Configuration Management Lead remote jobs

SummaryThe Global Configuration Management Leader (CML) is responsible for collecting, understanding, creating, and maintaining global & regional product offerings. The AW business is currently seeking a solution oriented CML to play a key role in driving the next generation of global commercial CPQ (Configure/Price/Quote) implementation and maintenance.Job Description Roles and Responsibilities Lead global modeling for all AW products and offerings setting the CPQ strategy for all Regions Act as USCAN AW CML in implementing the global CPQ strategy for the USCAN Region Work with cross-functional global and regional team members to adopt and enable regionally the global product offerings, guided selling & configuration rules, offering changes, including managing change processes and synchronized implementation in IT platforms. Setup/load/maintain all technical, regulatory, and commercial rules and guidance in our quoting tool for offering identifiers and offering items and validating all of them prior to release for use by sales for both subscription and non-subscription offerings Drive regional offering maintenance requirements in the Apttus ITO platform, including testing new features and using creative solutions to support commercial and service franchise needs. Provide input to create or change product models, offering items, offering structures, and/or offering guided selling and configuration rules during technical and functional assessments Provide input and guidance to orchestrate offering changes and their impact and ensure synchronized change control Review product and offering item creation and change requests in accordance with product engineering documents and orchestrated change process requirements. Setup/load/maintain pricing for offering items Assist in the quoting configuration aspects phase-in/out configuration orchestration Regularly update Subscription Development and Deployment Plan (DDP) template in accordance with AW product release and ensure subscription software entitlements are made available to customers Apply quality test practices and data verifications to ensure stable Product Data Master and ITO platforms and integrations Act as AW Server Analytics Administrator running and providing AW Server system analytics reports for inbound sales requests Liaise between sales and product teams to provide offering content feedback Provide early detection of potential conflicts found in change requests and highlight simplification opportunities Apply Lean methodology concepts to identify and drive continuous improvement into own processes and suggestions to adjacent ones Required Qualifications Bachelor's Degree in Business, Engineering, Information Technology or related field equivalent (defined as a High School Diploma/GED and 3-5 years relevant work experience). Minimum of 3 years of experience and demonstrated aptitude as a project team member in a commercial, technical, or operations environment. Minimum of 1 year of experience coordinating cross-functional project team members. Knowledge and 1+ years of experience developing, implementing, and maintaining commercial product offerings in a CPQ platform such as Apttus. Desired Characteristics Strong working knowledge of the English language (oral and written). 3+ years of previous work experience with GE Healthcare commercial & IT processes. Demonstrated technical skills with the ability to comprehend new computer-based tools/applications quickly. Previous experience working with one or more of the following: IT Platforms for Product Data Management (PDM), Commercial Enterprise Resource Planning (ERP), Business Process Management (BPM) and Inquiry to Order (ITO) platforms (such as: GPM, Support Central, Salesforce, Apttus, Siebel, etc.). Demonstrated willingness to learn and operationalize new processes, as well as navigate unfamiliar situations. Demonstrated success working collaboratively with global and cross-functional team members. Problem analysis and problem resolution at both a global and functional level. Demonstrated experience with global product lifecycle management. 1+ year of experience working in a regulated business (such as: FDA, ISO, etc.). Self-starter, energizing, results and detail oriented, and the ability to organize and manage multiple priorities. Demonstrated ability to drive project design plans to completion. Awareness of and compliance with the GEHC Quality Manual, Quality Management System, Quality Management Policy, Quality Goals, and applicable laws and regulations as they apply to this job type/position. Identify and report any quality or compliance concerns and take immediate corrective action as required. Establish a commitment to quality and communicate the importance of meeting statutory, regulatory and customer requirements. Ensure quality policy is understood, implemented and maintained at all levels of the organization. Establish and communicate quality objectives that are measurable and consistent with the quality policy. We will not sponsor individuals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $112,800.00-$169,200.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.Additional Information GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees. Relocation Assistance Provided: No Application Deadline: January 30, 2026

Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new. Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward-always. Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: As a Lead, Benefits Configuration,you will be responsible for managing, coaching and developing a team of benefit configuration analysts that support cross-functional teams during client implementations. You will ensure delivery of a high quality SmithRx product by building and managing pharmacy benefit plans on various platforms. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions and best practices in benefit configuration. What you will do: Manage team members in the delivery of benefit configuration and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet or exceed service level agreements. Manage employee performance through defined employee scorecards and performance metrics. Provide ongoing feedback and coaching to ensure performance targets are met, provide appropriate levels of direction and support to your team members as needed. Schedule employees, track productivity, maintain work schedules, coordinate different activities, and approve time off and overtime. Participate in initiatives to support process/workflow improvements, leverage new system capabilities within work processes, and consistently institute best practices within the function. Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups. Own all aspects of benefit configuration organization and structure for accounts by monitoring plan data integrity. Provide leadership support to team members for escalations and complex configuration requests. Communicate to leadership on project status, escalating issues when appropriate, and drive changes to improve workflow efficiency. Be accountable for ensuring review and resolution of inquiries from internal teams such as member support and customer success are completed timely to improve member experience. What you will bring to SmithRx: Bachelor's degree or equivalent work experience required. 5+ years of experience in benefits configuration with a healthcare or health insurance organization. 2+ years' supervisory experience in appropriate PBM or Medical Insurance environment preferred. Ability to analyze benefit plan design and configuration rules within an automated claims processing system. Ability to maintain production levels and quality goals. Robust analytical skills; advanced skills in Microsoft Excel. Excellent organizational, interpersonal and communication skills (via face-to-face meetings, conference calls and written correspondence). Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments Communicate project status and escalate issues for improved workflow efficiency Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments. Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven. Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company. Must be willing to travel up to 10% of the time. What SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance Flexible Spending Benefits 401(k) Retirement Savings Program Short-term and long-term disability Discretionary Paid Time Off Paid Company Holidays Wellness Benefits Commuter Benefits Paid Parental Leave benefits Employee Assistance Program (EAP) Well-stocked kitchen in office locations Professional development and training opportunities

