Top 38414 Knowledge engineer/technical leader 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
Lead Structural Engineer 1 - Nuclear
Sargent & Lundy —Wilmington, DE
- $118,023 - $180,313 a year
- Full-time
- Management
- Analysis skills
- Continuous improvement
- Paid parental leave
- Health savings account
Head End Engineer
Communications Test Design,Inc. —Aurora, CO
- $80,000 - $90,000 a year
- Full-time
- 18 years or older
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- 5 years
- Paid holidays
- Disability insurance
Chief Engineer
Alsco Inc —Milwaukee, WI
- $115,000 a year
- 5 years
- Pass drug screening
- Office
- Health savings account
- Disability insurance
Quick Apply
7d
Senior Engineer, Relief Valves & System Technical Authority
Husky Marketing & Supply —Lima, OH
- Up to $1,000 per event
- Online Application
- System design
- 3 years
- Mentoring
- Health insurance
- Dental insurance
Director, Engineering Controls (SSI)
Shermco Industries, Inc. —Wichita Falls, TX
- $162,000 - $240,000 a year
- Full-time
- 11+ years
- Master's degree
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Principal Engineer, Power Design
Celestica —Austin, TX
- 11+ years
- Research
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HVAC Application Engineer - Entry Level
VTS America —Buford, GA
- Full-time
- AutoCAD
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
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SIM Operations Engineer
Modern Technology Solutions, Inc —Edwards AFB, CA
- 5 years
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- Windows
- Disability insurance
- Health insurance
HVAC Project Engineer
SILICON VALLEY MECHANICAL —Sparks, NV
- $70,000 - $110,000 a year
- Full-time
- Microsoft Outlook
- Schematics
- Construction site
- Paid holidays
- Disability insurance
Quick Apply
Middle School Robotics Teacher
SBCSICA —Bronx, NY
- $65,000 - $110,000 a year
- Full-time
- Background check
- Classroom
- Spanish
- Health insurance
- Dental insurance
Quick Apply
5d
Project Engineer - Transportation & Roadway
GAI Consultants Inc —Cranberry, PA
- Microsoft Word
- Microsoft Excel
- Bachelor of Science
- Paid holidays
- Disability insurance
Quick Apply
Manufacturing Engineer
Henry Repeating Arms —Ladysmith, WI
- Full-time
- Mid-level
- Windows
- Assembly
- Paid holidays
- Disability insurance
Quick Apply
Lead Electrical Engineer 2 - Government Services
Sargent & Lundy —Albuquerque, NM
- $134,546 - $205,557 a year
- Full-time
- Office
- 3 years
- Continuous improvement
- Paid parental leave
- Health savings account
Lead Transmission Line Engineer 2 - Grid
Sargent & Lundy —Austin, TX
- $134,546 - $205,557 a year
- Full-time
- Hybrid work
- Computer Science
- PMP
- Bachelor of Science
- Paid parental leave
- Health savings account
Assistant State Construction Engineer (WMS3)
State of Washington —Tumwater, WA
- $58.62 - $71.71 an hour
- Online Application
- Construction site
- Bachelor of Science
- Research
- Paid holidays
- Tuition reimbursement
12d
Water Resources – Senior Civil Engineer (Knowledge in CA Groundwater)
Luhdorff & Scalmanini Consulting Engineers —Woodland, CA
- $140,000 - $200,000 a year
- Full-time
- Construction site
- Engineering
- Office
- Profit sharing
- Health insurance
Quick Apply
Director of R&D, TS/SCI clearance
Prominent Edge —Washington, DC
- $170,000 - $200,000 a year
- Full-time
- Hybrid work
- Background check
- Azure
- DevOps
- Health insurance
- Dental insurance
Quick Apply
Quality Engineer/Supervisor
Henry Repeating Arms —Ladysmith, WI
- Online Application
- Microsoft Outlook
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Project Engineer
CTL|Thompson, Inc. —Bozeman, MT
- $80,000 - $100,000 a year
- Full-time
- Clean driving record
- Construction site
- 5 years
- Profit sharing
- Health savings account
5d

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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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