- PNC (Cleveland, OH)
- …Marketing Strategy to design PNC's one-to-one customer decisioning approach to be built in Pega Customer Decision Hub (CDH). The ideal candidate has experience as a ... Pega Senior or Lead Decision Architect in Pega CDH 8 or higher. The responsibilities of this role will include but are not limited to: * Understanding business… more
- Molina Healthcare (OH)
- 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
- Pegasystems (OH)
- …Our Team:** As a member of the IT Enterprise Business Systems group at Pega , you will be at the forefront of innovation, working on cutting-edge GenAI applications. ... to the iterative enhancement of existing intelligent applications. **Picture Yourself at Pega :** Pega is changing the way the world builds software. Our goal is… more
- Eliassen Group (Columbus, OH)
- …are eager to expand their skillset, including opportunities to learn PEGA case management software. **Responsibilities:** **Key Responsibilities** + Develop and ... skills. + Adaptable and willing to learn new tools, including PEGA case management software. **Education Requirements:** **Education & Clearance Requirements** +… more
- Molina Healthcare (Cincinnati, OH)
- …: + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT + CRM + Verint + Kronos + Microsoft Teams + Video Conferencing + ... CVS Caremark + Availity To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Molina Healthcare (OH)
- …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 (Dayton, OH)
- …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
- JPMorgan Chase (Columbus, OH)
- …AEM, Javascript, AWS, etc. + Martech experience + Experience with Camunda BPMN; Pega ; Adobe Workfront; Atlassian suite Chase is a leading financial services firm, ... helping nearly half of America's households and small businesses achieve their financial goals through a broad range of financial products. Our mission is to create engaged, lifelong relationships and put our customers at the heart of everything we do. We also… more
- Elevance Health (Cincinnati, OH)
- …& 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 (Columbus, OH)
- …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