cms Jobs in santa clara, ca

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Web Developer

Dynanet Corporation

Remote

Full-time

Description The ideal candidate will support business analysis and data analysis that will be used to develop a strategic plan for the development and enhancements of the external website. Responsibilities In depth experience with Web development and knowledge/hands-on experience with Django, including Django models, views, templates, and the Django ORM (object-Relational Mapping) Expertise in using Wagtail CMS for content management and development of dynamic web applications. Strong proficien

ITOM Engineer (IFS Assyst)

NTT DATA Americas, Inc

Remote or Coffeyville, Kansas, USA

Contract

Company Overview: Req ID: 278992 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Software Development Advisor to join our team in Ottawa, Ontario (CA-ON), Canada (CA).Job Description: How You ll Help Us: As an Application/Software Architect you will use your wide array of knowledge to provide architecture and pr

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

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

Sales Lead

To The New

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

Web Content Designer - Remote

GSSR

Remote

Contract, Third Party

Experiences Required for This Role Website Content Writing At least 3 years of measurable experience in the following: Developing modern content for large websites with multiple departments and sizable portfolios of services, informational assets, and applications Creating high level content strategies that focus on logical taxonomies, streamlined user journeys, and human-focused design Planning for the discovery, analysis, segmenting, creation, delivery, tracking, and governance of content Alig

Web Content Designer - REMOTE

CCS IT

Remote

Contract

Experiences Required for This Role Website Content Writing At least 3 years of measurable experience in the following: Developing modern content for large websites with multiple departments and sizable portfolios of services, informational assets, and applications Creating high level content strategies that focus on logical taxonomies, streamlined user journeys, and human-focused design Planning for the discovery, analysis, segmenting, creation, delivery, tracking, and governance of content Al

VP, Solution Architecture

Livanta

Remote

Full-time

Description The VP, Solution Architecture supports business development activities and complex capture of large technology driven contracts in partnership with capture leaders and executives. You will be empowered to lead the development of enterprise solutions throughout the opportunity lifecycle, from identification through proposal submission and into knowledge transition following award. The role will work alongside a capture team to collaborate on win, teaming, and solution strategy, with a

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

Web Content Designer

RapidIT, Inc

Remote

Contract

Position: Web Content Designer Remote 12+ months Experiences Required for This Role Website Content Writing At least 3 years of measurable experience in the following: Developing modern content for large websites with multiple departments and sizable portfolios of services, informational assets, and applications Creating high level content strategies that focus on logical taxonomies, streamlined user journeys, and human-focused design Planning for the discovery, analysis, segmenting, creation,

ServiceNow Developer || Remote

Isoftech Inc

Remote

Contract

ServiceNow Developer Remote. "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, and implementing ServiceNow applications to meet specific business requirements. Your technical expertise, attention to detail, and commitment to excellence will contribute significantly to the success of our projects

Commercial Payer Insurance Analyst Fulltime Remote

Vega Consulting Solutions

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

Director of Data Science & Technology

Mindsource Inc

Remote

Full-time

Mindsource is seeking a Director of Data Science & Technology for one of our Direct Clients based in Silicon Valley . If interested, please drop your resume to Title: Director of Data Science & TechnologyRemote FTE We're searching for a passionate Group Director of Data Science & Technology to think beyond the ordinary and help innovate new products and services that our clients and their customers will use and love every day! In this role, you will lead and grow the client's global data scien

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

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

Web Content Designer

Cogent IBS, Inc

Remote

Contract

Web Content Designer Estimated Duration: 07/15/2024 - 07/15/2025 Hartford, Connecticut Remote JD: The Digital Website Content Writer will work closely with our cross-functional project team focused on building and improving the State of Connecticut s websites and digital assets. Your work will involve assessing customer needs and creating high impact content for web pages, digital applications, chatbots, user guides, and other customer-facing assets. An ideal candidate should know content insid

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

Insurance Healthcare Claims Full Time

Vega Consulting Solutions

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

EDI Analyst (OR ) Remote

Beedata

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

Web Content Designer

The Tri-Com Consulting Group

Remote

Contract, Third Party

The Tri-Com Consulting Group A Full-Service IT Employment Consulting Firm is seeking qualified candidates for the following opening: WEB CONTENT DESIGNER The Digital Website Content Writer will work closely with our cross-functional project team focused on building and improve websites and digital assets. Your work will involve assessing customer needs and creating high impact content for web pages, digital applications, chatbots, user guides, and other customer-facing assets. An ideal candida