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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

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

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

M&A Transaction Manager - Human Capital Strategy and Diligence

MCI Careers

Alabama, USA

Full-time

POSITION OVERVIEW: MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry. As anM&A Transaction Manager ? Human Capital Strategy and Diligence, you?ll play a key role in evaluating workforce-related risks and opportunities during M&A transactions. You?ll help align people?s s

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

Manager of Data Governance & MDM (Healthcare )

Galax-Esystems Corp

Remote

Contract

Role: Manager of Data Governance & MDM (Healthcare ) Location: Remote 6Months Contract to Hire Visa: USC/ ead Essential Functions: Program Leadership & Strategy - Define and iterate the enterprise data-governance framework (policies, standards, operating model). Maintain the MDM and data-quality roadmap aligned to organizational OKRs and regulatory needs. Team Management - Lead 4 6 FTEs covering data stewardship, quality engineering, and MDM configuration; foster a culture of ownership and c

Junior Account Executive

Youngsoft

Wixom, Michigan, USA

Full-time

About Us: We are a leading IT services company specializing in providing innovative technology solutions to businesses of all sizes. Our team is dedicated to delivering top-tier IT services, including managed IT support, cloud solutions, cybersecurity, and software development. We are seeking a motivated and dynamic Junior Account Executive to join our growing team and help drive client success and business growth. Position Overview: The Junior Account Executive will work closely with senior sal

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

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 &

Engineering III

Pyramid Consulting, Inc.

Charlotte, North Carolina, USA

Full-time

Immediate need for a talented Engineering . This is a Fulltime opportunity with long-term potential and is located in Charlotte, NC (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-72633 Pay Range: $83000 - $85000/annum. 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: This position will analyze and audit proces

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'

Thermal TPM

Maxonic, Inc.

Cupertino, California, USA

Full-time

Maxonic maintains a close and long-term relationship with our direct client. In support of their needs, we are looking for a Thermal TPM Job Description: Job Title: Thermal TPM Job Type: Fulltime Job Location: Cupertino, CA Work Schedule: Hybrid Salary: $140000 - $160000/Yearly Our client is looking for an experienced Technical Program Manager to join their talented and growing Haptics team. This person will focus on thermal systems / components such as vapor chambers and heat pipes, etc. Will b

Test Engineer

Mastech Digital

Rock Hill, South Carolina, USA

Full-time

Mastech Digital provides digital and mainstream technology staff as well as Digital Transformation Services for all American Corporations. We are currently seeking a Test Engineer for our client in the Manufacturing domain. We value our professionals, providing comprehensive benefits and the opportunity for growth. This is a Permanent position, and the client is looking for someone to start immediately. Duration: Full-time Location: Rock Hill, SC Salary: $82,000-$87,000/Annually Role: Test Engin

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

ADABAS Natural Programmer/DBA

West Advanced Technologies, Inc.

Sacramento, California, USA

Contract, Third Party

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.

Supply Chain Specialist

Foxconn

Durham, North Carolina, USA

Full-time

Supply Chain Specialist Location: Durham, North Carolina, United States Employment Type: Full-time Reports To: Site Sr. Program Manager Overview: Supply Chain Specialist, you will manage efficient supply operations to ensure maximum productivity and customer satisfaction while meeting overall business requirements. The responsibility extends to driving and achieving business & financial results for the products/programs. Responsibilities include implementing, monitoring and maintaining supply c

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

Principal Software Engineer

Phoenix Staff, Inc.

Phoenix, Arizona, USA

Full-time

Title: Principal Software Engineer Location: Phoenix, AZ - Hybrid Schedule As a Principal Software Engineer, you will act as a technical leader responsible for designing, coding, testing, supporting, and debugging software applications throughout the development lifecycle. Your experience in leadership, mentoring, and team evaluation will play a key role in the success of projects. Your role: Analyze and gather relevant information to identify and define technical requirements and strategies

Business Systems Analyst / Product Owner - ( Mortgage / Real Estate )- Hybrid Role - Locals to VA, MD, DC ONLY

Zillion Technologies

Vienna, Virginia, USA

Contract

THIS IS A DIRECT CLIENT REQUIREMENT ! Those authorized to work without sponsorship are encouraged to apply please. Reach Saakshi Sahni directly at - 703- CALL - 955 - NOW - 1070 Product Requirements Analyst Duration: Long Term Ongoing Project with NO end Date Direct Client $$ BEST RATES $$ Hybrid Role - 2 Days a week onsite // 3 Days Fully Remote Job Description: Role Overview: **The most critical requirements of the role include** Strong requirements gathering experience Strong communication an