Utilization Management jobs in San Jose, CA

Data Center Site Operations Lead || On-Site || Santa Clara, CA & Hillsboro, OR || 12 Months Contract || W2/C2C ||

Santa Clara, California

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9d ago

Job Title Data Center Site Operations Lead Rate DOE Location Santa Clara,California& Hillsboro, OR [LOCALS Only] Duration 12 months (W2/C2C/1099) Work Authorization TN # Of Positions 2 Job Description DC Site Operations Lead Job Summary : We are seeking a DC Site Operations Lead to support a rapidly growing data center infrastructure organization. This role will be responsible for operational governance, infrastructure readiness, production transition activities, compliance support, operational

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Contract

Depends on Experience

Authorization Coordinator I - REMOTE

Remote or Emeryville, California

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for an Authorization Coordinator I for a Contract assignment with one of our premier Healthcare clients working remotely. Responsibilities : The Authorization Coordinator I processes patient referral requests to support timely and accurate determinations. This role reviews referrals according to standard work, health plan contracts, and utilization management protocols, forwarding requests to nurses or physicians when required. The coord

Contract

USD 25.00 - 25.00 per hour

BUSINESS ANALYST

Remote or Hybrid in Virginia Beach, Virginia

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9d ago

Business Analyst Healthcare (2-3 Years Experience)Company: AaraTech Inc About the RoleAaraTech Inc is seeking a motivated and detail-oriented Business Analyst Healthcare ( 2-3 years experience) to support healthcare and health plan operations through data analysis, reporting, and documentation. This role is ideal for early-career professionals looking to build a career in healthcare analytics within a regulated environment. The Business Analyst will collaborate with cross-functional teams to sup

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Contract

$65,000 - $75,000

Senior Site Reliability Engineer, Recommendation Infrastructure (Multiple Positions)

San Jose, California

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Today

Responsibilities About TikTok TikTok is the leading destination for short-form mobile video. At TikTok, our mission is to inspire creativity and bring joy. TikTok's global headquarters are in Los Angeles and Singapore, and we also have offices in New York City, London, Dublin, Paris, Berlin, Dubai, Jakarta, Seoul, and Tokyo. Why Join Us Inspiring creativity is at the core of TikTok's mission. Our innovative product is built to help people authentically express themselves, discover and connect -

Full-time

USD 255,653.00 - 387,600.00 per year

ML Engineer (R37)

Remote

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Today

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and

Full-time

USD 140,000.00 - 200,000.00 per year

Software Engineer (R37)

Remote

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Today

Full-time

USD 120,000.00 - 150,000.00 per year

Senior Aviation Cyber Certification Engineer

Remote or Boston, Massachusetts

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Today

Merlin (NASDAQ: MRLN) is a publicly traded aerospace and defense company building a non-human pilot to deliver full-stack autonomy for any aircraft from takeoff to touchdown. The Merlin Pilot autonomy system powers a growing range of aircraft and mission profiles and has been proven through hundreds of autonomous flights from Merlin's global flight test facilities, including Kerikeri, New Zealand; Smithfield, Rhode Island; and soon, Bedford, Massachusetts. Headquartered in Boston, Merlin is expa

Full-time

USD 165,000.00 - 220,000.00 per year

Product Engineer (R37)

Remote

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Today

Full-time

USD 120,000.00 - 150,000.00 per year

Applied AI Engineer (R37)

Remote

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Today

Full-time

USD 140,000.00 - 200,000.00 per year

Sr Manager, AI/ML Engineering - Remote

Remote or Minnetonka, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us in making healthcare work better for everyone through people-

Full-time

USD 148,900.00 - 255,300.00 per year

Software Engineer - ML Ops (R37)

Remote

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Today

Full-time

USD 140,000.00 - 200,000.00 per year

Lead AI Software Engineer - Remote

Remote or Minnetonka, Minnesota

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Today

Full-time

USD 112,700.00 - 193,200.00 per year

Software Engineer - Data Platform (R37)

Remote

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Today

Full-time

USD 120,000.00 - 150,000.00 per year

Software Engineering Manager (R37)

Remote

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Today

Full-time

USD 101,100.00 - 206,802.61 per year

Staff Software Engineer - Data Platform (HL7) (R37)

Remote

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Today

Full-time

USD 212,100.00 - 409,050.00 per year

Senior Software Engineer - R37

Remote or Utah

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Today

Full-time

USD 101,100.00 - 206,802.61 per year

Health Cloud Solution Architect

Remote

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Today

Why NeuraFlash, Part of Accenture: At NeuraFlash, Part of Accenture, we are redefining the future of business through the power of AI and groundbreaking technologies like Agentforce. As a trusted leader in AI, AWS, and Salesforce innovation, we craft intelligent solutions-integrating Salesforce Einstein, Service Cloud Voice, Amazon Connect, Agentforce and more-to revolutionize workflows, elevate customer experiences, and deliver tangible results. From conversational AI to predictive analytics,

Full-time

USD 94,400.00 per year

Transmission Line Engineering Manager - Remote

Remote or Chicago, Illinois

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Today

Title: Transmission Line Engineering Manager Location Requirement: This position is fully remote and can only be performed in the United States. Ready to make a difference? We are seeking a Transmission Line Engineering Manager to lead and grow our new transmission line engineering practice. You will have the opportunity to help build this practice from the ground up as complimentary service to our existing substation engineering practice. In this leadership role, you will be responsible for t

Full-time

USD 174,701.00 - 296,992.00 per year

Senior Manager, Actuarial AI & Enterprise Performance

Remote

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Today

The Finance team at Clover Health is a group of strategic partners providing financial and operational insights that drive informed decision-making and efficient capital allocation. Guided by our core values of excellence, accountability, and collaboration, we provide actionable recommendations to improve health outcomes and reduce costs while ensuring financial integrity and innovation. The MA Plan Actuarial Strategic Operations team serves as the operational and financial nerve center for Clo

Full-time

USD 157,700.00 - 205,000.00 per year

Data Scientist IV - HealthCare preferred

Remote or Dayton, Ohio

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Today

Job Summary: The Data Scientist IV is responsible for leading the design, development, and operationalization of advanced analytics, machine learning, and artificial intelligence solutions that improve healthcare operations, patient outcomes, and organizational performance. This role provides technical leadership across complex initiatives involving predictive modeling, generative AI, Agentic AI, Natural Language Processing (NLP), and large-scale healthcare data science solutions. They influenc

Full-time

USD 113,000.00 - 197,700.00 per year

Utilization Management jobs in San Jose, CA, USA