Software Development Project Manager Jobs in San Diego, CA

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Supervisor, Behavioral Health (Utilization Management)

CalOptima

Remote

Full-time

Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The in

Technical Business Analyst

Sky Consulting Inc

Remote

Contract, Third Party

Our client is seeking an experienced technical IT Business Analyst tojoin our team in supporting the implementation and management of varioussoftware development projects. Due to the growing demand for IT systems and solutions,client is seeking an experienced technical IT Business Analyst to join our team in supportingthe implementation and management of various software development projects. The successful candidate will have a strong background in Software Development LifeCycle (SDLC) methodol

Supervisor, Behavioral Health (Utilization Management)

CalOptima

Remote

Full-time

Supervisor, Behavioral Health (Utilization Management) CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit s prior authorization, concurrent review processes and transition of care. The incumbent w

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese)

CalOptima

Remote

Full-time

Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator (HRA Outreach) (Bilingual in Vietnamese) to join our team. The Personal Care Coordinator (HRA Outreach) will support the members in completing their health risk assessment (HRA). The incumbent will ensure communication of the member's HRA and care plan with the member, primary care provider (PCP) and health care team. The incumbent w

Program Specialist (Behavioral Health)

CalOptima

Remote

Full-time

Program Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Behavioral Health) to join our team. The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activitie

ServiceNow Advisory Tech Lead/Architect-REMOTE

Cognizant

Remote or Queens, New York, USA

Full-time

Position: ServiceNow Advisory Technical Lead/Architect-REMOTE About our ServiceNow practice: Cognizant's Now Practice expands the entire platform beyond traditional implementations into strategic digital transformations. Our validated ability to assess, innovate, design, build, integrate and sustain opportunities keeps the client's main goals top of mind while ensuring businesses stay relevant and profitable growth is achieved. We have successfully led over 9,500 transformations - delivering s

Care Manager (Transitional Care Services Maternal Health)

CalOptima

Remote

Full-time

Care Manager (Transitional Care Services Maternal Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services Maternal Health) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Care Manager for Transitional Care Services (TCS) Maternal Health will facilitate communication and coordination among all participant

Data Analyst, Sr. (HEDIS)

CalOptima

Remote

Full-time

Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,

Estimator V, Cost Estimating (Remote In Any KP Region)

Kaiser Permanente

Remote or Portland, Oregon, USA

Full-time

Description: Job Summary: In addition to the responsibilities listed below, this position is responsible for planning for the effective development and implementation of a full range of professional estimating/cost engineering and project control duties of diverse and complex scope; exercising independent judgment and discretion to develop and prepare conceptual construction cost and budget estimates for all phases of construction; providing expert professional guidance and support to Faciliti

QI Nurse Specialist (LVN)

CalOptima

Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements

Clinical Auditor, Sr.

CalOptima

Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring

Program Specialist, Int. (Pharmacy Management)

CalOptima

Remote

Full-time

Program Specialist, Int. (Pharmacy Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist, Int. to join our team. The Pharmacy Program Specialist Int will handle complex assignments and issues, overseeing and coordinating departmental operations and serving as a reference to other pharmacy employees and as a representative of the Pharmacy Management department within CalOptima Health and with other agencies. Under general supervision, the incumbent

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a

Claims Recovery Specialist

CalOptima

Remote

Full-time

Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati

Project Manager

BM Associates, Inc.

Remote

Third Party, Contract

Mandatory Qualifications 1. Three (3) years of experience within the last ten (10) years leading and managing various project team sizes on large and complex IT system development projects. 2. Three (3) years within the last ten (10) years of experience with either agile or hybrid agile software development processes used to develop or implement an automated solution. 3. Two (2) years of experience in the last ten (10) years developing and/or facilitating review and approval of project managemen

Data Analyst | Data Integration | Data Modeling

Defined Software Development

Remote

Contract

Our client is seeking the services of an experienced Data Analyst Minimum Qualifications: Bachelor s Degree6+ years of experience with MS SQL products inclusive of MS SQL 2008 Experience as MS SQL database administrator inclusive of data design/modeling, monitoring, and performance tuning. 6+ years of experience with SQL programming inclusive of stored procedures, functions, triggers, DTS packages, scheduled jobs, and linked servers.6+ years of experience with SQL relational databases, OLTP and

Senior Project Manager - Metadata Operations

iSpace, Inc

Remote

Contract

JOB DETAILS: Title: Senior Project Manager, Metadata Operations Location: Remote (team is based out in Los Angeles, CA) Type: 06 12+ Month contract (long term extensions) Job Description: As a Senior Project Manager within the Business Applications & Tech department, you are a self-starter who can fill a critical role in managing a wide variety of projects for the departments success. Your ability to build cross-functional relationships with the company and with outside partners is essentia

Data Architect

Defined Software Development

Remote or Tallahassee, Florida, USA

Contract

Our client is seeking the services of an experienced Data Architect Applicant must reside in the state of Florida. May work remotely within the state. Minimum Qualifications: Bachelors Degree6+ years of experience with MS SQL products inclusive of MS SQL 2008Experience as MS SQL database administrator inclusive of data design/modeling, monitoring, and performance tuning.6+ years of experience with SQL programming inclusive of stored procedures, functions, triggers, DTS packages, scheduled jobs,

Web Application Programmer | Classic ASP | Visual Basic | .NET | C# | SQL Server | Azure DevOps | ASP.NET

Defined Software Development

Remote or Tallahassee, Florida, USA

Contract

Our client is seeking the services of an experienced Web Applications Programmer Our client is willing for this position to be 100% remote for the right candidate. Requirements: Six years of experience developing applications in Classic ASP, C# .Net & VB .Net;Three years of experience with HTML 5.4;Six years of experience with MVC;Three years of experience with Angular X.0 (not Angular. js);Six years of experience with Visual Studio;Six years of experience with SQL Server development, includin