50 it quality analyst tester jobs found in Bismarck

Company : Highmark Inc. Job Description : JOB SUMMARY This is a fully remote position, allowing you to work from anywhere. We are actively seeking a highly skilled and experienced Senior Business Systems Analyst with a specialized focus on the GuidingCare platform to join our dynamic team. This pivotal role encompasses the entire IT lifecycle, demanding expertise from initial solutioning and meticulous requirements gathering through to robust configuration, comprehensive testing, and precise environment synchronization. A core responsibility will be the design, configuration, and ongoing maintenance of FICO and SQL rules within GuidingCare, vital for supporting diverse business processes, clinical guidelines, and operational requirements. The successful candidate will collaborate closely with business stakeholders to translate complex needs into actionable functional and technical specifications, proposing innovative solutions to optimize GuidingCare...

Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Become a part of our caring community and help us put health first The Senior Business Intelligence Engineer utilizes advanced tools, technologies, and best practices to transform raw data into insightful and actionable business intelligence. This position works collaboratively with stakeholders to gather and understand business requirements, ensuring data integrity, accuracy, and consistency across all deliverables. The ideal candidate will demonstrate independent judgment in addressing moderately complex to complex technical challenges, with significant latitude to establish objectives and determine approaches to assignments. Success in this role requires strong analytical skills, a commitment to data quality, and the ability to communicate effectively with technical and non-technical audiences. The Senior Business Intelligence Engineer responsibilities will be to: Design, develop, and maintain business intelligence solutions, including dashboards, reports, and...

Become a part of our caring community and help us put health first The Principal Product Manager Conceives of, develops, delivers, and manages products for customer use. The Principal Product Manager provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. A high-performing, independent role dedicated to tackling cross-team, cross-functional technology and analytics problems in with a focus on innovation, action, and speed-to-market. Primary focus will be on ensuring complete and accurate diagnosis and follow up for our members. This role will work with 2-5 developers within our team on high-profile projects. Responsibilities will include partnering with the business, gathering requirements, developing project plan including resource needs, supervising project execution, hands-on development and analysis as appropriate, customer feedback loop, executive presentation. Critical skills include independent project...

Job Description Job Description As a Program Manager, Data Center Infrastructure, you will play a critical role in supporting the successful delivery of large-scale data center development programs. Your work will be instrumental in driving consistent execution across projects by coordinating schedules, tracking financial and risk performance, and ensuring alignment with established program standards. Partnering closely with project delivery teams and stakeholders, you will help translate strategic objectives into disciplined, day-to-day execution that supports the organization's broader development goals. From a program execution perspective, you will be responsible for implementing and maintaining standardized processes that promote predictability, efficiency, and transparency across the portfolio. You will engage with internal teams and external partners to support accurate reporting, timely issue identification, and effective escalation of risks or constraints that...

Become a part of our caring community and help us put health first The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. Responsibilities: Oversee the process for direction and support to clinical and operational leadership regarding Medicare...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Provider Relations Manager - Remote Job Description The Manager of Provider Relations plays a critical leadership role in developing, managing, and maintaining strong internal and external relationships. The role is responsible for overseeing pharmacy outreach, independent pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also responsible for leading and managing a Provider Relations team to ensure effective performance management of employees, departmental interaction, and process improvements. Responsibilities Manage and mentor a team to achieve team and company goals, monitor performance and provide coaching and...

Become a part of our caring community and help us put health first The Autism Care Navigator, (ASN) collaborates and oversees member assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other services for beneficiaries with a primary diagnosis of ASD, as defined by the ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in the care planning for beneficiaries receiving services under the TRICARE program. The Care Manager, Telephonic Behavioral Health 2 (Focus on Retirees) serves as a primary advocate for assigned beneficiaries receiving care under the Autism Care Demonstration (ACD). The ASN (Autism Care Navigator) collaborates and oversees the assessment, planning, facilitation,...

Become a part of our caring community and help us put health first The Director, Workforce Capacity Planning is responsible for setting and executing CenterWell's workforce capacity strategy across CenterWell Call Centers, Pharmacy operations, Primary Care Clinics, and Home Health services. This position will integrate advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making. The Director, Workforce Management requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director Operating as a strategic partner to Operations, Finance, Clinical Leadership, Product, and Technology, the Director provides clear, data-driven recommendations to senior leadership, enables disciplined planning and governance, and builds scalable capabilities that support CenterWell's long-term growth and transformation. The Director, Workforce Management...

Become a part of our caring community and help us put health first The Policy Governance Lead is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led toward achieving goals. The Policy Governance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Policy Governance Lead for Utilization Management (UM) is responsible for overseeing the development, implementation, and management of UM policies and related quality reporting activities. Additionally, this role supports Utilization Management (UM) governance by collaborating with UM leadership and committees to ensure that UM program operations align with regulatory requirements, internal standards, and continuous improvement objectives. The Lead coordinates with relevant stakeholders to facilitate policy review, compliance monitoring, quality reporting, and effective communication of program...

Become a part of our caring community and help us put health first The Senior Strategy Advancement Professional will support the design, implementation, and advancement of strategic initiatives within the Utilization Management (UM) function. This role is responsible for leveraging data-driven insights, industry best practices, and cross-functional collaboration to optimize UM processes, improve clinical outcomes, and enhance member and provider experiences. The Senior Strategy Advancement Professional helps develop and execute strategies to advance UM program effectiveness and efficiency in alignment with organizational goals and regulatory requirements. Analyze UM data, identify trends, and recommend actionable solutions to address opportunities for process improvement and cost management. Collaborate with clinical, actuarial, operations, and compliance teams to ensure integration of UM strategies across business units. Monitor the performance of UM initiatives using...

