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Highmark Health
Senior Business Systems Analyst
Highmark Health Augusta, ME, USA
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...

Dec 16, 2025
Humana
Sr. Program Delivery Professional, IHWA - Performance
Humana Augusta, ME, USA
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...

Dec 28, 2025
Humana
Sr. Program Delivery Professional IWHA-Interoperability
Humana Augusta, ME, USA
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...

Dec 28, 2025
Humana
IHWA Data and Reporting Professional
Humana Augusta, ME, USA
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...

Dec 27, 2025
Humana
Senior Configuration Professional
Humana Augusta, ME, USA
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...

Dec 27, 2025
Humana
Associate Actuary, SPA-Rx
Humana Augusta, ME, USA
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...

Dec 27, 2025
UU
Lead Software Engineer - Perl
UKG (Ultimate Kronos Group) Augusta, ME, USA
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...

Dec 26, 2025
Otsuka Pharmaceutical Companies (U.S.)
Senior Analyst, Supply Chain
Otsuka Pharmaceutical Companies (U.S.) Augusta, ME, USA
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...

Dec 26, 2025
UU
Lead software engineer
UKG (Ultimate Kronos Group) Augusta, ME, USA
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...

Dec 26, 2025
Humana
Encounter Data Management Professional
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Dec 24, 2025
Humana
Associate Director, Technology Solution Implementation
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Associate Director, Technology Solution Implementation delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Associate Director, Technology Solution Implementation requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director, Technology Solution Implementation gathers and documents business system and functional requirements, influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements, testing, operational readiness, and transition to the appropriate production support team. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s) and could lead multiple managers or highly...

Dec 22, 2025
Humana
Senior Technology Implementation Professional
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Business Informatics Shared Services (BISS) Team is focused on optimizing the execution, investments, strategy, application experience, project delivery, and governance between the corporate technology and business teams, primarily in support of enterprise Finance. The BISS team has extensive and broad enterprise data experience that is frequently engaged to support efforts outside of Finance. The Technology Implementation Professional gathers and documents business system and functional requirements. influences system design to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements. testing, operational readiness, and transition to the appropriate production support team. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent...

Dec 22, 2025
Humana
Business Systems Analysis Professional
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and maintenance of new EMR vendor connections, with a primary focus on Cerner and Integrated Delivery Network (IDN) projects. This position will serve as the main point of contact for Cerner provider integrations scheduled to begin going live in 2026, ensuring successful recruitment, performance monitoring, troubleshooting, and product testing. The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Business Systems...

Dec 22, 2025
CBRE
Senior Data Center Water Engineer
CBRE Augusta, ME, USA
Senior Data Center Water Engineer Job ID 252504 Posted 16-Dec-2025 Service line PJM Segment Role type Full-time Areas of Interest Construction, Data Centers Location(s) Remote - US - Remote - US - United States of America About the role As a Senior Water Engineer, this position will support data center construction programs with water engineering support for site due diligence and water distribution and treatment systems. This position is remote with minimal travel. What you'll do Review and assist in the technical development of due diligence & campus plan studies. Develop and optimize standard engineering programs for site planning purposes. Develop site planning standard engineering designs and tools to streamline the design process. Analyze utility usage data, identify optimizations and help present recommendations to management. Assist development of water policy approach and enforcement. Review utility...

Dec 22, 2025
TB
Business Information Mgmt Specialist (US)
TD Bank Portland, ME, USA
Work Location: New York, New York, United States of America Hours: 40 Pay Details: $68,640 - $85,800 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Data & Analytics Job Description: Department Overview: The Business Information Management Specialist will be...

Dec 21, 2025
Techint Group
SSO Global Service Solutions Product Manager
Techint Group Augusta, ME, USA
The Global Service Product Marketing Manager is the strategic and executional leader responsible for shaping and scaling Tektronix's global service strategy across the Service Solutions Organization (SSO). In this highly visible role, you will define the vision, roadmap, and go-to-market strategy for our full services portfolio-ensuring our solutions deliver measurable customer value, market differentiation, and profitable growth across Tektronix, Keithley, and Elektro-Automatik. You will be the champion of service innovation at the intersection of Product, Sales, Marketing, Operations, and Customer Success. You bring deep customer understanding, commercial acumen, and data-driven decision-making to build offerings that win in the market and accelerate attach, renewals, and long-term customer loyalty. This is a role for a builder: someone who thrives in cross-functional environments, influences without authority, and turns insights into compelling products, pricing...

Dec 21, 2025
Humana
Care Management Support Assistant
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
TB
Sr Business Information Mgmt Analyst (US)
TD Bank Portland, ME, USA
Work Location: New York, New York, United States of America Hours: 40 Pay Details: $68,640 - $85,800 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Data & Analytics Job Description: The Senior Business Information Management Analyst (US) provides business technical...

Dec 21, 2025
Humana
Software Engineer
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...

Dec 21, 2025
Humana
Lead Citrix Systems Engineer - Network/Virtualization
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions in a virtual environment, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software engineering/programming is a specialized area of software engineering/programming focused on software that operates/controls computer hardware and provides a platform for running end user applications. Includes operating systems, device drivers, utilities, and software; development tools (e.g., assemblers, compilers, etc.). The Lead Systems Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Virtualization Engineer is responsible for architecting, implementing, and maintaining enterprise-grade virtual environments that support the organization's critical applications and services. This...

Dec 21, 2025
Otsuka Pharmaceutical Companies (U.S.)
Medical Director, Nephrology & Immunology Medical Strategy
Otsuka Pharmaceutical Companies (U.S.) Augusta, ME, USA
The Medical Director, Nephrology & Immunology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for assets in early development (e.g., pre-Phase 3) within the Nephrology and Immunology portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Senior Director, Immunology Lead, who in turn reports to the Executive Director, Nephrology & Immunology Lead. Job Description Key Responsibilities Include: Medical Strategy & Narrative Provide key medical input into the initial development of the Target Reimbursable Product Profile as well as early development plans ensuring scientific consistency and alignment across R&D, Clinical, Global Medical Affairs, and Early Commercialization...

Dec 21, 2025
Humana
Senior Product Manager
Humana Augusta, ME, USA
Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Dec 21, 2025
Or
Senior/Principal Technical Program Manager
Oracle Augusta, ME, USA
Job Description Job Description Building off our Cloud momentum, Oracle has formed a new organization - Oracle Health Applications & Infrastructure. This team will focus on product development and product strategy for Oracle Health, while building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an entrepreneurial spirit that promotes an energetic and creative environment. We will need your contribution to make it a world class engineering center with the focus on excellence. The Role We are looking for an experienced Technical Program Manager who is proactive, results-oriented, and demonstrates strong ownership and accountability. The successful candidate will have extensive experience working cross-functionally with Product Development teams, Product Management, technology leaders, as well as their operations teams to deliver Products. You should possess a strong background in program...

Dec 21, 2025
EH
Senior Quality Specialist (Accreditation)
Evolent Health Augusta, ME, USA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for...

Dec 21, 2025
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