Business Rule Configuration Specialist Jobs

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295 Business Rule Configuration Specialist jobs found on Monster.

Jobs 1 to 20 of 295
Wellcare Health Plans Inc Tampa, FL
Claims Coding Rules Supervisor-1409180 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescription drug plans. The company serves approximat...
WellCare Health Plans Inc. Tampa, FL, 33602
Department: Operations - Claims Reports: Sr. Director Location: Tampa, FL 33634 Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives and make recommendations. Maintains and configures claims coding rule software. Oversees and trains coding staff. Essential Functions: Manages claims coding rule initiatives ...
About Penn Mutual Established in 1847, The Penn Mutual Life Insurance Company is committed to the noble purpose of helping individuals, families and small businesses make the most of life’s possibilities. As an original pioneer of mutual life insurance in America, we believe that our financial strength and mutual advantage support our ability to consistently deliver on our promises. We partner wi...
Position Description: JOB DUTIES: Performs work that is varied and complex in nature on one or more specialty areas of configuration management or engineering data. Analyzes engineering change proposals. Monitors contractors, subcontractors and vendors to ensure that the applications of customer and industry standards and requirements for the statement of work are properly implemented. Designs, d...
SUMMARY OF POSITION: This is a 5 month contract opportunity in our ERP Dept. The Configuration Specialist is responsible for the successful configuration and support of Milgard’s customer product catalog and ordering software applications. In order to ensure success, the Specialist will work directly with the ERP Core team, ERP consultants, business specialists, configuration specialists, and oth...
Briggs and Stratton Corporation Milwaukee, WI, 53201
In a global environment, the Product Configuration Specialist will perform all configuration management tasks supporting sales and service associated with the establishing sales specifications, Bill of Materials (BOM), and product data. Everyday duties will consist of working cross-functionally to support new product development, define product rules, process requests and analyze changes to produc...
Swedish Health Services Portland, OR
442384true442384falseSubmission for the position: Digital Product Configuration Specialist - (Job Number: 61092)false442384falsetruehttps://swedish.taleo.net/careersection/jobdetail.ftl?job=61092&lang=enDigital Product Configuration SpecialisttrueDigital Product Configuration Specialist6109261092Full-timeFull-timeDayDayMarketing/PR/FoundationMarketing/PR/FoundationOregon-PortlandOregon-Portland P...
Providence Health & Services Portland, OR
Digital Product Configuration Specialist Job Number: 61092 Schedule : Full-time Shift : Day Job Category : Marketing/PR/Foundation Location : Oregon-Portland Providence is calling for a Digital Product Configuration Specialist in Portland, OR. This position supports assigned digital products as part of Providence’s digital services team, which supports Providence’s Mission and vision throug...
System Administrator III Configuration Management (Tripwire) At David Evans and Associates (DEA) our philosophy is “To find outstanding professionals and give them the freedom and support to do what they do best.” Since its founding in 1976 in Portland, OR, DEA has become a recognized leader for progressive and sustainable design and management solutions for complex transportation, land developm...
Memorial Hermann Houston, TX, 77020
Position Highlights Position is responsible for performing in a leadership role for the Benefit and Policy Configuration Team, design and maintenance of system coding related to benefit plans and clinical policies, and resolution of all issues or requests related to medical coding, benefits, and clinical policies. The incumbent must be able to demonstrate the knowledge and skills needed to perfor...
WellCare Health Plans Inc. Tampa, FL, 33602
Department: Operations, Configuration Reports To: Sr. Manager, Configuration Location: Tampa, 33634 Hours: M-F Day Shift To ensure accurate and timely loading of a provider contract, maintenance and termination processes through appropriate research. Essential Functions: Loads professional contracts into the Diamond System through appropriate research and provider data load activities. Perf...
Erie Insurance Erie, PA, 16505
Basic Functions: As a Product Configuration Specialist I in the Personal Lines Division , you will: Design, develop, implement and test basic system configuration of rates, rules and forms in support of new and enhanced rates and company products. Ensure that designs are consistent and standard across all lines of business. This position will focus on Personal Lines Underwriting, rating process ...
Erie Insurance Group Erie, Corporate Office, PA
Basic Functions: As a Product Configuration Specialist I in the Personal Lines Division, you will: Design, develop, implement and test basic system configuration of rates, rules and forms in support of new and enhanced rates and company products. Ensure that designs are consistent and standard across all lines of business. This position will focus on Personal Lines Underwriting, rating process...
Erie Insurance Erie, PA, 16505
Basic Functions: As a Product Configuration Specialist I in the Personal Lines Division , you will design, develop, implement and test basic system configuration of rates, rules and forms in support of new and enhanced rates and company products. Ensure that designs are consistent and standard across all lines of business. Skills and Abilities: Good technical aptitude. Good analytical skills. G...
Description Essential Job Functions Develops and maintains account/region standards and procedures to ensure that configuration management controls are capable of supporting deployment activities and implementations to meet business needs. Identifies issues, recommends revisions and escalates as appropriate. Interprets configuration management activities and tools as defined for the account and...
Description Essential Job Functions Develops and maintains account/region standards and procedures to ensure that configuration management controls are capable of supporting deployment activities and implementations to meet business needs. Identifies issues, recommends revisions and escalates as appropriate. Interprets configuration management activities and tools as defined for the account and...
Wellcare Health Plans Inc Tampa, FL
Configuration Specialist-1408986 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescription drug plans. The company serves approximately 3....
The main responsibility of this role will be helping to maintain the configuration of ERP system and align it to the Global model that was defined for the ERP system. Will support all countries live on JD Edwards for Baxter in LATAM. Employee can reside in any of the following locales: Sao Paulo, Brazil Miami, Florida Cali or Bogota, Colombia Mexico City or Cuernavaca, Mexico 1) Participate...
Configuration Specialist Position Summary: The CRM Configuration Specialist is responsible for working with the IT team in order to provide custom CRM solutions for our clients. In this role, you will be responsible for gathering technical specifications, configuring CRM systems, developing custom reports and processing system change requests. This position will also work closely with our sales te...
Cushman & Wakefield Inc New York, NY, 10007
Company Overview Cushman & Wakefield is the world’s largest privately‐held commercial real estate services firm. Founded in 1917, it has 253 offices in 60 countries and nearly 15,000 employees. It offers a complete range of services for all property types, including leasing, sales and acquisitions, equity, debt and structured finance, corporate finance and investment banking, corporate services, ...

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