The California Independent System Operator (ISO) manages the flow of electricity across the high-voltage, long-distance power lines that make up 80 percent of California's power grid. We safeguard the economy and well-being of 30 million Californians by operating the grid reliably 24/7. As the impartial grid operator, the California ISO opens access to the wholesale power market that is designed to diversify resources and lower prices. It also grants equal access to 25,865 circuit-miles of power lines and reduces barriers to diverse resources competing to bring power to customers. The California ISO's function is often compared to that of air traffic controllers. It would be grossly unfair for air traffic controllers to represent one airline and profit from allowing that company's planes to go through before others. In the same way, the California ISO operates independently-managing the electron traffic on a power grid we do not own-making sure electricity is safely delivered to utilities and consumers on time and reliably. The California ISO is committed to the health, safety, and work/life integration of it employees and is proud to offer flexible work arrangements. This position would be eligible to participate in a on-site or hybrid schedule. Relocation Assistance is available. Job Description PRIMARY PURPOSE: Under the general direction of the Manager, Strategic Planning and Enterprise Risk Management, leads activities in support of the strategic planning and enterprise risk management processes. Facilitates developing the organization's strategic, short-term, and long-range goals, objectives, metrics, and enterprise risk register. Monitors and reports out on strategic performance and risk management. Conducts organizational reviews to identify the organization's strengths and weaknesses and researches emerging trends, opportunities, and threats. Provides tools, templates, and best practices for strategic planning and enterprise risk management. Facilitates critical discussions on emerging topics that carry risk or strategic impact. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Responsible for partnering with the Manager, Strategy and Enterprise Risk in developing and administering the organization's strategic planning program. Partners with the executive team, ISO Board of Governors, and other key stakeholders to identify strategic priorities, and develop metrics and key performance indicators. Documents strategic plans, roadmaps, and performance assessments and facilitates communication and education to key stakeholders of strategic goals and status of performance. Provides appropriate tools, templates and best-practice methodologies for strategic planning. Conducts environmental scanning and facilitates critical discussions on emerging topics that carry strategic impact. Assesses performance and collects evidence supporting achievement of corporate strategic objectives. * Responsible for evolving and administering the organization's enterprise risk management program. Partners with the executive team, ISO Board of Governors, and other key stakeholders to identify and prioritize enterprise risks, associate enterprise risks to strategic objectives, programs, and projects, and identify activities that mitigate risk. Documents risk register and mitigation plans. Facilitates assessment of risk mitigation sufficiency. Prepares reports and presentations to provide communication and education about enterprise risk. Manages risk monitoring and reporting and facilitates critical discussions on emerging risks or changes to existing risks. Provides appropriate tools, templates, and best-practice methodologies for enterprise risk management. * Supports department, PMO and Portfolio Steering Committee throughout the prioritization by providing strategic objectives, goals and enterprise risk with priority weighting inputs to the portfolio planning process. Provides communication and education about strategies and risks that portfolios and projects are supporting. Incorporates material lessons learned from these areas as an input into strategy and enterprise risk planning. Qualifications Level of Education and Discipline: A Bachelor's degree (BA, BS) or equivalent education, training or experience in Business, Finance, Economics, Marketing, or related field. Master's Degree preferred. Amount of Experience: Equivalent years of education and training, plus six (6) or more years related experience. Type of Experience: * Experience with strategic planning, corporate performance management, and enterprise risk management. * Experience leading programs or project teams and facilitation skills strongly desired. * Demonstrated experience in developing presentations and reports for executive and Board level audiences. Additional Skills and Abilities: Demonstrates fundamental management and leadership skills with the ability to work effectively in a team environment as a leader, facilitator and team member. Ability to provide practical and feasible solutions to problems, keeping multiple conflicting considerations into account. Excellent interpersonal, communication, and writing skills required. Excellent analytical skills are required, including the ability to effectively communicate complex technical materials and concepts in a non-technical manner. Must be able to handle a dynamic and changing work environment, and work independently. Strong computer skills in Microsoft Office Suite. Self-motivated, problem solving skills and the ability to influence others without direct authority. Additional Information The pay range for the Lead, Strategy and Risk Management at the CAISO is $129,975 to $216,625 per year.

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $82,586.00 - USD $101,333.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Due to growth, we are adding a Lead, Change Management to our team! The Change Management Lead is responsible for driving the successful adoption and implementation of high-impact initiatives and changes related by applying structured change management methodologies to organizational PMO projects. This role partners with project teams, business leaders, and stakeholders to ensure readiness, minimize resistance, and enable smooth transitions for impacted associates. The Lead will collaborate closely with cross-functional project teams to ensure stakeholders are aligned, risks are mitigated, and targeted outcomes are achieved and sustained. In addition to leading change management efforts, the Lead will advance project and portfolio governance within the corporate PMO standards and protocols within the scope of change management. The Lead will enhance governance frameworks, processes, and tools to promote consistency, transparency, and accountability across the project portfolios. This position plays a critical role in enabling successful adoption of project specific change initiatives by developing and executing change strategies that align with the project goals. The Lead will ensure that change efforts follow corporate standards and are effectively communicated, supported and sustained. Is this you? Find out more below! Responsibilities How do I make an impact on my team? * Leads, develops and implements change management strategies and plans for assigned projects including the design of processes, standards, template, and best practices. * Conducts change impact assessments and readiness evaluations for assigned projects. * Identifies key stakeholders and creates engagement strategies to build buy in to ensure success of assigned projects. * Facilitates feedback loops and address concerns proactively and engages project subject matter experts and leadership as needed. * Designs and delivers targeted communication plans in accordance with corporate communications, leadership and project team leads to support change initiatives. * Leads the execution of change management activities in partnership with project teams, ensuring plans are implemented effectively and consistently across initiatives. * Partners with project teams to actively drive change management deliverables within project plan scope, including communications, training, stakeholder engagement, and sustainment strategies. * Collaborates with Learning & Development to create training materials and session needs to bridge knowledge and skill gaps to increase the success of changing requirements. * Identify potential change resistance and develop mitigation tactics and coordinate with leadership to deploy. * Builds and maintains relationships with key project stakeholders to ensure alignment, ownership, and engagement throughout the change lifecycle of each assigned project. * Supports alignment and adoption of governance standards within the scope of change management across strategic project initiatives, in partnership with PMO leadership and cross-functional teams. * Support managers and supervisors in coaching associates through change. * Tracks adoption metrics and provides regular status updates for project leadership. * Utilizes data and feedback to make recommendations and adjustments in the execution of the projects. * Other duties as assigned Qualifications What our team expects from you? * Bachelor's degree in Business, Communication, Organizational Development, or related field of study or equivalent work experience required. * Certification in Change Management (AIM, Prosci, ACMP) preferred. * 5+ years' experience in change management, organizational development, or project management required. * Demonstrated experience leading successful change management efforts of high-impact initiatives and projects required. * Experience building change management capabilities from the ground up highly preferred. * Proficiency with change toolsets (stakeholder mapping, impact/readiness assessment, learning design) and productivity/analytics tools. * Experience in large-scale technology or process implementations preferred. * Experience in Healthcare or specialty pharmacy operations preferred. * Participate in, adhere to, and support compliance program objectives * The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? * Top of the industry benefits for Health, Dental, and Vision insurance * 20 days paid time off * 4 weeks paid parental leave * 9 paid holidays * 401K company match of up to 5% - No vesting requirement * Adoption Assistance Program * Flexible Spending Account * Educational Assistance Plan and Professional Membership assistance * Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Job DescriptionWe have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver timely, turn-key solutions for healthcare providers, health plans and strategic partners. In this position as the Lead Utilization Management Nurse you will provide expertise in Utilization Management while managing a small team of UM nurses to help ensure that every patient receives the right type of care, at the right time in the right setting, every day! You will also provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program. Some other responsibilities include : Conducting monthly client UM Committee meetings Act as a resource for the UM Nurses (first point of contact for clinical clarification/education) Participate in data analysis of utilization metrics Prepare, participate and present summary utilization management reports to UM/QM Committee Much More! QUALIFICATIONS Bachelor of Science degree (AND or BSD) in Nursing At least 4-5 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required A minimum of three (3) years of responsible leadership experiences in management positions Certified Case Manager (CCM) preferred Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable Valid Driver's License and vehicle required Ability to travel at least 30% for client meetings within the state required ADDITIONAL DETAILS On-site gym FREE to employees On-site deli Professional Development Opportunities Great base salary with bonus potential Full benefits, 401k and PTO allowance Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.

