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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 &

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

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'

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

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

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

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

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

ADABAS Natural Programmer/DBA

West Advanced Technologies, Inc.

Sacramento, California, USA

Third Party, Contract

ADABAS Natural Programmer/DBA Sacramento, CA 12+ months Required Skills: Need qualified programmer/analyst with a minimum of 8 years of hands-on experience in Adaptable Database System (ADABAS)/Natural programming and ADABAS Database Administrator (DBA) skills set. Must be proficient using Job Control Language (JCL) within the ISPF/TSO interface. ADABAS DBA using Software AG tools and Natural toolkit, ADABAS/NATURAL programming z/OS and/or MVS Operating System. IBM mainframe utilities (e.

Data Analyst, Sr. (Quality Analytics)

CalOptima

Orange, California, USA

Full-time

Data Analyst, Sr. (Quality Analytics) CalOptima CalOptima Health is seeking a highly motivated Data Analyst, Sr. (Quality Analytics) to join our team. The Data Analyst, Sr. (Quality Analytics) will provide expertise in quality reporting and analysis requirements for the Quality Analytics department. The incumbent will be responsible for executing data collection, data processing, data analysis, reporting and quality assurance of data integrity based on business needs and presenting results effec

Program Manager Sr (Quality Analytics (CMS Stars))

CalOptima

Orange, California, USA

Full-time

Program Manager Sr (Quality Analytics (CMS Stars)) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager Sr (Quality Analytics (CMS Stars)) to join our team. Under the general direction of the Director, the Program Manager Sr for Quality Analytics (CMS Stars) will collaborate and coordinate with leadership to design, implement and evaluate quality programs for the Centers for Medicare & Medicaid Services (CMS) Star Ratings and other similar quality programs. The

Supervisor Information Technology Services (Infrastructure)

CalOptima

Orange, California, USA

Full-time

Supervisor Information Technology Services (Infrastructure) CalOptima CalOptima Health is seeking a highly motivated Supervisor Information Technology Services (Infrastructure) to join our team. The Supervisor Information Technology Services will assist the manager with overseeing technical assistance regarding hardware/software related requests through Information Technology Service Management (ITSM) elements such as incident management and request fulfillment. The incumbent will also assist wi

Sr Director, Information Technology

CalOptima

Orange, California, USA

Full-time

Sr Director, Information Technology CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Director, Information Technology to join our team. The Sr Director will be accountable for the Information Technology (IT) strategy and execution for a group of health plan applications for CalOptima Health. This position will work closely with business leadership and the department staff to find solutions and deliver the technology required to support the launch of new applications and

Business Analyst-Entry Level

Agama Solutions Inc.

San Francisco, California, USA

Contract

Responsibilities: Check reporting results and flag potential issues: Review reports for accuracy and identify any anomalies or discrepancies. Create dashboards, spreadsheet analysis, and presentations: Support regional analysts by preparing visual data representations and reports. Troubleshoot data issues: Validate data from various sources to ensure consistency and reliability. Analyze business performance trends: Identify patterns and trends in business data to uncover growth opportunities.

Senior Integration Tester REMOTE

Software People, Inc.

Remote or New York, USA

Contract, Third Party

Phone/Skype Hire. REMOTE Location: REMOTE Duration: 12+ months Seek to contract a Senior Integration Tester that will be responsible for Software Quality Assurance tasks including defining test approach and scenarios for UI, API and integration points, building detailed test cases and executing test cases for all applicable test cycles, like system, regression, sanity testing, reporting defects, resolving defects in collaboration with development and support teams. Senior Integration Tester is

Staff Engineer, CPU Microarchitecture

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

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'

IT Program Manager (Airlines & Loyalty Programs experience required)

Ameriinfo Vets

Remote

Contract

Below is a general Job Description we use for hiring Project Managers. We are seeking a candidate with experience (Ideally Airlines and Optimally Loyalty): Position Summary The Project Manager, IT Loyalty Support manages a portfolio of projects in the IT Loyalty Product space through all phases of the project life-cycle. The Project Manager interfaces with fellow Crewmembers, Business Partners, and others within an assigned functional area to actively lead all aspects of the project, including

Staff DevOps Engineer

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

Electronics / Electrical CAD Designer

JBC powered by Workgenius

Glendale, California, USA

Contract

Electrical AutoCAD Designer with Top Mass Media & Entertainment Company! Electrical AutoCAD Designer Location: Glendale, CA (on-site 5 days per week) Duration: 12 months + Rate: up to $55/HR Summary: Ride Controls designers prepare and maintain drawings for the Ride Control Systems Engineering group. They must be skilled in CAD and also have knowledge and experience with all types of electrical components and manufacturing processes. They also help to develop and maintain the CAD and drafting s