knowledge including: Claims Train ... data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC-Claims Payment Extract and Capitation; CIFT, CFE; GBD IT Pre/Post-Adjudication; COPS; UM MATCH LOGIC; PROVIDER/PRICING CONFIG utilization. + Data &… more
- Humana (Tallahassee, FL)
- …Qualifications** + Experience with NBA or personalization platforms such as PEGA , Salesforce Interaction Studio, Adobe Journey Optimizer, or similar + Familiarity ... with healthcare regulations (eg, HIPAA) and responsible data usage practices. + Experience working in highly regulated industries or with enterprise AI governance frameworks + Master's degree **Additional Information** **This role is a 100% remote role… more
- Prime Therapeutics (Tallahassee, FL)
- …SAS + Experience with industry models and standards (HL7, FHIR, NCPDP, Pega Foundation for Healthcare, Salesforce Health Cloud) + Experience working with regulatory ... compliance requirements (HIPAA and/or PCI) + Previous experience in PBM / health care industry + Strong experience with software development life cycle and project management principles + In-depth knowledge of two or more architectural domains (application,… more
- Highmark Health (Tallahassee, FL)
- …+ Data Warehousing + COBAL + Visual Basic + C + C++ SAS + Java/JavaScript Framework + PEGA + CSS3 + Mobile + JSON + Cognos + Hadoop + SQL + J2EE + HTML5/XML + ... Waterfall + Agile **Language (other than English)** None **Travel Requirement** 0% -25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various… more