WHAT IS THE OPPORTUNITY? Third Party Risk Management (TPRM) Lead is responsible for providing Enterprise wide third party risk management services, including taking a lead role to define, implement, and maintain a risk framework, operating model, policies, procedures, governance and oversight programs for all lines of business and subsidiaries. CNB established the TPRM program as a second line function, enabling CNB to manage third party risk effectively and efficiently, relative to its size and complexity. The lead is responsible for ensuring the program meets regulatory guidance, aligns with CNB's parent company, and incorporate changes as necessary. WHAT WILL YOU DO? * In partnership with the TPRM Program Manager, develop a successful implementation plan consisting of: * Assist with the development and execution of an TPRM risk framework, policies and procedures * Direct assessments on key controls and overall compliance with the TPRM program, including the timeliness, completeness, and accuracy of risk assessments. * Provide risk-consulting serves to first line third party risk managers for complex arrangements. * Develop risk analysis and reporting, including risk metrics, for dissemination to both first line of defense (technology) leadership, risk management committees, CNB's parent holding company, and CNB's regulators. * Streamline processes for risk identification and assessment, control assessment, testing and issue management. * Lead continuous improvement activities and initiatives for TPRM, working with stakeholders, subject matter experts, and analysis of exception reports to define issues, determine root cause, and determine appropriate changes. * Identify and assess requirements for CNB's GRC system to increase automation, and process effectiveness and efficiency. * Responsible for reviewing SSAE 18 reports for CNB's third parties and evaluate for completeness, appropriateness, and assess impact to CNB on findings and exceptions to support CNB's Sarbanes Oxley, FDICA, and SOC programs. * Manage coordination of assignment of resources based on demand and capacity, and required subject matter expertise, including augmenting internal staff with external resources as necessary. * Ensure appropriate escalate of issues to first line and senior management as required. WHAT DO YOU NEED TO SUCCEED? *Required Qualifications** * Minimum of 7 years of third party risk management, assurance and / or oversight or relevant supplier or third party audit or compliance experience * Minimum of 4 years of experience in risk and controls for information technology and cybersecurity, appropriately scoping assessments, providing credible challenges, and performing assurance testing. * Minimum of 4 years working with a GRC system, incorporating continuous improvement for the system and process. *Additional Qualifications* * Comprehensive knowledge of third party and information technology risk management processes and methodologies * Experience using third party risk management /Governance, Risk and Compliance (GRC) systems * Experience assessing contracts, including master service agreements, statements of work, and license agreements. * Experience assessing cloud servicing arrangements * Knowledge of and experience in designing and operating governance, frameworks and processes to comply with vendor management / third party risk management related regulatory requirements, guidance and oversight (OCC 2013-29, Fed SR 13-19 or other relevant third party risk management / vendor management regulation applicable to the financial services industry) * Currently hold or quickly obtain industry recognized third party risk management or vendor management certification * Excellent oral and written communication skills; experience performing both detailed and executive-level documentation * Advanced knowledge of Microsoft Office tools; specifically, Excel, PowerPoint and SharePoint * Experience with reporting platforms such as Tableau, SQL scripts, and Microsoft SSRS desirable *WHAT'S IN IT FOR YOU?* *Compensation*Starting base salary: $99,000 - $176,000 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. *Benefits and Perks* At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date * Generous 401(k) company matching contribution * Career Development through Tuition Reimbursement and other internal upskilling and training resources * Valued Time Away benefits including vacation, sick and volunteer time * Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs * Career Mobility support from a dedicated recruitment team * Colleague Resource Groups to support networking and community engagement Get a more detailed look at our ********************************* ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at ********************************** *INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT* City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. *Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled. Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.

