Top 13939 Approvals 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 Operations Engineer
D-Riven Engineered Solutions —Canton, MI
- $101,000 - $110,000 a year
- Full-time
- AutoCAD
- Microsoft Excel
- 3 years
- Health savings account
- Health insurance
Quick Apply
R&D Engineer
Hayden Industrial, LLC. —Claremore, OK
- Full-time
- Background check
- 5 years
- Ability to lift 50 pounds
- Health savings account
- AD&D insurance
Quick Apply
Mechanical Engineer
ASC Process Systems —Valencia, CA
- $88,000 - $140,000 a year
- Full-time
- Microsoft Access
- System design
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Senior Software Engineer
Lumijes Technologies —Gainesville, FL
- $120,000 - $160,000 a year
- Multiple hires
- Computer Science
- System design
- Master's degree
Quick Apply
Production Quality Engineer
Nifco America, Corp. —Canal Winchester, OH
- $65,000 - $80,000 a year
- Full-time
- Background check
- Microsoft Excel
- Writing skills
- Health savings account
- Relocation assistance
Quick Apply
Design Engineer
Lee Spring Company LLC —Bristol, CT
- $55,000 - $65,000 a year
- Weekends as needed
- Bachelor of Science
- Engineering
- Mid-level
Quick Apply
Lab Engineer / Project Leader (UL/CSA Certification)
Makita Corporation of America —Buford, GA
- Full-time
- Bachelor of Science
- Writing skills
- Mid-level
Quick Apply
Engineering Configuration and Component Engineer
Patton LLC —Gaithersburg, MD
- From $80,000 a year
- Full-time
- 5 years
- ERP systems
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Transmission Interconnections Manager
Pedernales Electric Cooperative —Cedar Park, TX
- $141,040 - $176,300 a year
- Overtime
- Hybrid work
- 5 years
- Office
- Travel
Mechanical Engineer (Aerospace)
HABCO Industries, LLC —Glastonbury, CT
- $80,000 - $120,000 a year
- Full-time
- Background check
- Microsoft Access
- Schematics
- Health savings account
- Health insurance
Quick Apply
13d
Civil Engineer, PE Site Development
Patterson & Dewar Engineers —Norcross, GA
- Full-time
- Hybrid work
- Civil engineering
- Construction site
- 5 years
- Profit sharing
- AD&D insurance
Quick Apply
Project Engineer
Davis & Associates, Inc. —Indianapolis, IN
- $68,911 - $73,082 a year
- Urgently hiring
- Background check
- Construction site
- 5 years
- Health insurance
- 401(k)
Quick Apply
Certification Engineer
Rotork —Winston-Salem, NC
- Full-time
- Microsoft Excel
- 5 years
- Travel
Quick Apply
Engineer V in San Diego
cGMPnow —San Diego County, CA
- $145,000 - $175,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- Bachelor of Science
- Profit sharing
- Paid training
9d
Building Engineer
Remedy Medical Properties —Quad Cities, IA
- Full-time
- Construction site
- 5 years
- Mid-level
- Commuter assistance
- Health savings account
Quick Apply
Manufacturing Engineer II (Project Leader)
CHawk Technology —Hayward, CA
- $116,000 - $137,000 a year
- Full-time
- ERP systems
- Mid-level
- 3 years
- Relocation assistance
- Health insurance
Quick Apply
7d
Manufacturing Engineering Manager
Parker Hannifin Corporation —Jeffersonville, IN
- $97,750 - $170,000 a year
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Quick Apply
Senior Structural Engineer
Alpha Structural, Inc. —Sunland, CA
- From $200,000 a year
- Full-time
- Background check
- Construction site
- 11+ years
- Paid holidays
- Health insurance
Quick Apply
Senior Environmental Engineer
NW Recruiting Partners —Seattle, WA
- $120,000 - $160,000 a year
- Full-time
- Hybrid work
- 7 years
- Management
- Master's degree
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for approvals engineer

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

approvals engineer jobs near

Engineer III - EDI

Inland Empire Health Plan -
Rancho Cucamonga, CA

Apply Now

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

Refine Your Search

approvals engineer jobs

Engineer III - EDI

Senior Operations Engineer

R&D Engineer

Mechanical Engineer

Senior Software Engineer

Production Quality Engineer

Design Engineer

Lab Engineer / Project Leader (UL/CSA Certification)

Engineering Configuration and Component Engineer

Transmission Interconnections Manager

Mechanical Engineer (Aerospace)

Civil Engineer, PE Site Development

Project Engineer

Certification Engineer

Engineer V in San Diego

Building Engineer

Manufacturing Engineer II (Project Leader)

Manufacturing Engineering Manager

Senior Structural Engineer

Senior Environmental Engineer

I want to receive the latest job alert for approvals engineer

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected