hedis Jobs in san jose, ca

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Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Detroit, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Racine, Wisconsin, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE

Molina Healthcare

Remote or Santa Fe, New Mexico, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM and CM process and outcomes, as well as those progra

Clinical Data Governance Lead - Enterprise Quality & Accreditation - Hybrid

Cigna

Remote or Bloomfield, Connecticut, USA

Full-time

Role Summary: Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of data critical to ECHO operations, programs, and strategies. Ideal candidates should have strong background on health care payer Clinical operations / programs an

Patient Care Advocate

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Patient Care Advocate. This is a 03+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-71603 Pay Range: $25 - $28/hour+ Mileage Reimbursement. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: The Patient Care

Technical Business Data Analyst with Medicare / Remote

DATAMAXIS, Inc

US

Third Party, Contract

The Business/Data Analyst will perform business and data analysis tasks daily. Functions will include analysis, planning, assisting in managing project deliverables, updating the project plan using Microsoft Project, coordinating between the technical team and the business users. This role will support analysis of two different data structures to support conversion and new data model development of a large-scale data warehouse using complex SQL. This includes providing direction for the solution

Snowflake & IBM Netezza Engineer

CitiusTech

Remote

Full-time

We are seeking a Senior Solution Architect with deep expertise in Data Warehousing, Cloud Technologies, and Snowflake, along with extensive experience in the Healthcare domain, particularly in Payer and Provider systems. This role requires a combination of technical leadership, solution design, and hands-on expertise to develop scalable and compliant data architectures for enterprise healthcare solutions. Experience with IBM data warehousing technologies, including IBM NPS (Netezza Performance S

Healthcare Integration Architect

ChaTeck Incorporated

Remote or Bellevue, Washington, USA

Third Party, Contract

Position Title: Healthcare Integration Architect Location: US - Remote (EST hours) Job Type: Full-Time Let's create our future together at The AES Group! About The AES Group: The AES Group is a premier technology consulting company that has been bringing businesses and talent together for over 20 years to deliver the most innovative technology solutions that create the most positive impact on society. AES has helped over 40 business enterprises, including Fortune 500 companies, engage their

Senior Software Engineer, TikTok Creator Monetization

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A50281 Apply to this job Share this listing: Responsibilities Our team's mission is to power the creator economy by offering economic opportunities for creators who inspire creativity, bring joy, and provide value to our community. We are a product facing team and you will work closely with a multi-disciplinary team (Product, Research, Design, and Data) to define and build solutions for creators who inspire members of our community

Backend Software Engineer, Recommendation - Data Infrastructure (Storage Systems)

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A73661 Apply to this job Share this listing: Responsibilities About The Team The TikTok Recommendation - Data Infrastructure Team has the vital role of crafting and implementing a storage solution for offline data in TikTok's recommendation system, which caters to more than a billion users. Their primary objectives are to guarantee system reliability, uninterrupted service, and seamless performance. They aim to create a storage and

Senior Backend Software Engineer, Content E-commerce

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A213267 Apply to this job Share this listing: Responsibilities About the team: Global e-commerce is a content e-commerce business with international short video product as the carrier. It is committed to becoming the first choice for users to discover and purchase good products with affordable prices. Global e-commerce business team hopes to provide users with more tailored, and efficient consumption experience, enabling merchants t

Senior Backend Software Engineer, Global Ads Demonstration

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A52727 Apply to this job Share this listing: Responsibilities CommercePack team is responsible for connecting commercialization with the user community ecosystem. We provide data assembly and management for the display and interaction of advertisements, and promote a sustainable development ecosystem for advertising content.Our aim is to provide a unified platform for end-to-end commercial presentations and marketing data interactio

Backend Software Engineer - Global E-Commerce Warehousing

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A153762 Apply to this job Share this listing: Responsibilities Global e-commerce is content e-commerce business with international short video product as the carrier. It is committed to becoming the first choice for users to discover and purchase good products at affordable prices. Global e-commerce business team hopes to provide users with more tailored, active and efficient consumption experience, enabling merchants to receive sta

Backend Software Engineer, Global Ads Demonstration

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A139625A Apply to this job Share this listing: Responsibilities CommercePack team is responsible for connecting commercialization with the user community ecosystem. We provide data assembly and management for the display and interaction of advertisements, and promote a sustainable development ecosystem for advertising content.Our aim is to provide a unified platform for end-to-end commercial presentations and marketing data interact

Backend Software Engineer, Content E-Commerce

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A113766 Apply to this job Share this listing: Responsibilities About the team: Global e-commerce is a content e-commerce business with international short video product as the carrier. It is committed to becoming the first choice for users to discover and purchase good products with affordable prices. Global e-commerce business team hopes to provide users with more tailored, and efficient consumption experience, enabling merchants t

Software Engineer IV

Stellar Consulting Solutions

San Jose, California, USA

Contract, Third Party

Stellar Consulting Solutions is a boutique business & technology consulting company headquartered in Atlanta, GA. We deliver high quality, agile, and experienced workforce for niche technology projects of any scale. We help forward thinking clients to solve specific problems by understanding their needs and align talent that can move fluidly to match skill supply and demand on a real-time basis. Stellar Consulting has a unique combination of technical and digital skills to recruit, engage, and

Backend Software Engineer, Global E-commerce Risk Control Platform

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A75479 Apply to this job Share this listing: Responsibilities Global e-commerce is a content e-commerce business with international short video product as the carrier. It is committed to becoming the first choice for users to discover and purchase good products with affordable prices. Global e-commerce business team hopes to provide users with more tailored and efficient consumption experience, enabling merchants to receive reliable

Lead CPU Performance Analysis Engineer

Qualcomm Technologies

Santa Clara, California, USA

Full-time

Company: Qualcomm Technologies, Inc. Job Area: Engineering Group, Engineering Group > SoC Architecture General Summary: As a Lead CPU Performance Analysis Engineer, you will be working on CPU performance analysis and tuning, microbenchmark development, workload characterization, workload tracing, and performing competitive performance analysis using industry standard benchmarks and workloads. Roles and Responsibilities Collect CPU performance data for various workloads and benchmarksConduct

Engineering Manager, Global E-Commerce Customer Business

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A162458 Apply to this job Share this listing: Responsibilities The e-commerce industry has seen tremendous growth in recent years and has become a hotly contested space amongst leading Internet companies, and its future growth cannot be underestimated. With millions of loyal users globally, we believe TikTok is an ideal platform to deliver a brand new and better e-commerce experience to our users. Our product engineering team is res

Software Development Engineer in Test- User Growth

TikTok

San Jose, California, USA

Full-time

Location : San Jose Employment Type : Regular Job Code : A244969 Apply to this job Share this listing: Responsibilities About the team The centralized Testing team for TikTok provides support for multiple service component value chains. In this role, team members have the opportunity to validate, automate, develop and manage the complex challenges of scale with your expertise in large-scale systems. The main responsibilities include maintaining automation test, handling user feedback, fun