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Medical Case Manager (Community Based Adult Services)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (Community Based Adult Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager-RN (Community Based Adult Services) to join our team. The Medical Case Manager for Community Based Adult Services (CBAS) will be responsible for reviewing and processing requests for authorization for CBAS services. The incumbent will utilize Medi-Cal criteria along with policies and procedures to authorize requests from CBAS providers. The incumbent

Personal Care Coordinator Sr

CalOptima

Orange, California, USA

Full-time

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly

Software Engineer Lead

Dynanet Corporation

Remote

Full-time

Location: Remote, DC Type: Full-Time Dynanet Corporation Overview: Dynanet is a small minority-owned business that has been providing IT services to Federal and State customers for more than 25 years. We were established in 1995 to deliver information technology engineering and management services to state and federal governments. Initially focused on IT infrastructure services, the company has expanded its services to include application services, cloud enablement, cybersecurity, automation, a

Personal Care Coordinator Sr

CalOptima

Orange, California, USA

Full-time

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly

Physical Therapist (PT)

CalOptima

Orange, California, USA

Full-time

Physical Therapist (PT) CalOptima CalOptima Health is seeking a highly motivated an experienced Physical Therapist (PT) to join our team. The Physical Therapist for PACE evaluates and assesses participants to determine mobility level and other physical conditions and functional abilities. The incumbent will provide and recommend treatment protocols such as therapeutic exercise, functional mobility training and safety education and complete assessments of proper durable medical equipment (DME). T

Principal AI Architect

Eliassen Group

Anywhere, US

Full-time

Description: **100% Remote** Our client, an industry leader in case management, has an excellent opportunity for a Principal AI Architect to work on a full-time direct hire opportunity. Work will be fully remote, local to SoCal preferred. The Principal AI Architect will play a pivotal role in driving innovation and ensuring solutions remain at the top of the legal industry. The ideal candidate will have a high level of passion, creativity, and strong hands-on experience with GenAI and machine

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

Mid-Level Data Engineer

Kforce Technology Staffing

Remote or Topeka, Kansas, USA

Third Party, Contract

RESPONSIBILITIES: Kforce has a client that is seeking a Mid-Level Data Engineer in Topeka, KS. Duties: * Mid-Level Data Engineer will be responsible for the physical data structures, data integration, build, and care of solutions * Develop ELT processes and frameworks to efficiently extract, load, and transform data from various sources * Demonstrate commitment to software development best practices, including documentation, reusable code design, test driven implementation, and integrated softw

Security Architecture SME

Valiant Solutions LLC

Remote

Full-time

Valiant Solutions is seeking a Security Architect SME in the Washington DC Metro area to join our rapidly growing and innovative cybersecurity team! Valiant Solutions is seeking a Security Architect SME to join our rapidly growing and innovative cybersecurity team! The Security Architect SME will lead the development of security architecture guidance, standards, and reference diagrams for on-premise and cloud platforms and systems. This position requires a deep level of understanding of NIST Spe

Senior, Data Scientist

Walmart Inc.

Sunnyvale, California, USA

Full-time

Position Summary What you'll do We are seeking an experienced Senior Data Scientist to join our Walmart e Commerce Analytics team focused on Transactions, Identity, and Account product and business. As a member of our team, you will be responsible for developing and executing data-driven strategies to improve our e Commerce product offerings and customer experience. Associates in this role are expected to primarily work onsite at either our San Francisco, CA Bay Area Offices (San Bruno or Sun

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

Senior Cyber Threat Intelligence Analyst (Lead)

Valiant Solutions LLC

Remote

Full-time

Valiant Solutions is seeking a Senior Cyber Threat Intelligence Analyst (Lead) to join our rapidly growing and innovative cybersecurity team! Named one of the in the Washington DC area for 11 consecutive years, Valiant is proud of our employee-centric culture and commitment to excellence. If you are interested in learning more about Valiant and this opportunity, we invite you to apply now! This position allows for 100% remote work. Remote work necessitates a high-level trust in our employees an

Director, Credentialing (Director I)

CalOptima

Orange, California, USA

Full-time

Director, Credentialing (Director I) CalOptima CalOptima Health is seeking a highly motivated an experienced Director, Credentialing (Director I) to join our team. The Director of Credentialing will be responsible for overseeing the process of verifying and maintaining health care provider credentials, ensuring compliance with all relevant regulations and standards, overseeing a contracted credentialing verifications organization (CVO), managing a team of credentialing staff, and ensuring ongoin

Senior Java AWS Developer

KMM Technologies, Inc

Remote or Rose Hill, Virginia, USA

Contract

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie

Lead Engineer Wealth Mgmt Client 360

Northern Trust

Remote or Chicago, Illinois, USA

Full-time

About Northern Trust: Northern Trust, a Fortune 500 company, is a globally recognized, award-winning financial institution that has been in continuous operation since 1889. Northern Trust is proud to provide innovative financial services and guidance to the world's most successful individuals, families, and institutions by remaining true to our enduring principles of service, expertise, and integrity. With more than 130 years of financial experience and over 22,000 partners, we serve the world'

Application Developer

Valiant Solutions LLC

Remote

Full-time

Valiant Solutions is seeking an Application Developer to support our agile software development practice supporting an environmentally focused Federal Government client. The agency's programs aim to promote environmental sustainability and protect the natural resources of our planet. As part of this contract, we will be supporting the agency's efforts to develop and maintain information systems that facilitate the tracking and reporting of environmental data. Our team will work closely with the

Staff Software Engineer

Fortinet

Sunnyvale, California, USA

Full-time

Job Description At Fortinet, we strive to provide a supportive, collaborative environment where people are empowered to do the best work of their careers. Our team members enjoy solving complex problems, big sky thinking, and obsessing over getting the details right. We love what we do and are proud of our work to secure clouds and container environments for thousands of users worldwide. About the team: Fortinet Agent is a crucial component of our cloud workload portfolio. It collects data w

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

Sr Manager, Strategic Planning & Performance (Sr Manager II)

CalOptima

Orange, California, USA

Full-time

Sr Manager, Strategic Planning & Performance (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Strategic Planning & Performance (Sr Manager II) to join our team. The Sr Manager (Strategic Planning & Performance) will be responsible for strategic alignment and integration across programs and projects in support of Strategic Development department process and administrative efficiency. The incumbent will be responsible for management of the departm

Penetration Tester

ShorePoint, Inc

Remote

Full-time

Who we are: ShorePoint is a fast-growing, industry recognized, and award-winning cybersecurity services firm with a focus on high-profile, high-threat, private and public-sector customers who demand experience and proven security models to protect their data. ShorePoint subscribes to a work hard, play hard mentality and celebrates individual and company successes. We are passionate about our mission and going above and beyond to deliver for our customers. We are equally passionate about an envir