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Actuarial Analyst

CalOptima

•

Orange, California, USA

Full-time

Actuarial Analyst CalOptima CalOptima Health is seeking a highly motivated an experienced Actuarial Analyst to join our team. The Actuarial Analyst will provide analytical and actuarial support to more senior team members for the month-end Incurred But Not Reported (IBNR) reserve, semi-annual Chronic Illness and Disability Payment System (CDPS) risk score and annual rate development template. The incumbent will also support the Manager Actuary and other departments throughout CalOptima Health an
Posted 37 days ago | Updated 29 days ago

Financial Analyst IV (Decision Support)

CalOptima

•

Orange, California, USA

Full-time

Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical c
Posted 16 days ago

Enterprise Analytics Manager (Principal Business Intelligence Analyst Tableau)

CalOptima

•

Orange, California, USA

Full-time

Enterprise Analytics Manager (Principal Business Intelligence Analyst Tableau) CalOptima CalOptima Health is seeking a highly motivated an experienced Principal Business Intelligence Analyst - Tableau (Enterprise Analytics Manager) to join our team. The Enterprise Analytics Manager (Principal Business Intelligence Analyst - Tableau) will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOpt
Posted 17 days ago

Staff Software Engineer - Storage Systems and Protocols

Samsung Electronics America

•

San Jose, California, USA

Full-time

Please Note: To provide the best candidate experience amidst our high application volumes, each candidate is limited to 10 applications across all open jobs within a 6-month period. Advancing the World's Technology Together Our technology solutions power the tools you use every day--including smartphones, electric vehicles, hyperscale data centers, IoT devices, and so much more. Here, you'll have an opportunity to be part of a global leader whose innovative designs are pushing the boundaries o
Posted 53 days ago | Updated 8 hours ago

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I)

CalOptima

•

Orange, California, USA

Full-time

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) to join our team. The Sr Manager I for Fraud, Waste and Abuse (FWA) will be responsible for leading the team of CalOptima Health investigators to detect, investigate and mitigate FWA issues. The incumbent will ensure investigations are handled effectively and in a timely manner and will engage with regulator
Posted 17 days ago

Office Apps Engineer

JDA TSG

•

Remote

Full-time

We have immediate opportunities for US based MS Office Apps Experts to join our team working as Customer Engineers (CE s). Positions are full time, salaried roles offering comprehensive benefits. A CE s time is dedicated to working with some of the largest, and most sophisticated companies in the world, usually F1000 companies. CE s support and assist customers in building, deploying, operating and optimizing complex enterprise environments. You will be responsible for customer satisfaction, dep
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Posted 60+ days ago | Updated 9 days ago

Program Coordinator (Credentialing)

CalOptima

•

Orange, California, USA

Full-time

Program Coordinator (Credentialing) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Coordinator (Credentialing) to join our team. The Program Coordinator (Credentialing) will use standard policies, procedures and guidelines to coordinate the intake of all credentialing requests and ensure the provider has submitted all information and documents to initiate the credentialing verification process. The incumbent will prepare the provider files for the Credentialing V
Posted 49 days ago | Updated 29 days ago

Program/Policy Analyst Sr (Medi-Cal Compliance)

CalOptima

•

Orange, California, USA

Full-time

Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Sp
Posted 21 days ago

Program Manager II

Everest Consultants, Inc

•

Inglewood, California, USA

Full-time

Title: Program Manager II (onsite work) Location: Inglewood, CA 90302 Duration: Permanent / FTE Salary: $125K - $160K **This position must meet export control compliance requirements. All applicants must be "U.S. persons within the meaning of ITAR, as defined: a U.S. Citizen, a lawful permanent resident, political asylee, or refugee.** Defense contractor involved with product development and manufacturing of various systems for military aerospace and vehicles in the Los Angeles International Ai
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Posted 60+ days ago | Updated 3 hours ago

Lead AMS Verification Engineer

Inherent Technologies

•

US

Full-time, Part-time, Contract, Third Party

Position: Lead AMS Verification Engineer Location: Remote Duration: 1 Years Job Description: We are seeking highly skilled Lead AMS Verification Engineers to join our team. The ideal candidate will have extensive experience in AMS verification at both the SoC (chip) and block level, using netlist and/or models. This role requires a deep understanding of analog circuits, including low power circuits, PMIC, high-speed clocking circuits, and data converters. The candidate should also possess st
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Posted 60+ days ago | Updated 23 hours ago

Sr Manager, Marketplace Program Development (Sr Manager II)

CalOptima

•

Orange, California, USA

Full-time

Sr Manager, Marketplace Program Development (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Marketplace Program Development (Sr Manager II) to join our team. The Sr Manager for Marketplace Program Development will be responsible for supporting the development of new programs and initiatives related to the implementation and ongoing management of new product lines, including commercial. The incumbent will be responsible for managing the regulato
Posted 4 days ago

