• Business Development Executive ( Pega )

    Rules Cube (NY)
    …make a difference? Come join our team at Rules Cube as a Business Development Executive ( Pega ) and be part of an exciting journey. In this role, you will have a key ... landscape. Requirements: + Over 5 years of experience in selling Pega (Pegasystems) technical solutions + Previous work experience in digital transformation… more
    Rules Cube (07/30/25)
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  • Care Review Clinician, Prior Auth (RN) Pega

    Molina Healthcare (NY)
    For this position we are hiring for a float team to support PEGA UM systems throughout multiple states.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare ... and knowledge of Interqual / MCG guidelines. Experience using PEGA **Preferred License, Certification, Association** Active, unrestricted Utilization Management… more
    Molina Healthcare (07/12/25)
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  • Senior Data Engineer - Pega Platform

    CVS Health (New York, NY)
    …scripting language) + Work on developing and maintaining applications built on the Pega platform. + Understand the requirements and design of the applications. + ... Write code in Java and JavaScript programming languages. + 3+ years of experience with Data warehouses (such as data modeling and technical architectures) and infrastructure components + 3+ years of experience with ETL/ELT, and building high-volume data… more
    CVS Health (08/09/25)
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  • Sr. Solutions Consultant - Healthcare

    Pegasystems (New York, NY)
    …York - Remote **Meet Our Team:** As a key contributor to the Pega Healthcare Sales Consulting team, you will collaborate with product managers, software developers, ... solutions consultants are technically savvy and customer centric! **Picture Yourself at Pega :** Pega 's powerful portfolio of strategic applications helps clients… more
    Pegasystems (08/14/25)
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  • Product Manager (Disputes / Chargeback SME)

    Insight Global (New York, NY)
    …of work for the Dispute team's back-office operations. The claims agents use Pega Dispute as their platform to manage credit card disputes and chargebacks between ... all parties. Pega is integrated with Mastercard and currently consists of...of this position is to drive automations in these Pega and chargeback related workflows to reduce the number… more
    Insight Global (08/16/25)
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  • Lead Adjudicator, Provider Claims

    Molina Healthcare (Yonkers, NY)
    …services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA , Cotiviti, ECHO, CEMs Edifecs **PHYSICAL DEMANDS:** Working environment is ... generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.… more
    Molina Healthcare (08/28/25)
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  • Adjudicator, Provider Claims (LTSS Call Center)

    Molina Healthcare (Rochester, NY)
    …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
    Molina Healthcare (08/27/25)
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  • Lead Product Manager, Next Best Action Decision…

    Humana (Albany, NY)
    …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
    Humana (08/20/25)
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  • Vice President, Global Operations

    Warner Music Group (New York, NY)
    …**_MBA or equivalent degree_** + **_Multi-lingual reading/writing fluency_** + **_Experience with Pega Systems, Service Now or similar products_** + **_Lean or Six ... Sigma designation_** **As the home to 10K Projects, Asylum, Atlantic Music Group, East West, FFRR, Fueled by Ramen, Nonesuch, Parlophone, Rhino, Roadrunner, Sire, Warner Records, Warner Classics, and several other of the world's premier recording labels,… more
    Warner Music Group (08/08/25)
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  • Senior Architect - Cloud

    Highmark Health (Albany, NY)
    …+ 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
    Highmark Health (07/22/25)
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