• Contributes to the achievement of the strategic and financial goals of the organization by conducting thorough reviews of billed services, authorizations, plan benefit documents, itemized statements, medical records, discharge summaries and detailed data reports • Makes reimbursement or recovery recommendations based on appropriate coding, billed statistics, policies, industry standards and compliance with contractual, state, and federal regulations • Supports and serves as a resource to other Health Plan departments by providing review and recommendation for correct coding, appropriate billing, and reimbursement • Completes clinical reviews related to Claims, Claim Edits, Appeals and the Grievance process • Recommends recovery efforts based on current contracts, policies, procedures and accepted industry standards • Reviews and validates pended and reconsidered claims when edits are applied by the Plan claim editing software from multiple vendors • Completes reviews on inpatient and outpatient high dollar claims following internal guidelines • Assists in reviews of quality concerns • Validates claim payments based on Plan contracts, often working with the Pharmacy team and the PNM department • Creates and maintains various reports to track department data • Assists in group discussions on challenging medical reviews • Assists with onboarding new team members as needed • Participates on selected workgroups and committees on an ad hoc basis as requested

Tasks Duties will include: · Design and implement individualized treatment plans, behavioral support plans and strategies · Develop new programs and perform ongoing adjustments to current programs as needed · Collaborate with treatment team (director, parents and other support network) to review case progress · Provide training, supervision, and support for clinicians and therapists, in all policies and procedures · Communicate with funding sources regarding client progress, reports, meetings, authorizations, etc. · Maintain caseload of billable hours in addition to supervisory duties Locations – Michigan ( Must Live in Michigan > Remote in the State ) Base Salary – $85,000 – $95,000 No visa sponsorship 100% remote, Telehealth BCBA as well. *** *** Pediatric Therapy provides home and clinic-based ABA services for children with Autism Spectrum Disorder and developmental disabilities and other language delays. *** Requirements Required Qualifications: · Board Certified Behavior Analyst (BCBA) certification OR Master’s degree of ABA coursework · Knowledge of ABA and DTT is required · Valid driver’s license and a reliable form of insured transportation · Must possess excellent leadership, interpersonal, problem-solving and time management skills · Proficiency in written and spoken English; Fluency in a foreign language a plus · Aptitude to engage in higher-level management functions when required · Ability to communicate with team members routinely, regarding schedules and client’s changing needs · Bilingual/Multilingual candidates have opportunity for increased base pay Benefits Benefits include: · Industry leading salary, retirement, and insurance benefits · Opportunities to earn $8000+ in bonuses throughout the year · Career development opportunities in the field of Applied Behavior Analysis (ABA) and the experience of changing the lives of children and their families · Top Opportunity and encouragement to grow within our company and career advancement · Professional development opportunities · A flexible schedule supporting a positive work/life balance · Compensation for training · Opportunities to participate in research projects and present at conferences · Mileage reimbursement

CTG is seeking to fill a Cerner PathNet Analyst position for our client. Location: Philadelphia, PA (Remote)Duration: 3 months Duties: - Support physician practice integration initiatives with a primary focus on Cerner PathNet compendium development and testing. - Design, build, and maintain laboratory test compendiums within Cerner PathNet. - Perform validation and quality assurance to ensure accuracy and completeness of compendium data. - Support end-to-end integration testing, including order and result workflows across interfaced systems. - Troubleshoot issues related to test mapping, interfaces, and result reporting. - Collaborate with clinical, technical, and project stakeholders to ensure successful integration outcomes. - Provide ongoing support to the General Laboratory (Gen Lab) team with system build, maintenance, and ticket resolution. - Manage and prioritize assigned ticket queue, focusing on high-impact and aging issues. - Maintain and update test catalogs, reference ranges, and result formats. - Assist in system optimization efforts and resolve laboratory system issues in a timely manner. Skills: - Proven experience with Cerner PathNet, including compendium build and maintenance. - Strong understanding of laboratory workflows such as specimen processing, test ordering, and result reporting. - Experience with interface testing and troubleshooting; HL7 knowledge preferred. - Familiarity with Cerner Millennium ecosystem. - Ability to manage multiple priorities in a fast-paced, high-volume environment. - Strong analytical, problem-solving, and communication skills. - Experience supporting physician practice integrations. Experience: - Prior hands-on experience working with Cerner PathNet in a clinical or health system environment. - Experience supporting laboratory systems in high-volume settings. - Demonstrated experience in integration testing, system configuration, and issue resolution. Education: - Associate’s Degree or College Diploma required. Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required. CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role. To Apply:To be considered, please apply directly to this requisition using the link provided. For additional information, please contact Dallas Bell at Dallas.Bell@ctg.com. Kindly forward this to any other interested parties. Thank you! The expected base salary for this position ranges from $80.00 to $90.00/hour. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered. About CTG CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries. Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. At CTG, you’ll find a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career journey. For more information, visit www.ctg.com. CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws. CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.

BB&E is an employee-owned full service civil and environmental engineering and consulting firm, headquartered in Northville, Michigan, which services both the Federal and Industrial sectors throughout the United States. BB&E team members provide Environmental Consulting, Facilities Engineering and Program/Project Management Services to Federal and private sectors. Position Summary BB&E is seeking a dynamic and detail-oriented Senior Cost Estimator to join our team, providing technical support in support of the Air Force Civil Engineer Center Work for Others Branch (AFCEC/CFSD) located at Joint Base San Antonio (JBSA)-Lackland, TX.  This position is a remote support position.   Job Duties & Responsibilities - Provide and utilize cost estimating software and hardware to draft itemized construction and design cost forecasts at a level of detail sufficient to aid in construction and design Contractor cost proposal analysis and establishment of Government negotiation positions. - Prepare cost analyses to clearly articulate project means and methods that support reasonable economy and efficiency with clearly defined productivity rates. Analyses shall align with acceptable industry practices/standards and the current marketplace. - Conduct continuous process improvement by assessing recent and relevant project data to improve the fidelity of cost projections. - Provide cost/technical analysis support of design and construction Contractor proposals. - Develop, maintain, utilize, and deliver to the Government an AFCEC/CFSD-specific database consisting of historical and current cost and pricing data. - Provide monthly reporting of activities and initiatives to include, but not be limited to, lessons learned, means and methods utilized, process analyses, industry trends, assessment results, training, and proposed initiatives for continuous process improvements.