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Care Manager (Transitional Care Services Maternal Health)

CalOptima

Remote

Full-time

Care Manager (Transitional Care Services Maternal Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Care Manager (Transitional Care Services Maternal Health) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Care Manager for Transitional Care Services (TCS) Maternal Health will facilitate communication and coordination among all participant

Supervisor, Behavioral Health (Utilization Management)

CalOptima

Remote

Full-time

Supervisor, Behavioral Health (Utilization Management) CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit s prior authorization, concurrent review processes and transition of care. The incumbent w

Accessibility Developer

Virginia Polytechnic Institute & State University

Remote

Full-time

Job Title: Accessibility Developer Job no: 529784 Work type: Administrative & Professional Senior management: Executive VP & Chief Oper Officer Department: Equity and Access Location: Blacksburg, Virginia, Fully Remote Categories: Information Systems / Technology, Legal / Compliance Health coverage options: Premiums for July 2023 to June 2024 Paid Leave: Annual Leave: 192 hours/year (4.8 weeks for vacation)Sick Leave: 1040 hours (6 months) bank with access to it day oneAdditional Paid Holiday'

Principal-Engineering

Windstream

Remote

Full-time

Job Description Windstream Holdings, Inc., is a leading provider of advanced network communications and technology solutions for consumers, small businesses, enterprise organizations and carrier partners across the U.S. As Kinetic, Windstream offers bundled services, including premium broadband, security solutions, voice, and digital TV to consumers through an enhanced fiber network. Windstream Enterprise is a leading managed services provider providing strategic communications and security prod

Splunk Analyst Lead

Valiant Solutions LLC

Remote

Full-time

Valiant Solutions is seeking a Splunk Analyst Lead with advanced Splunk user experience to join our rapidly growing and innovative cybersecurity team in the Washington DC Metro Area. As the Splunk Analyst Lead of the Advanced Analysis, Research, and Insider Threat Management Support Team, you will manage a team of Threat Intelligence Analysts, a Log Analyst, a Data Scientist, and a Splunk Analyst. You and your team will also provide guidance to the SOC team during investigative/incident needs a

Program Specialist, Int. (Pharmacy Management)

CalOptima

Remote

Full-time

Program Specialist, Int. (Pharmacy Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist, Int. to join our team. The Pharmacy Program Specialist Int will handle complex assignments and issues, overseeing and coordinating departmental operations and serving as a reference to other pharmacy employees and as a representative of the Pharmacy Management department within CalOptima Health and with other agencies. Under general supervision, the incumbent

Clinical Auditor, Sr.

CalOptima

Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring

Senior Product Designer (REMOTE)

Windstream

Remote or Twinsburg, Ohio, USA

Full-time

Job Description Windstream Holdings, Inc., is a leading provider of advanced network communications and technology solutions for consumers, small businesses, enterprise organizations and carrier partners across the U.S. As Kinetic, Windstream offers bundled services, including premium broadband, security solutions, voice, and digital TV to consumers through an enhanced fiber network. Windstream Enterprise is a leading managed services provider providing strategic communications and security prod

Senior QA Engineer MDM

Cquensys

Remote

Contract

Senior QA Engineer MDM Contract (Part-Time) Veterans, Reservists, Guardsmen, and military family members are encouraged to apply! Position Details: Role: Senior QA Engineer MDM Commitment: Part-time (20 hours per week) Summary: This position entails working within the Master Data Management team. The consultant will become familiar with Provider, Location, and Reference Master domains. The consultant will act as a Senior Quality Assurance Engineer with advanced skills in database testing for

Claims Recovery Specialist

CalOptima

Remote

Full-time

Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati

Senior Data Scientist

Booz Allen Hamilton

Remote

Full-time

Job Number: R0186688 Data Scientist, Senior The Opportunity: As a data scientist, you're excited at the prospect of unlocking the secrets held by a data set, and you're fascinated by the possibilities presented by IoT, machine learning, and artificial intelligence. In an increasingly connected world, massive amounts of structured and unstructured data open new opportunities. As a data scientist at Booz Allen, you can help turn these complex data sets into useful information to solve global chall

Senior Data Scientist

Booz Allen Hamilton

Remote

Full-time

Job Number: R0186690 Data Scientist, Senior The Opportunity: As a data scientist, you're excited at the prospect of unlocking the secrets held by a data set, and you're fascinated by the possibilities presented by IoT, machine learning, and artificial intelligence. In an increasingly connected world, massive amounts of structured and unstructured data open new opportunities. As a data scientist at Booz Allen, you can help turn these complex data sets into useful information to solve global chall

QI Nurse Specialist (LVN)

CalOptima

Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements

Distributed Systems Engineer (L5) - Cloud Engineering

Netflix, Inc.

Remote

Full-time

Netflix is one of the world's leading streaming entertainment services, with over 260 million paid memberships in over 190 countries, enjoying TV series, films, and games across a wide variety of genres and languages. Members can play, pause and resume watching as much as they want, anytime, anywhere, and can change their plans at any time. Netflix has been on the leading edge of the cloud since beginning the migration to AWS 15 years ago and runs one of the largest Cloud footprints around. The

Sr. Product Manager

Synergis

Remote

Contract

Sr. Product Manager Remote Atlanta or EST Contract, potential Contract to Hire The Sr. Product Manager is responsible for assessing market needs and inspiring cross-functional product teams to find the fastest way to achieve value around those needs. The role focuses on delivering business value to drive sales, improve efficiency, and improve customer satisfaction through the production of quality products. The Sr. Product Manager must not only be able to develop new ideas for products, but del

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a

Data Analyst, Sr. (HEDIS)

CalOptima

Remote

Full-time

Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,

Security Architect

FINRA

Remote

Full-time

The Senior Security Engineer works under minimal supervision and will perform information security tasks commensurate with their experience that ensure applications and projects meet defined quality standards. Job Description: Security Architect, within the Cyber & Information Security will work with the various assigned security teams: Identify the security requirements and approved patterns established/defined across the various security teams.Aggregate them into a unified, holistic security a

Salesforce Solution Analyst

Cornell University

Remote

Full-time

Salesforce Solution Analyst (Remote)Fully Remote (Within the United States)Ithaca (Main Campus)Full timePosted 4/24/2024WDR-00044794Salesforce Solution Analyst (Remote) *No Visa Sponsorship is available for this position. What is Cornell University and what is Information Technology @ Cornell? Cornell University, unique among peers, is the federal land-grant institution of New York State, a private endowed university, and a member of the Ivy League. Information technologies (IT) is a strategic

Kinetic Ops - Sr Product Manager (REMOTE)

Windstream

Remote or Twinsburg, Ohio, USA

Full-time

Job Description Windstream Holdings, Inc., is a leading provider of advanced network communications and technology solutions for consumers, small businesses, enterprise organizations and carrier partners across the U.S. As Kinetic, Windstream offers bundled services, including premium broadband, security solutions, voice, and digital TV to consumers through an enhanced fiber network. Windstream Enterprise is a leading managed services provider providing strategic communications and security prod