cms Jobs in Sunnyvale, CA

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Systems Engineer

Data Computer Corp America

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Remote

Full-time

DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: ;nbsp; Principal Systems Engineer Key Tasks: DCCA is looking for an experienced DevSecOps Engineer to support MACFIN system. As part of the DevSecOps Team, you will Design, Code and maintain performant, reliable in
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Posted 18 days ago

Sales Lead

To The New

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Remote

Full-time

Position: Sales Lead Job Type: Full Time Location: New York, NY About TO THE NEW: TO THE NEW (TTN) is a Digital Technology company helping organizations in building disruptive products and solutions. We have deep expertise in Experience Design, Open source technologies across Web, Mobility, and CMS s, diverse Cloud Infrastructures, DevOps, Big Data & Analytics, Quality, and Test automation; combined with proven experience in Agile methodologies. We are a preferred partner to organizations acros
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Posted 60+ days ago | Updated 4 hours ago

Sr Consultant, Dynamics ERP

XTIVIA

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Remote

Full-time

XTIVIA - Sr Consultant, Dynamics ERP This is a remote role, within the United States. This position is full-time. How you will make a difference The Dynamics ERP Specialist will be accountable to the VP of Operations and will be compensated based on their experience. The primary responsibilities of this role include defining and implementing business requirements, configuring, and customizing ERP modules for multiple departments, and working collaboratively with participating departments to enha
Posted 17 days ago

Commercial Payer Insurance Analyst Fulltime Remote

Vega Consulting Solutions

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Remote

Full-time

Candidates must be eligible for direct employment. Sponsorship is not available.Prefer candidates with BCBS work experience Vega Consulting Solutions, Inc. is searching for a Senior Business Analyst for a permanent job opportunity with our direct client. This position is 100% Remote based. Candidates must have 6+ years of experience within the US healthcare industry. Must have experience with 834, 837, 820 X12 data formats and standards. We are seeking a passionate, results-oriented Senior Busin
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Posted 3 days ago | Updated 2 days ago

Claims Recovery Specialist

CalOptima

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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
Posted 10 days ago

QI Nurse Specialist (LVN)

CalOptima

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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
Posted 7 days ago

ServiceNow Developer || Remote || Active Secret Security Clearance Required

Isoftech Inc

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Remote

Full-time

Lead ServiceNow Developer Remote. Note: The right candidate for this role will reside within commuting distance of the DMV area. While this is a remote role, meetings onsite may require your presence, no more than 20% of your time. **Active Secret Security Clearance Required** Description As a Lead ServiceNow Developer you play a pivotal, technical-leadership role in successfully deploying ServiceNow solutions for our clients. In this role, you will be responsible for configuring, customizing
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Posted 22 days ago | Updated 1 day ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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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
Posted 10 days ago

Insurance Healthcare Claims Full Time

Vega Consulting Solutions

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Remote

Full-time

Candidates must be eligible for direct employment. Sponsorship is not available. Seeking candidates working with company's such as: BCBS, Anthem, Cigna, UHG Etc. - Payer H/C insurance companies. Vega Consulting Solutions, Inc. is searching for a Senior Business Analyst for a permanent job opportunity with our direct client. This position is 100% Remote based. Candidates must have 6+ years of experience within the US healthcare industry. Must have experience with 834, 837, 820 X12 data formats an
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Posted 9 days ago | Updated 2 days ago

Test Automation Architect

Data Computer Corp America

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Remote

Full-time

DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: ;nbsp; Test Automation Architect Candidate must have or be willing to obtain a Public Trust Clearance DCCA is looking for an experienced Testing Automation Architect to expand our automation capabilities within ou
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Posted 17 days ago

EDI Analyst (OR ) Remote

Beedata

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Remote

Contract

Job Description: 100% fully remote. Team sits across the country.Healthcare Domain, specifically with the EDI files is required.This is on the Data Operations Team. Going to be heavily involved with the data.Managing ETL, data files coming in and out bound.Mainly related to X12 data transaction supportWorking with live data to monitor for errors.Preferred: strong Edifecs Transaction Manager experience.Strong communication working with the business to communicate errors and requests.The EDI Analy
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Posted 10 days ago

Web Architect-Senior

Independent Health

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Remote

Full-time

FIND YOUR FUTUREWe're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion. OverviewThe Web Architect-Senior will be responsible for providing technical solutions to a variety of enterprise-wide business problems that impact the web and mobile technologies. They will ensure business strategy, industry standards, technologies and relative trends are reflected in the IH web a
Posted 3 days ago

(IDMS) Active Directory (AD) Engineer (Public Trust Clearance Req)

Ameriinfo Vets

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Remote

Contract

Identity Management Services Active Directory Engineer Security Clearance Requirement-Public Trust (PT) SUMMARY DIGIT is seeking an Identity and Directory Management Services (IDMS) Active Directory (AD) Engineer to support the upgrade of the Domain Controllers to Windows 2022. This project will include but not limited to researching the new features and requirements that will be needed to upgrade and promote Windows 2022 domain controllers. Research and testing will be needed to make sure Activ
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Posted 44 days ago | Updated 17 days ago

Remote Sitecore XM Cloud/Vercel Architect

Kforce Technology Staffing

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Remote or Charleston, South Carolina, USA

Full-time

RESPONSIBILITIES: Kforce has a client that is looking for a Remote Sitecore XM Cloud/Vercel Architect that will work with an Innovations and Digital Transformation team to transform the Customer experience. Candidates are required to work east coast hours and partner with the UK. Responsibilities: * Be a trusted advisor and be a technical authority on Sitecore XM Cloud & Vercel platforms, staying updated on the latest industry trends, best practices, and platform features * Oversee the resolutio
Posted 9 days ago | Updated moments ago

Clinical Auditor, Sr.

CalOptima

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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
Posted 7 days ago

AWS Architect

Conquest Consulting

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Remote or Austin, Texas, USA

Contract, Third Party

Job Title: AWS Architect Location: Austin TX Duration: Long Term Job description: Years Required/Preferred Experience 7 Required Hands on experience in designing, building, and supporting cloud-native application solutions. 7 Required Experience in combined roles of enterprise or technical architecture, cloud platform development, cloud strategy or IT strategy 7 Required Experience in migration of applications from on-premise to cloud with enterprise architecture 7 Required Experience in Applica
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Posted 60+ days ago | Updated 10 hours ago

Sr DevOps Engineer

XTIVIA

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Remote

Full-time

XTIVIA - Sr DevOps Engineer This is a remote opportunity (within the United States). This is a full-time role. How you will make a difference As an XTIVIA DevOps Engineer, you will provision, enhance, and maintain cloud and on-premise infrastructure for our clients on both small and large scale projects spanning a number of vertical markets. Responsibilities will include working with identity and access management, network architecture, application security, logging, monitoring, billing, and mor
Posted 60+ days ago | Updated 29 days ago