Become a part of our caring community and help us put health first At Humana, we are focused on the elimination of unjust, avoidable and unnecessary barriers in health and health care. The Data Manager 2 (DM2), reporting to the Health Equity Strategy Lead, supports the whole-person, integrated care model for members in our Medicaid and Medicare market to help build the toolkit for equitable population health. In particular, we partner with executives, managers and other leads to advance Care Management, Quality Improvement, Community Engagement, Marketing, Health Economics and Finance to bring a greater understanding of factors that apply to wellbeing from a view of physical, behavioral and spiritual health. The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. The Data Manager 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action....

Become a part of our caring community and help us put health first The Help Desk Support Technician 2 provides support to end users for computer, application, system, device, access and hardware issues. Utilize technical experience and customer service skill to assist end users to resolve incidents and fulfil requests remotely and escalate as needed. Involvement in project planning; installing, configuring, upgrading, and troubleshooting of computer-related hardware and software components, responding to and resolving customer requests; team leadership to ensure customer support expectations are addressed in accordance with policy, meeting service level requirements and providing excellent customer service. The Help Desk Support Technician 2: Identifies, researches, and resolves technical problems of moderate complexity. Responds to telephone, email and online requests for technical support. Documents, tracks, and monitors the problem using applicable...

Short Description Bowman has an opportunity for a Manager, Hydrographics to join our team remotely. Candidates in EST preferred. At Bowman, we believe in creating opportunities for aspiring people to thrive and achieve ambitious goals. That's why a career at Bowman is more than a job. It is an opportunity to be part of a diverse and engaged community of professionals, to be treated as a respected and valued member of a motivated team and to be empowered to do exceptional work that advances the best interest of everyone involved. We recognize the importance of creating a work environment that is both rewarding to our employees and supportive of our unwavering commitment to provide unparalleled service to our clients. Purpose Leads complex hydrographic survey teams in support of navigation, coastal, riverine, and infrastructure initiatives. This role serves as a senior technical resource in hydrographic data acquisition, processing, and quality control, ensuring...

Short Description Bowman has an opportunity for a Title Abstractor III to join our team remotely. Preferred locations are New Mexico, Texas, or Arizona. At Bowman, we believe in creating opportunities for aspiring people to thrive and achieve ambitious goals. That's why a career at Bowman is more than a job. It is an opportunity to be part of a diverse and engaged community of professionals, to be treated as a respected and valued member of a motivated team and to be empowered to do exceptional work that advances the best interest of everyone involved. We recognize the importance of creating a work environment that is both rewarding to our employees and supportive of our unwavering commitment to provide unparalleled service to our clients. Purpose Provides advanced right-of-way title research and analysis to support public and private infrastructure projects. This role independently performs complex title examinations, identifies ownership interests and...

Position Overview The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow analysis, end-to-end testing, remote or onsite training as well as go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with respect to the use of the company's products and serve as a consultant on behalf of customers and company personnel in compliance with the company's quality procedures. Assist with TAC Support. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, as well as in-vitro diagnostics. But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced radiography...

Become a part of our caring community and help us put health first The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Program Delivery Professional for IHWA is responsible for overseeing and advancing key initiatives that drive organic provider capture following an IHWA visit. This position plays a vital role in enhancing organic performance, supporting improved member care outcomes, and ensuring thorough and accurate documentation. Key responsibilities include monitoring program activities, leading efforts to optimize provider participation, and applying expertise in causal analysis and provider...

Become a part of our caring community and help us put health first The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Program Delivery Professional - IHWA Interoperability plays a key role in driving seamless data integration and collaboration within the In-Home Health and Wellbeing Assessment (IHWA) team and across interoperability initiatives. Serving as a business subject matter expert (SME), this individual partners closely with internal and external stakeholders, as well as the Interoperability team, to advance program objectives. Key responsibilities include collaborating with leaders on...

Become a part of our caring community and help us put health first The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring and troubleshooting KPIs. This role requires someone who can effectively perform ad-hoc analyses to support our business objectives. The ideal candidate will have insatiable curiosity and a strong aptitude for learning. Key Responsibilities: Develop SQL queries for ad hoc data pulls, analysis, and identification of root cause Utilize existing reports and dashboards to monitor and report...

Become a part of our caring community and help us put health first The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This a remote nationwide position The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots...

Become a part of our caring community and help us put health first The Senior Configuration Professional work focuses on accessing and configuring an application or system that is integrated with business processes/data and IT infrastructure including building modules, developing tables/reports, and creating complex functions. The Senior Configuration Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Configuration Professional responsibilities can include advising the business, evaluating requests, implementing new features and changes, troubleshooting, resolving testing issues, configuring processes and experiences. integrating, developing interfaces, and maintaining documentation. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is...

At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too. In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of products with competing priorities that include balancing inventory, managing vendor / supplier relationships, optimizing total delivered cost to meet finished goods demand with focus on delivering value to our patients, our suppliers, and to Otsuka. You will create an environment for proactive communications with cross functional collaborators that will help ensure both internal and external customer demands are consistently met with no laps in supply and availability of products to our patients. Additional facets of the role include coordinating purchase requisitions in the...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. This is a great opportunity to put both your leadership and core engineering skillset to use. We are currently looking for a Software Engineer to deeply embed within our engineering team to deliver robust product features in an existing cloud-based, enterprise-grade codebase. As each of our customers is unique, you'll need to use your strong understanding...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. This is a great opportunity to put both your leadership and core engineering skillset to use. We are currently looking for a Software Engineer to deeply embed within our engineering team to deliver robust product features in an existing cloud-based, enterprise-grade codebase. As each of our customers is unique, you'll need to use your strong understanding...