Regulatory Affairs and Compliance Analyst (Medicare)

CalOptima

•

Orange, California, USA

Full-time

Regulatory Affairs and Compliance Analyst (Medicare) CalOptima CalOptima Health is seeking a highly motivated Regulatory Affairs and Compliance Analyst (Medicare) to join our team. The Regulatory Affairs and Compliance Analyst (Medicare) will coordinate and maintain CalOptima Health's relationships with regulatory agencies, including but not limited to supporting, enhancing and strengthening CalOptima Health's policy infrastructure, platform and strategy at the state and federal level. The incum
Posted 28 days ago | Updated 28 days ago

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal)

CalOptima

•

Remote

Full-time

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) to join our team. The Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) will be responsible for assisting with all Hierarchical Condition Categories (HCC) projects and Medi-Cal Annual Wellness Visit Initiative Program. The incumbent will handle risk adjustment-related activities to ensure the Centers for Medicare &
Posted 18 days ago

Director, Sales and Marketing (Director I)

CalOptima

•

Orange, California, USA

Full-time

Director, Sales and Marketing (Director I) CalOptima CalOptima Health is seeking a highly motivvresponsible for overseeing the execution and leading the implementation of member outreach, acquisition and retention strategies and tactics. The incumbent will develop and maintain strong relationships between CalOptima Health, current and potential members, employed sales and marketing team, PACE marketing and enrollment team, external Field Marketing Organizations (FMO) or external broker agencies
Posted 23 days ago

Collibra Administrator - Data Governance (Programmer Sr)

CalOptima

•

Orange, California, USA

Full-time

Collibra Administrator - Data Governance (Programmer Sr) CalOptima CalOptima Health is seeking a highly motivated an experienced Collibra Administrator - Data Governance (Programmer Sr) to join our team. The Programmer Sr (Collibra Administrator-Data Governance) will be responsible for overseeing the administration, configuration, and deployment of Collibra, focusing on release management, performance monitoring, and platform security. This position will be the subject matter expert in Collibra'
Posted 16 days ago

PBM Business Integration Specialist (Pharmacist)

Intellibee Inc

•

Remote or Raleigh, North Carolina, USA

Full-time, Third Party

PBM Business Integration Specialist (Pharmacist) NC Department of Health and Human Services (DHHS) seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the Medicaid Enterprise System (MES) project. The PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise and business support to the Pharmacy and Anc
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Posted 60+ days ago | Updated 10 days ago

Director, Medicare Program Development (Director III)

CalOptima

•

Orange, California, USA

Full-time

Director, Medicare Program Development (Director ) CalOptima CalOptima Health is seeking a highly motivated Director, Medicare Program Development (Director ) to join our team. The Director (Medicare Program Development) will be responsible for leadership, plan management and operations of CalOptima Health's Medicare lines of business, including the Program of All Inclusive Care for the Elderly (PACE) health plan operations. The incumbent will provide direction to CalOptima Health's departments
Posted 28 days ago

SAP SD Team Lead

Connexion Systems & Engineering

•

Remote or Fort Lauderdale, Florida, USA

Contract

We have an opening for a SAP SD Team Lead in Fort Lauderdale, FL. Start date is ASAP and will last 5 MONTHS with 18-24 month extension potential. Ft Lauderdale FLORIDA --Onsite travel will follow standard expense policy with per diems. Travel is 50X (client pays expenses) Rate: 100-110/hr plus expenses Skills (NONE/ADVANCED/EXPERT): SD w/ integration to Salesforce field service and variant config Master Data, SAP SD Billing, SAP SD Credit Control, SAP SD EDI, SAP SD Shipping, SAP SD Exposure t
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Posted 60+ days ago | Updated 14 days ago

Program Manager Sr (Marketplace)

CalOptima

•

Orange, California, USA

Full-time

Program Manager Sr (Marketplace) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager Sr (Marketplace) to join our team. The Program Manager Sr plays a vital role in program design, development, implementation and overall support of the implementation for new product lines, including commercial. The incumbent will be responsible for coordination, execution and completion of tasks supporting new program development and implementation. The incumbent will assist i
Posted 56 days ago | Updated 29 days ago

Senior Engineer, AI Performance Architecture

Samsung Electronics America

•

San Jose, California, USA

Full-time

Please Note: To provide the best candidate experience amidst our high application volumes, each candidate is limited to 10 applications across all open jobs within a 6-month period. Advancing the World's Technology Together Our technology solutions power the tools you use every day--including smartphones, electric vehicles, hyperscale data centers, IoT devices, and so much more. Here, you'll have an opportunity to be part of a global leader whose innovative designs are pushing the boundaries o
Posted 60+ days ago | Updated 8 hours ago