Company Overview: Health Network One (HN1) partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives. With over 30 years of experience, Health Network One advances care in several unique specialties: Total Eye, Sleep Well, Pure Derm and Thrive Therapy. By curating specialty networks and credentialing providers who meet rigorous access and quality standards, we bring together value-based models and clinical expertise to ensure providers thrive, payers succeed, and members receive the high-quality care they deserve. Position Summary: We are seeking a highly skilled Configuration Manager with deep expertise in the Plexis system and a strong background in specialty managed care. This role is essential to ensuring accurate and efficient configuration of benefits within our systems, supporting operational excellence. Key Responsibilities Lead the configuration and ongoing maintenance of benefit plans within the Plexis platform, ensuring accuracy, compliance, and alignment with plan designs. Collaborate cross-functionally with Claims, Provider Administration, IT, and Clinical Operations to support benefit implementation, updates, and issue resolution. Serve as the subject matter expert on Plexis configuration capabilities, limitations, and optimization opportunities. Translate complex benefit documentation into system configuration requirements. Manage configuration projects related to new product launches, expansions, and regulatory changes. Conduct audits and quality checks to ensure benefit setups are functioning as intended. Oversee the maintenance and regular updates of key reference tables (including RBRVS, NCCI, Optum, Interest, and other regulatory or industry-standard tables) within the Plexis platform to ensure accurate claims adjudication and compliance. Manage the configuration, implementation, and ongoing updates of fee schedules, ensuring alignment with contractual, regulatory, and operational requirements. Monitor industry changes and regulatory updates impacting table structures and fee schedules, coordinating timely system updates and stakeholder communication. Collaborate with Claims, Provider Relations, and IT teams to resolve table-related issues and optimize table configuration for operational efficiency. Provide training and support to internal teams on Plexis functionality and configuration processes. Identify and implement process improvements to enhance efficiency and reduce errors. Qualifications: Bachelor's degree in healthcare administration, business, or related field (or equivalent experience). Minimum of 5 years of experience in benefit configuration within a managed care organization. Extensive hands-on experience with the Plexis system is required. Background in specialty benefit administration strongly preferred. Strong analytical and problem-solving skills with high attention to detail. Excellent communication, collaboration, and project management skills. Ability to work independently and manage multiple priorities in a dynamic environment. Preferred Skills: Familiarity with Medicaid and Medicare managed care regulations. Experience with system implementations or migrations involving Plexis. Process improvement certifications (e.g., Lean, Six Sigma) are a plus. Location: Remote Position.

Description:WHAT WE'RE DOING As a Member of the Software Configuration Management team, on the Joint Strike Fighter Training & Simulation program, your mission is to maintain the integrity and traceability of the COTS software released by the program to its customers. THE WORK The team operates in a software-focused environment where a variety of software tools are employed ranging from MS Office, to the Atlassian suite to EPDM. As a Software Configuration Analyst, you will: * Coordinate across teams * Assess and close COTS software license-related problem reports * Support Third Party Compliance (3PC) team for license compliance * Partner with IPT engineering to confirm COTS software requirements and obsolescence * Partner with 3rd party/OEM vendors to confirm portal access, purchased versions, agreement types, OEM account information and obsolescence * Work with 3rd party/OEM vendors for correct versions required (downgrades and upgrades) WHO YOU ARE Strong computer skills are expected. The tasking of the team varies day-to-day based on program needs, so organization and communication skills are important to ensuring tasks are completed correctly and efficiently. Surge support is required to meet critical deadlines due to the work's critical nature, and extra effort may be needed. Note: This position requires on-site presence in the Orlando office to meet client needs. Seeking individuals with the ability to intermittently flex work hours to support program schedules. #LI-AR2 Basic Qualifications: * Bachelor's degree and 1 or more years of engineering experience * Experience with COTS/GOTS/FOSS Administration * Ability to analyze proposed changes of product design to determine COTS SW licensing impacts to the product baselines * Experience with 2 or more Toolsets: SharePoint, JIRA, SAP P2P, SAP COS, Microsoft Office Suite, ePDM Windchill Desired Skills: * Active secret clearance * Previous experience working in an Agile environment Security Clearance Statement: This position requires a government security clearance, you must be a US Citizen for consideration. Clearance Level: Secret Other Important Information You Should Know Expression of Interest: By applying to this job, you are expressing interest in this position and could be considered for other career opportunities where similar skills and requirements have been identified as a match. Should this match be identified you may be contacted for this and future openings. Ability to Work Remotely: Part-time Remote Telework: The employee selected for this position will work part of their work schedule remotely and part of their work schedule at a designated Lockheed Martin facility. The specific weekly schedule will be discussed during the hiring process. Work Schedules: Lockheed Martin supports a variety of alternate work schedules that provide additional flexibility to our employees. Schedules range from standard 40 hours over a five day work week while others may be condensed. These condensed schedules provide employees with additional time away from the office and are in addition to our Paid Time off benefits. Schedule for this Position: 4x10 hour day, 3 days off per week Lockheed Martin is an equal opportunity employer. Qualified candidates will be considered without regard to legally protected characteristics. The application window will close in 90 days; applicants are encouraged to apply within 5 - 30 days of the requisition posting date in order to receive optimal consideration. At Lockheed Martin, we use our passion for purposeful innovation to help keep people safe and solve the world's most complex challenges. Our people are some of the greatest minds in the industry and truly make Lockheed Martin a great place to work. With our employees as our priority, we provide diverse career opportunities designed to propel, develop, and boost agility. Our flexible schedules, competitive pay, and comprehensive benefits enable our employees to live a healthy, fulfilling life at and outside of work. We place an emphasis on empowering our employees by fostering an inclusive environment built upon integrity and corporate responsibility. If this sounds like a culture you connect with, you're invited to apply for this role. Or, if you are unsure whether your experience aligns with the requirements of this position, we encourage you to search on Lockheed Martin Jobs, and apply for roles that align with your qualifications. Experience Level: Experienced Professional Business Unit: RMS Relocation Available: Possible Career Area: Miscellaneous Engineering Type: Full-Time Shift: First

GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the Washington, DC area. **Responsibilities** The configuration manager is responsible for managing and maintaining software systems, ensuring the integrity and consistency of software products throughout the project lifecycle. Their duties include: + Overseeing and ensuring the integrity of software products + Administering internal websites, editing scripts, and preparing documentation for software releases + Designing and executing configuration plans + Coordinating with supervisors and analysts + Preparing complete configuration documentation and overseeing the management of configuration items + Implementing and managing ServiceNow Discovery to automate the identification and tracking of IT assets + Overseeing data governance and defining Configuration Items (CIs) while managing relationships + Leading the tracking and managing of update sets to ensure controlled and efficient deployment of system changes across environments + Maintaining data integrity and supporting IT operations to align with business goals **Qualifications** + Bachelors Degree with 8+ years of configuration management experience or (commensurate experience) + Minimum of 8 years of experience in configuration management or a related field + Experience in managing complex IT projects, using ServiceNow CMDB configuration management tools, and familiarity with relevant standards and regulations are also important + Required experience with ServiceNow (SNow) and SNow Discoveryskills + Good communication skills to manage stakeholders + Expertise in MS Office products + Good writing skills to document process and procedures + Clearance Required: Ability to maintain a HUD public trust clearance **Company Overview** GovCIO is a team of transformers--people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens. But we can't do it alone. We need great people to help us do great things - for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer? **What You Can Expect** **Interview & Hiring Process** If you are selected to move forward through the process, here's what you can expect: + During the Interview Process + Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on + A valid photo ID must be presented during each interview + During the Hiring Process + Enhanced Biometrics ID verification screening + Background check, to include: + Criminal history (past 7 years) + Verification of your highest level of education + Verification of your employment history (past 7 years), based on information provided in your application **Employee Perks** At GovCIO, we consistently hear that meaningful work and a collaborative team environment are two of the top reasons our employees enjoy working here. In addition, our employees have access to a range of perks and benefits to support their personal and professional well-being, beyond the standard company offered health benefits, including: + Employee Assistance Program (EAP) + Corporate Discounts + Learning & Development platform, to include certification preparation content + Training, Education and Certification Assistance* + Referral Bonus Program + Internal Mobility Program + Pet Insurance + Flexible Work Environment *Available to full-time employees Our employees' unique talents and contributions are the driving force behind our success in supporting our customers, which ultimately fuels the success of our company. Join us and be a part of a culture that invests in its people and prioritizes continuous enhancement of the employee experience. **We are an Equal Opportunity Employer.** All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets. **Posted Pay Range** The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an "at-will position" and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors. **Posted Salary Range** USD $81,850.00 - USD $110,000.00 /Yr. Submit a referral to this job (************************************************************************************************************************** **Location** _US-Remote_ **ID** _2025-5952_ **Category** _Information Technology_ **Position Type** _Full-Time_

Watershed Security, is a Veteran Owned Small Business with over 20 years' Cybersecurity and Government Contracting experiencing. Watershed is looking for a Senior Logistician Configuration Management Specialist. to support the Naval Surface Warfare Center (NSWC) Dahlgren Division Dam Neck Anex (NSWCDD-DNA) in Dam Neck, VA. The successful candidates will have experience establishing and maintaining configuration management of engineering and cybersecurity solutions and system configurations, specifications, and procedures. REQUIRED QUALIFICATIONS Highschool Diploma or GED required. Years of Experience: Five (5) years of full-time professional experience in configuration management to include the implementation of configuration management processes with demonstrated experience in all of the following areas: Chairing a Configuration Control Board or similar functional body, Configuration management of computer-based systems, network devices, software applications, security control baselines, system documentation, and software security patching; and o Providing change management and product configuration management guidance Clearance Level: SECRET; US Citizen. Ability to possibly provide onsite support in Dam Neck VA. Some/all remote work may be an option, however the norm will be onsite support. This will be dependent upon customer needs and classification level of work being performed. Some travel may be required. Proficient with Microsoft Office Suite (Word, Excel, Teams, Project). Self-Starter; detail oriented; able to brief senior level staff. DESIRED QUALIFICATIONS Experience with Navy Cybersecurity requirements Experience with NAVSEA Contingent upon award PAY RANGE Final salary is influenced by factors such as location, contract labor categories, experience, skills, education, and certifications. Watershed offers competitive compensation, medical and dental benefits, educational reimbursement, 401K plans with matching, 15 days of PTO to start and 11 paid holidays per year. The proposed salary range for this position is: $70,000.00 - $90,000.00USD. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Supervisor of Product System Configuration, the Analyst II - Product System Configuration is responsible for managing the more complex system configurations within the Business System. The primary functions of this position include but are not limited to, accurate interpretation of state, federal, and contractual guidelines related to benefits, fee schedules, contracts, division of financial responsibility (DOFR), codification of services, and business requirements and translating them into configurable parameters within the Business Systems. The Analyst II - Product System Configuration is independent and acts as a subject matter expert for the business areas by helping to drive decisions related to system configuration. The incumbent will develop and maintain comprehensive documentation of business and technical specification requirements utilizing best practice configuration guidelines developed by the Application Architects within the unit. The Analyst II - Product System Configuration will facilitate communication and formally report findings to various department heads and staff in a manner that is appropriate to the skill level and technical expertise of the audience. This position will be required to train and help educate other team members within the unit as necessary. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Telecommute schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Assist with the development of configuration standards and best practice guides for maintaining efficiency, accuracy, automation and successful integration with internal and external systems and programs. Analyze and translate business specifications into detailed technical specifications based on system functionality and develop non-systematic workaround processes when necessary. Perform product system error root cause analysis. Track incoming requests and issue resolution through Microsoft Access, MediTrac, and Workfront tools. Identify and communicate impact of system enhancements or configuration changes on integrated systems and processes. Monitor and work daily System Configuration inventory and ensure compliance with established service level agreements and regulatory timelines. Configure and maintain complex product related system builds with multi-tiered functionality and interrelated system dependencies, including but not limited to Contracts, Benefits, Fee Schedules, and Service Categories. Assist Contracting team with drafting appropriate contract fee schedule language to be in line with system adjudication capabilities and coding standards. Develop and maintain business requirements for the automation of coding updates. Track, test, and approve new system functionality, enhancements, and bug fixes, including the development and execution of test plans and scripts. Perform weekly/bi-weekly audit of check run products to proactively identify potential system configuration issues before products are released. Other duties as assigned, including but not limited to Department Projects and LEAN/A3 Events. Qualifications Education & Requirements Four (4) years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations Experience in major managed care system migration/implementation preferred Bachelor's degree from an accredited institution required In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position: two (2) years of general healthcare experience plus two (2) years of configuration experience is required This experience is in addition to the minimum years listed in the Experience Requirements above Key Qualifications Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, and regulatory billing guidelines required Knowledge of CMS, DHCS, DMHC, NCQA rules and regulations preferred Extensive knowledge of CPT, HCPCS, Revenue, ICD10 coding rules and guidelines preferred Extensive knowledge of general managed care operations required; delegated plan model preferred Basic knowledge of relational database structure Advanced knowledge of Product System algorithms and processes preferred Familiar with basic medical product processing preferred Skilled in the use of Microsoft Excel and Access preferred Exceptional problem solving and critical thinking skills Strong presentation and written communication skills Ability to work independently and solve complex problems with little to no assistance Ability to effectively manage multiple competing priorities Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - Remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA) Pay Range USD $80,059.20 - USD $106,059.20 /Yr.

