• Operations Planning and Analytics Engineer IV-VI

    Georgia Systems Operations (Tucker, GA)
    …the role as these technologies evolve within the organization. The role demands comprehensive data science and management skills, including coding for data ... entities, bridging traditional utility operations with digital technologies and data -driven decision making, while performing power system modeling, developing… more
    Georgia Systems Operations (09/16/25)
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  • Risk Adjustment Manager- Operations (Hybrid)

    CareFirst (Baltimore, MD)
    …presentations to physicians, internal stakeholders, and C-suite with a focus on coding data and analytics. + Experienced with effective physician/provider ... collaborative training to support workflow adjustments to improve clinical coding quality . + Successful completion of a Coding Certificate program from an… more
    CareFirst (09/12/25)
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  • AI/ML Technical Product Owner

    TD Bank (New York, NY)
    …Presentation & negotiation skills + Risk assessment & mitigation. + Change management. + Data analysis & reporting Technical Skills + Coding ability in Python, ... AI and related concepts such as machine learning, LLMs, data engineering, MLOps is a plus. + Knowledge of...presentation materials to support executive decision making. The IT Senior Developer TDS provides a broad range of system… more
    TD Bank (09/21/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …set in the individual gain/risk share contracts and is strategically focused on those data gaps that will result in the greatest ROI for the Organization. Further, ... the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide… more
    Highmark Health (10/03/25)
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  • CDI Physician Advisor

    Sutter Health (Santa Rosa, CA)
    …and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data , capture of severity, acuity and ... documentation strategies for accurate and complete reflection of the quality of care * Applies knowledge of coding...lines with risk variable capture opportunity * Reports performance data and significant issues to senior leadership… more
    Sutter Health (09/13/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in ... key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. +...privacy and security, and fraud and abuse. + Perform data analysis and review of documentation to identify potential… more
    Option Care Health (09/24/25)
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  • Xcelys Sr. Claims Examiner - Remote US

    NTT DATA North America (Ontario, CA)
    ** Senior Claims Examiner (Xcelys System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on the ... mandatory 2-4 week training on camera.** **Job Description** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide… more
    NTT DATA North America (10/01/25)
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  • Project Controls Specialist IV (Cost Analyst)

    Element Consulting (Los Angeles, CA)
    …Work closely with Project Managers and Construction Managers to maintain data coding structures, project control tools, and high- quality data for ... and provide recommendations for optimizing resource allocation. * Validate cost coding and budget allocations for contract change orders and amendments, assessing… more
    Element Consulting (09/24/25)
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  • Sr. Medical Claims Examiners (3+ years of Xcelys…

    NTT DATA North America (Ontario, CA)
    NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must be ... work 8:00 am-5:00 pm Pacific time zone** **Purpose** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide… more
    NTT DATA North America (09/27/25)
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  • Digital Media Coordinator

    Texas A&M University System (College Station, TX)
    …information systems, software systems optimization, software manipulation, website design/maintenance, coding , data analysis, etc. Preferred Experience: + ... support for website function, publication, & availability. Assist and Consult with Senior Program Manager & Turbo Lab Communications Department to create pages as… more
    Texas A&M University System (08/27/25)
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