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Program Specialist (Credentialing)

CalOptima

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Orange, California, USA

Full-time

Program Specialist (Credentialing) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Credentialing) to join our team. The Program Specialist (Credentialing) will use standard policies, procedures and guidelines to perform a comprehensive review of all files that have gone through the verification process for credentialing and recredentialing. The incumbent will identify and prepare files for review by the Medical Director and/or Credentialing and Peer Re
Posted 14 days ago

Contracts Specialist

CalOptima

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Orange, California, USA

Full-time

Contracts Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Contracts Specialist to join our team. The Contracts Specialist will assist in the coordination and implementation of the department's contracts, manage the department's maintenance tasks and provide analytical support. The incumbent will assist in the oversight of the contract management system, perform user acceptance testing and develop and deploy training modules to support the activities within the
Posted 28 days ago

Senior Software Engineer (L5) - iOS Architecture, Shared Client Foundations

Netflix, Inc.

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Remote

Full-time

Netflix is one of the world's leading entertainment services, with 283 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. The Role The Shared Client Foundations team builds UI architecture and frameworks which can be leveraged by product engineers, across the iOS, Android, TV and Web client pl
Posted 60+ days ago | Updated 5 hours ago

G2 SharePoint Application Developer | Secret clearance with T5 Investigation

General Dynamics

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Remote

Full-time

Type of Requisition: Pipeline Clearance Level Must Currently Possess: Secret Clearance Level Must Be Able to Obtain: Top Secret Public Trust/Other Required: None Job Family: Web Development Job Qualifications: Skills: Application Development, ASP.NET, Web Development Certifications: Security+, CE - CompTIA Experience: 8 + years of related experience ship Required: Yes Job Description: Transform technology into opportunity as a SharePoint Application Developer with GDIT. A career in enter
Posted 60+ days ago | Updated 5 hours ago

Financial Analyst I

CalOptima

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Orange, California, USA

Full-time

Financial Analyst I CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analyst I to join our team. The Financial Analyst I (Budgeting) will be responsible for supporting the Budget department's annual preparation and ongoing maintenance of CalOptima Health's administrative, medical and capital budgets. The incumbent will possess strong analytical and problem-solving skills, have excellent attention to details and the ability to work independently and as part of the
Posted 23 days ago

Financial Analyst I

CalOptima

•

Orange, California, USA

Full-time

Financial Analyst I CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analyst I to join our team. The Financial Analyst I (Budgeting) will be responsible for supporting the Budget department's annual preparation and ongoing maintenance of CalOptima Health's administrative, medical and capital budgets. The incumbent will possess strong analytical and problem-solving skills, have excellent attention to details and the ability to work independently and as part of the
Posted 23 days ago

Activity Coordinator (PACE)

CalOptima

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Orange, California, USA

Full-time

Activity Coordinator (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Activity Coordinator (PACE) to join our team. The Activity Coordinator for the Program of All-Inclusive Care for the Elderly (PACE) will be responsible for developing, coordinating and planning individual and group recreational activities for participants in CalOptima Health's PACE. The incumbent will monitor and revise activities to ensure participants' and program goals are met and aligned with
Posted 28 days ago

Medical Assistant (PACE)

CalOptima

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Orange, California, USA

Full-time

Medical Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Assistant (PACE) to join our team. The Medical Assistant the Program of All Inclusive Care for the Elderly (PACE) will work under the general supervision of the Clinic Nurse and within regulatory practice. The incumbent will assist in the provision of direct participant care by performing routine procedures, technical and clerical support services in a clinical setting. The incumbent may admi
Posted 16 days ago

Program Manager Sr (Marketplace)

CalOptima

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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
Posted 13 days ago

Sr Manager, Quality Improvement (NCQA) (Sr. Manager II)

CalOptima

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Orange, California, USA

Full-time

Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) to join our team. The Sr Manager II (Quality Improvement) will oversee the day-to-day operations of the National Committee for Quality Assurance (NCQA) Accreditation team and lead CalOptima Health's NCQA Health Plan and Health Equity Accreditation efforts to ensure CalOptima Health achieves its renewal accreditatio
Posted 16 days ago

Medical Case Manager (Community Based Adult Services)

CalOptima

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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
Posted 23 days ago

ERP Analyst (Workday Financials)

Ledgent Technology

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Los Angeles, California, USA

Full-time

ERP Analyst (Workday Financial) Employment Type: Direct Hire/Full-Time Employment Type: Hybrid Location: Chatsworth, CA Industry: Non-Profit Compensation: $80,000 - $88,000 Benefits: 90-100% Healthcare (Medical, Dental Vision) Insurance Coverage, Retirement Plan Employer Contribution/Matching, PTO, ect. SUMMARY: General Summary Core Benefits! Under general supervision, the ERP Associate provides expertise, technical assistance, and administrative support to business applications utilized b
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Posted 8 days ago | Updated 2 hours ago

Personal Care Coordinator Sr

CalOptima

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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
Posted 23 days ago

Physical Therapist (PT)

CalOptima

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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
Posted 29 days ago

Personal Care Coordinator Sr

CalOptima

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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
Posted 24 days ago

(USA) Principal, Software Engineer

Walmart Inc.

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Remote or Bentonville, Arkansas, USA

Full-time

Position Summary What you'll do Walmarts Gen AI powered My Assistant team is seeking an experienced Senior Engineer. This individual will play a pivotal role in reshaping, designing and implementing My Assistant Experience as a platform which can be integrated, leveraged, and supported as a single stop shop for all our associate needs. This role offers significant growth prospects and reports directly to the Director of the Walmart My Assistant Experiences. Key Responsibilities: Leadership ;
Posted 4 days ago | Updated 5 hours ago

Senior, Data Scientist

Walmart Inc.

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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
Posted 8 days ago | Updated 5 hours ago

Director, Credentialing (Director I)

CalOptima

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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
Posted 28 days ago

Supervisor Coding Initiatives (Hierarchical Condition Category)

CalOptima

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Orange, California, USA

Full-time

Supervisor Coding Initiatives (Hierarchical Condition Category) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor Coding Initiatives (Hierarchical Condition Category) to join our team. The Supervisor Coding Initiatives will oversee the day-to-day operations of the Coding Specialists on the Medicare Hierarchical Condition Category (HCC), Medi-Cal Chronic Illness and Disability Payment System (CDPS) and Annual Wellness Visit (AWV) programs. The incumbent will creat
Posted 29 days ago

Program Manager Sr (Quality Analytics (CMS Stars))

CalOptima

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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
Posted 1 day ago