Themesoft IT Consulting team is unparalleled in experience. We have developed and maintained an extensive network of international search partners to source the best talent locally and globally. We are constantly evaluating performance on every project to ensure we're providing the highest-level of quality to match our standards in all of our fields. Job Description Benefits configuration - To configure products, benefits and plans Healthcare, Facets, SQL, NetworX Benefit Configuration, Good Communication skills Qualifications Trizetto Facets, Configuration experience is MUST Additional Information All your information will be kept confidential according to EEO guidelines.

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do: Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing. Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes. With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals. Assist with complex and escalated customer service issues to ensure resolution. maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Work with vendor to ensure accurate EOB design and setup as needed. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Assist Plan Building Specialist III with programming new group implementations as needed. Assist with complex and escalated customer service issues to ensure resolution. Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Assist in training of Plan Building Specialist I team members. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Conduct peer-to-peer audit for Plan Building team programming. Requirements Knowledge, Experience, and Key Attributes needed for Success: High school diploma or equivalent experience required 3-5 years of recent relevant experience Strong QicLink knowledge is beneficial for the programming of benefits in QicLink. Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink. Comprehensive understanding of benefits that we administer and different plan types. Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans. Clear and effective verbal and written communication skills. Strong interpersonal skills and ability to work with team members at all levels. Benefits The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit ******************

The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements. Essential Functions: Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments Identify, manage and document the status of open issues, configuration design, and final resolution within change management system Review and interpret regulatory items, timely delivery of required updates Development of standard code set and reimbursement design templates Plan and implement new software releases including testing and training Participate in meetings with business owners, users and IT to achieve solutions that meet the requirements and expectation of CareSource Lead configuration initiatives in payment policy meetings and present to committees Coordinate annual benefit changes with internal resources Provide analysis of efficiencies related to system enhancement and automation. Review, analyze, and document effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging systems Manage the reimbursement review. Identify and design appropriate changes. Lead the development and execution of test plans and scenarios for all reimbursement designs for core business system and related processes Audit configuration to ensure accuracy and internal controls to minimize fraud and abuse and overpayment related issues Anticipate and identify customer needs and match products and services to facilitate the fulfillment of those needs Ensure system processes and documents exist as basis for system logic Manage resources and communications to facilitate work completion Mentor the use of tools to define requirements Perform any other job duties as requested Education and Experience: High School Diploma or GED is required Bachelor's degree or equivalent years of relevant work experience is preferred A minimum of five (5) years of health plan experience, to include three (3) years of configuration or clinical editing software experience is required Exposure to Facets or equivalent system is preferred Competencies, Knowledge and Skills: Exceptional computer skills and abilities in Facets Knowledge of coding languages (e.g. VBA, SQL, Python, C++, etc.) Advanced proficiency Microsoft Suite to include Word, Excel, Access and Visio Proven understanding of database relationships required Understanding of DRG and APC reimbursement methods Understanding of CPT, HCPCs and ICD-CM Codes Knowledge of HIPAA Transaction Codes Effective listening and critical thinking skills Effective problem solving skills with attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment Strong interpersonal skills and high level of professionalism Ability to develop, prioritize and accomplish goals Understanding of the healthcare field and knowledge of Medicaid and Medicare Proper medical coding knowledge and claims processing skills Customer service oriented Facets knowledge/training Ability to manage vendor relationships Licensure and Certification: Certified Medical Coder (CPC) is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1

What you'll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… As a Pharmacy Network & Pricing Configuration Analyst, you will be responsible for pharmacy network and pricing configuration within our Pharmacy Benefit Management (PBM) environment. This role is focused on configuring, validating, and supporting pharmacy network participation and pricing logic for Medicare, Medicaid, Commercial, and Employer clients, ensuring accurate claims adjudication and compliance with regulatory and client requirements. The fundamentals for the job… Serve as the primary support for pharmacy network and pricing configuration, including network setup, contracted rates, and pricing rules for new client implementations and existing plan changes. Configure and maintain pricing logic to ensure accurate claims adjudication aligned with client documentation and contractual agreements. Support configuration changes related to pharmacy network participation and pricing structures across multiple lines of business. Perform unit testing focused on network and pricing configuration, validating adjudication outcomes against expected pricing and network rules. Research and resolve claims adjudication issues related to network participation or pricing discrepancies, including root cause analysis, impact assessment, and corrective actions. Provide first-tier triage support for network and pricing-related claims processing issues within defined SLAs/SLOs. Collaborate with configuration peers, adjudication, product, and operational teams to execute accurate network and pricing configuration solutions. Take ownership of project-based configuration work, ensuring timelines and deliverables are met. Identify network and pricing functionality required to meet client outcomes and support implementation execution. Develop and maintain an in-depth understanding of Darwin (proprietary adjudication platform) logic related to pharmacy network and pricing configuration. Stay current with Medicare, Medicaid, and state regulatory requirements, ensuring network and pricing configurations remain compliant. Provide consultation and peer review for network and pricing configuration practices. Support the Sr. Analyst in documenting client plan standards, configuration processes, and operational procedures. Evaluate network and pricing configuration workflows and recommend process improvements. What we expect of you The bold requirements… Associate or bachelor's degree. (In lieu of a degree, equivalent relevant work experience may be considered.) 3+ years of hands-on experience in PBM Pharmacy Network & Pricing configuration, including pharmacy network setup and pricing rule implementation. 2+ years of experience within PBM operations, such as configuration, adjudication support, pharmacy networks, or Medicare-related functions. Experience using SQL and Excel to validate network participation and pricing outcomes in claims adjudication. Strong analytical skills with the ability to identify pricing and network-related issues and determine root cause. Excellent oral and written communication skills. Ability to collaborate effectively across technical and operational teams. We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only). This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members. This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable). Nice to haves… Experience with pharmacy network contracting, pricing models, or MAC list management. Experience in a healthcare non-retail pharmacy or PBM setting. Prior experience working directly with Darwin or similar adjudication platforms. Physical requirements… Must be able to access and navigate each department at the organization's facilities. Sedentary work that primarily involves sitting/standing. At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca's workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Abarca Health LLC does not sponsor employment visas at this time” The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It's simply meant to give readers an idea of what the role entails. #LI-REMOTE #LI-TA1

