Top 1081 Cms Engineer Jobs

Engineer III - EDI
Inland Empire Health Plan —Rancho Cucamonga, CA
- $118,601.60 - $157,144.00 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- HIPAA
- Paid holidays
- Disability insurance
Senior Web Developer - Performance Marketer
Sweet James —Newport Beach, CA
- $150,000 - $175,000 a year
- Full-time
- Computer Science
- 5 years
- System design
- Free parking
- Health savings account
Quick Apply
Sales Support Specialist / Engineer
Cantrell Mechanical Solutions LLC —Gainesville, GA
- $75,000 - $85,000 a year
- Full-time
- Background check
- Bachelor of Science
- Engineering
- Disability insurance
- Health insurance
Quick Apply
4d
Sr. SecOps Security Engineer
Police and Fire Federal Credit Union —Bensalem, PA
- Weekends as needed
- Computer Science
- Office
- Analysis skills
- Health insurance
- Dental insurance
12d
Senior Engineer II-Contract Manufacturing Operations
Microchip Technology —Lawrence, MA
- $70,304 - $205,000 a year
- Full-time
- 7 years
- Travel
- In-person
- Employee stock purchase plan
- Health insurance
Web Developer
People Who Think LLC —Mandeville, LA
- Email
- 5 years
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
System Engineer
TMP Worldwide India Private Limited for ERS US —Everett, WA
- $93,175.87 - $141,000.00 a year
- Email
- Analysis skills
- Linux
- In-person
- AD&D insurance
- Paid holidays
Quick Apply
IT Business Analyst - RPG Programmer (Hybrid)
Capital Health —Pennington, NJ
- $86,964.80 - $113,672.00 a year
- 8 hour shift
- Hybrid work
- HIPAA
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
L3 AV Engineer
APN Consulting Inc —Boston, MA
- $40 - $45 an hour
- Contract
- High school diploma or GED
- Bachelor's degree
- In-person
Quick Apply
Web & Digital Engineering Manager
Forest Lawn —Glendale, CA
- $135,000 - $168,000 a year
- Full-time
- Computer Science
- Pass drug screening
- 3 years
Systems Engineer
Denken Solutions, Inc. —Foster City, MI
- $100 an hour
- Computer Science
- System design
- Office
Quick Apply
12d
Aprimo Developer
Strategic Staffing Solutions —Dallas, TX
- $48 an hour
- Full-time
- 6 years
- System design
- SQL
Quick Apply
11d
Engineering Operations Technician
Brooksource —Boardman, OR
- $26.97 - $30.00 an hour
- Temporary
- Microsoft Excel
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Engineering Operations Technician
Brooksource —Umatilla, OR
- $26.14 - $30.00 an hour
- 12 hour shift
- Microsoft Excel
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Portal Developer, Senior
CGI Group, Inc. —Arlington, VA
- $100,000 - $200,000 a year
- 5 years
- Analysis skills
- Bachelor's degree
- Paid parental leave
- Paid holidays
Composite Material Process & Physics (MP&P) Engineer (Associate, Experienced)
Boeing —North Charleston, SC
- $91,800 - $151,800 a year
- Computer science
- Computer Science
- Bachelor of Science
- Health savings account
- Disability insurance
3d
Composite Technical Analyst (Associate, Experienced)
Boeing —North Charleston, SC
- $53,550 - $87,400 a year
- Mid-level
- Analysis skills
- Continuous improvement
- Health savings account
- Disability insurance
3d
Sr. Principal Voice Engineer
Northrop Grumman —Huntsville, AL
- $129,300 - $193,900 a year
- Overtime
- Microsoft Excel
- 6 years
- Management
- Paid holidays
- Disability insurance
Engineering Operations Technician
Brooksource —Hermiston, OR
- $26.86 - $30.00 an hour
- 12 hour shift
- Microsoft Excel
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Enterprise Infrastructure Mgr (Enterprise Capacity & Performance Engineering)
PNC Financial Services Group —Denver, CO
- $100,100 - $204,490 a year
- Full-time
- Azure
- DevOps
- Windows
- Wellness program
- Health savings account

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Engineer III - EDI

Inland Empire Health Plan -
Rancho Cucamonga, CA

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Job Details

Full-time
$118,601.60 - $157,144.00 a year

Benefits

457(b)
Paid holidays
Disability insurance
Health insurance
On-site gym
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Microsoft Excel
Visio
SQL
Bachelor's degree
Data-driven problem-solving
Managing projects
Productivity software
Excel data analysis

Full Job Description

Overview:

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Encounters & EDI Leadership Team, the Engineer III is responsible for analysis of new DHCS/CMS requirements and providing recommendations for new rules implementation, submissions tracking, remediating submission errors, responding to regulatory changes, and monitoring encounter submissions to DHCS and CMS, and acceptance compliance. The Engineer III also is responsible for BRDs creation and communication with Trading Partners. The Engineer III must be able to work independently, often working directly with business users and IT groups to understand and document requirements. The Engineer III will work cross-functionally with department leaders to deliver actionable analyses / results.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits:

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Key Responsibilities:

Present findings of analyses to various staff levels. Present results in formats that are easy to understand and appropriate to the audience.
Provide recommendations for necessary changes in existing EDI processes.
Monitor and Track quality and completeness of data submitted to CMS and DHCS.
Analyze rejections and provide recommendations for remediation.
Guiding team members on topics related to encounters submissions to IEHP’s regulatory bodies, remediating submission errors.
Communicate with Trading Partners/ CMS/DHCS on needed basis
Create BRDs
Clear understanding of IEHP business operations
Responsible for managing assigned projects and effectively communicating project team to ensure project deliverables and deadlines are met.
Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
Demonstrate a commitment to incorporate LEAN principles into daily work.
Establish and maintain effective working relationships with others throughout the organization.
Any other duties as required to ensure the Health Plan operations are successful.
Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP’s policies and procedures relating to HIPAA compliance.

Qualifications:

Education & Experience

Six (6) years of relevant work experience
Bachelor's degree from an accredited institution required
- Master's degree in Data Science, Informatics, Public Health, Epidemiology, or a related field from an accredited institution preferred

Key Qualifications

In depth knowledge of Healthcare HIPAA requirements and CA State and CMS regulations and X12 formats
Expertise in SQL, SSRS. Knowledge of EDIFECS or similar tools is a plus
Extensive knowledge of Microsoft Office (Excel, Word, Visio, and Power Point) is essential
Working knowledge of medical terminology, knowledge of managed care, eligibility and/or pharmacy processes, and insurance terminology preferred
Must be able to handle multiple projects, prioritize to meet deadlines, and develop effective working relationships
Strong problem-solving capability, excellent interpersonal, and communication skills
Ability to explain complex data analyses and findings in a way that is easy to understand and appropriate to the audience. Strong attention to detail

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location:

This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday – Thursday onsite in Rancho Cucamonga, CA.)
Position is eligible for Hybrid work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.

Pay Range: USD $118,601.60 - USD $157,144.00 /Yr.

Apply Now

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Engineer III - EDI

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