9th Way Insignia is a service-disabled, veteran-owned small business bringing transformative technology to our government customers so they can achieve their missions. Our specialties include cybersecurity, cloud modernization, software development, data analytics, enterprise architecture, enterprise IT, analytics, process automation, and artificial intelligence. Learn more about 9th Way Insignia at **************************** Application password: Niner This position is contingent upon contract award. Professional Level Senior Consultant Responsibilities Provides Expert/Senior Executive level consulting support for specialized business and operations focusing on, but not limited to, the analyses, evaluation, audit, assessment, implementation or support of the specific subject matter area related to the specific customer objectives and supporting functions. Provides planning and consultation including program/project guidance, oversight and management. Requires highly specialized expertise and possess unique experience in a functional area related to the task. Directly engages with customers to assess, understand and resolve problems. Responsible for establishing and maintaining the integrity of work products such as source code, infrastructure as code, technical documentation, and environment configurations throughout the system development lifecycle (SDLC). Ensures that all changes are evaluated, approved, tracked, and implemented in a controlled manner. Collaborates with cross-functional teams to implement best practices in version control, release management, and continuous integration/continuous delivery (CI/CD) processes. Plays a key role in ensuring compliance with applicable frameworks, policies, and regulations (e.g., NIST, FISMA, FedRAMP, VA Directives), and contributes to the achievement of a stable, secure, and fully auditable product line environment. Requirements Bachelor's Degree in technical discipline; Associate degree and 4 years of experience; 8 years of experience in lieu of degree to meet education requirement 7+ years of proven experience as a Project Manager in software development, with a strong track record of delivering projects on time. Experience with Scaled Agile Framework (SAFe), DevSecOps methodologies, and implementing configuration management in an Agile environment. Experience working in federal or Department of Veterans Affairs (VA) projects and familiarity with relevant VA policies and directives. Preferred/Desired: One or more of the following: Certified Configuration Management Professional (CCMP) ITIL Foundation Certification Certified ScrumMaster (CSM) Project Management Professional (PMP) Certified Information Systems Auditor (CISA) Salary Range$61,180-$80,000 USD 9th Way Insignia's range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. Clearance/Background Investigation Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information. Benefits Eligible employees will have access to our comprehensive benefits package which includes Medical, Dental, Vision, Voluntary Life Insurance, 401(k), Basic Life A&D, STD, LTD, PTO, Telehealth, paid holidays, FSA, HSA. Additional resources include our Employee Assistance Program (EAP) and Traveling Assistance. Legal We're an equal employment opportunity employer that empowers our people to fearlessly drive change - no matter their race, color, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, age, marital status, sexual orientation, gender identity, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, or local law.

Remote SAP Variant Configurator Analyst needs 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Remote SAP Variant Configurator Analyst requires: 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Experience in SAP SD or PP with discrete manufacturing is preferable SQL and VBA programming is preferable. EDI/ALE integration experience or knowledge is preferable. Strong programming CST 8A-5P Bachelor Degree or higher in Engineering, Computer Science, or related field of study 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Electronic Data Exchange (EDI) / Application Link Enabling (ALE) integration experience or knowledge Expert SAP experience, preferably in Variant Configurator modeling, bills of material maintenance, engineering changes, or super-user capabilities in unrelated module(s) Experience using SQL and VBA to mine data from relational databases Able to work some weekends or evenings Able to speak to technical and non-technical audiences, as well as absorb and use technical documentation Keen eye towards processes, and how to improve them Technical Writing ability to document work procedures to be shared across the organization Ability to multi-task and work under pressure to hit tight deadlines Product Lifecycle Management / Windchill experience Implementation in the discrete manufacturing industry Remote SAP Variant Configurator Analyst duties: Design and implement variant configuration models with the SAP VC module for New Products and maintain existing products lines Design and implement models using characteristics, classes, configurable materials, configuration profiles, procedures, selection conditions, variant pricing, super routing, Super Bom, user interface, variant tables, Material variants and sales order costing etc. Variant configuration in Sales and Distribution (SD) and Production Planning (PP) modules Gather, aggregate and store information from a variety of sources for a variety of purposes. Systems include, but are not limited to, SQL Server databases, SAP variant configuration and engineering change modules SQL data maintenance and VBA code modification Electronic Data Exchange (EDI) / Application Link Enabling (ALE) with SAP and non-SAP systems Manage all bills of materials, both variable and static, for commercial and residential HVAC with SAP LO-VC

Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care anytime they need it. We want to put healthcare back in the hands of the patient and clinicians, with a focus on preventative care. SUMMARY Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around a whole person's affordable preventive care featuring more benefits. Curative is looking for a HealthRules Payer Configuration Analyst who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in the medical field by increasing satisfaction and retention by providing Curative health plan members, patients, and providers with accurate, consistent, timely information. They will provide support while building rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. This is a remote position. ESSENTIAL DUTIES AND RESPONSIBILITIES ● Configure complex professional and facility contracts within the HealthRules Payer system ● Configure and maintain HRP configuration for claims, pricing, and benefits ● Investigate and resolve configuration issues on the HealthRules Payer system to ensure timely and accurate claims payment and account implementation ● Maintain clear and accurate documentation of all configuration activities and decisions ● Prepare and execute test cases to validate that configuration changes function as expected ● Review and resolve claim pends on a daily basis to ensure claims are processed timely ● A team player; perform tasks in a very fast paced environment. ● Work on claims team projects and reporting, as assigned. ● Attend departmental training when required or requested. ● Adhere to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: ● 3+ years of health plan configuration experience within the HealthRules Payer platform; experience with provider contract configuration using HRL (Health Rules Language). ● 5+ years of experience in claims processing of all claim types, including hospital/facility, behavioral health, dental, vision, and professional medical claims. ● Operational experience in a health plan environment in or more of the following domains: enrollment/eligibility, provider data management, or account installation. ● Knowledge of medical terminology, ICD-10, CPT, HCPCS, and revenue codes. ● Preferred qualification: Familiarity with claim coding and editing rules. ● Preferred qualification: experience with SQL, including understanding and creating queries ● Proficient computer skills to include Microsoft Office applications and Google Suite ● Excellent verbal and written communication skills ● Ability to sit for extended periods of time at a computer workstation. ● Ability to Multitask and think creatively. ● Performs other duties and projects assigned. EDUCATION and/or EXPERIENCE ❑ Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.

**Imagine yourself...** + Doing meaningful work that makes an everyday impact on the world around you. + Owning your ambition and fueling your career growth. + Thriving in a supportive team environment that inspires you to strive for excellence. It's possible with a role at Aquatic Informatics ( ******************************* ). **Aquatic Informatics** (AQI), **a Veralto (************************* company** , is a mission-driven software company that organizes the world's water data to make it accessible and useful. We provide software solutions that address critical water data management, analytics, and compliance challenges for the rapidly growing water industry. We offer a full range of solutions, from standalone software packages for individual users, hosted software services, and enterprise-wide national systems. We serve over 1,000 municipal, federal, state/provincial, hydropower, mining, academic, and consulting organizations in over 60 countries that collect, manage, and process large volumes of water data. **Aquatic Informatics** is headquartered in Vancouver, Canada and has offices in the US and Australia. We value independent thinking, initiative, teamwork, a relentless pursuit of quality, a playful spirit, and a sense of humor. We like smart people - IQ and EQ - who care about the environment and want to do good in the world. Ours is a unique culture where purpose meets possibility: where the work we do makes a real difference on the world's valuable water resources, and where you'll have opportunities to own your ambition and fuel your career growth. **_Take a moment to watch our video: Water Data Management for Faster Analysis and Better Decision-Making (******************************** **We offer:** + PPTO Policy + Professional onboarding and training options + Powerful team looking forward to working with you + Career coaching and development opportunities + Health benefits & 401(k) starting day 1 + Opportunity to make a difference - contribute to the mission and have a positive impact on the world Reporting to the I **mplementation Services Manager** the **Software Configuration Analyst** is responsible for the configuration of the software to meet AQI customers' business needs. Working with a project team, you will take will documented solutions and implement them using standard features of our software and integration points. Quality, attention to detail, and technical know-how are paramount in this role ensuring accurate on-time delivery for our customers. This position is part of the North America team located in United States and will be remote. **Note:** **This position requires a final in person interview onsite. The first 30 days for the successful candidate may require them to be onsite for onboarding.** **In this role, a typical day will look like:** + Collaborate with Implementation Specialists and Project Managers to understand project requirements and Statements of Work. + Assist in developing and reviewing solution documentation, ensuring clarity and accurate time estimates. + Develop and install data management software, including databases, variables, calculations, reports, and data entry forms. + Verify software functionality to ensure deliverables meet customer expectations and project specifications. + Document all project activities and deliverables in the project management tracking system. + Travel the 10% of the time national or internationally to attend different events. **The essential requirements of the job include:** + Bachelor's degree in a related field or equivalent work experience in data analysis or software configuration. + Minimum 3 years of experience in data management, software configuration, or equivalent technical role. + Proficiency in Windows and MS Office (Excel, Word), with demonstrated ability to develop and configure data management software (databases, variables, calculations, reports, and data entry forms). + Established skills or knowledge in the following areas: + Wastewater Processes - High Understanding + Process Units (aeration tanks, clarifiers, etc.) + Wastewater Parameters (NH4, NO3, etc.) + Activated Sludge Processes (Nitrification, Denitrification, etc.) + SCADA, IoT + Valid passport + Second language (Spanish, Italian, French) is a plus. Aquatic Informatics is proud part of the Water Quality segment of Veralto (NYSE: VLTO), a $5B global leader dedicated to ensuring access to clean water, safe food and medicine, and trusted essential goods. When you join Veralto's vibrant global network of 16,000 associates, you join a unique culture and work environment _where purpose meets possibility_ : where the work you do has an everyday impact on the resources and essentials we all rely on, and where you'll have valuable opportunities to deepen your skillset, pursue your ambitions, and grow your career. Together, we're Safeguarding the World's Most Vital Resources-and building rewarding careers along the way. **US ONLY** **:** The below range reflects the range of possible compensation for this role at the time of this posting. We may ultimately pay more or less than the posted range. This range may be modified in the future. An associate's position within the salary range will be based on several factors, including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, shift, travel requirements, sales or revenue-based metrics, any collective bargaining agreements, and business or organizational needs. The compensation range for this role is $65,000.00 - $90,000.00 USD per year. We offer a comprehensive package of benefits including paid time off, medical/dental/vision insurance and 401(k) to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. US residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Veralto Corporation and all Veralto Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. We value diversity and the existence of similarities and differences, both visible and not, found in our workforce, workplace and throughout the markets we serve. Our associates, customers and shareholders contribute unique and different perspectives as a result of these diverse attributes. The EEO posters are available **here (********************************************* . We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform crucial job functions, and to receive other benefits and privileges of employment. Please contact us at applyassistance@veralto.com to request accommodation. **Unsolicited Assistance** We do not accept unsolicited assistance from any headhunters or recruitment firms for any of our job openings. All resumes or profiles submitted by search firms to any employee at any of the Veralto companies (*************************************** , in any form without a valid, signed search agreement in place for the specific position, approved by Talent Acquisition, will be deemed the sole property of Veralto and its companies. No fee will be paid in the event the candidate is hired by Veralto and its companies because of the unsolicited referral. Veralto and all Veralto Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. We value diversity and the existence of similarities and differences, both visible and not, found in our workforce, workplace and throughout the markets we serve. Our associates, customers and shareholders contribute unique and different perspectives as a result of these diverse attributes.