Top 34911 Jobs in jurupa valley, ca

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
ICC Construction Inspector
Moore Twining Associates, Inc. —Riverside, CA
- $25.00 - $38.50 an hour
- Full-time
- Clean driving record
- Construction site
- Mid-level
- Profit sharing
- Paid holidays
Quick Apply
CNC SET UP PROGRAMMER
Aluminum Die Casting Co. Inc —Mira Loma, CA
- $30 - $35 an hour
- Full-time
- 5 years
- Pass drug screening
- English
- Health insurance
- Dental insurance
Quick Apply
Avionics Installer
Aloft Aviation Services LLC —San Bernardino, CA
- $30 - $45 an hour
- Full-time
- Mid-level
- In-person
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
12d
Plumber Technician
Love Home Services —Rancho Cucamonga, CA
- From $20 an hour
- Weekends as needed
- Background check
- Mid-level
- Residential
- Fuel card
- Paid time off
Quick Apply
Women's Health NP and CNM opportunities with established, not-for-profit company located in Northern California—San Joaquin County ...student loan repayment program available; experience required (ENPLWPRI)
Millennium Med Search —California
- $155 a day
- Mid-level
- Outpatient
- Clinic
- AD&D insurance
- Paid holidays
Entry-level Research Coordinator
Prospective Research Innovations Inc. —Rancho Cucamonga, CA
- $18 - $19 an hour
- Part-time
- Spanish
- Nursing
- Patient monitoring
Quick Apply
Apartment Day Porter - Groundskeeper
JWilliams Staffing, Inc. —Corona, CA
- $22 - $24 an hour
- Urgently hiring
- Customer service
- Residential
- Ability to climb stairs
Quick Apply
Video Producer/Editor
Garbage Dream —Chino, CA
- $40 - $45 an hour
- Full-time
- Driver's License
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Quick Apply
Behavior Technician - Urgently Hiring!
Footprints Behavioral Interventions —Riverside, CA
- $23 - $30 an hour
- Part-time
- Bilingual
- Microsoft Word
- Background check
- Paid training
- Mileage reimbursement
Quick Apply
Junior Golf Tour Field Representative
Southern California PGA —Riverside, CA
- $17.50 an hour
- Part-time
- 18 years or older
- High school diploma or GED
- Working with children
- Mileage reimbursement
- Flexible schedule
Quick Apply
Hotel Front Desk Agent / Night Audit
Holiday Inn Express & Suites Ontario Airport —Ontario, CA
- From $17.50 an hour
- Part-time
- Ability to walk for extended periods
- Writing skills
- Hotel
- Employee discount
Quick Apply
5d
Infection Control Assistant
Infection Prevention Services, LLC —Inland Empire, CA
- $40,000 - $52,000 a year
- Full-time
- Management
- Mid-level
- Master's degree
Quick Apply
Property Adjuster Specialist - Field
USAA —Riverside, CA
- $69,920 - $133,620 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
After School Program Leaders: Alvord Unified
Creative Brain Learning —Riverside, CA
- From $19 an hour
- Part-time
- Background check
- Classroom
- Spanish
- Employee discount
- Flexible schedule
Quick Apply
Research Analyst for Workers Compensation Fraud
RJN Investigations, Inc. —Riverside, CA
- From $22 an hour
- Online Application
- Hybrid work
- Background check
- Computer literacy
- Writing skills
- Profit sharing
- Paid parental leave
Quick Apply
Hotel Front Desk Manager - OPERA FRONT DESK SYSTEM
Holiday Inn Express & Suites Ontario Airport —Ontario, CA
- From $25 an hour
- Weekends as needed
- Ability to walk for extended periods
- Mid-level
- Hotel
- Employee discount
Quick Apply
1d
Solar Appointment Setter
Sunrun Inc —Fontana, CA
- $51,408 - $87,288 a year
- Weekends as needed
- In-person
- Reliable transportation
- Communication skills
- Paid training
- Health insurance
Quick Apply
6d
Front Desk Receptionist
Debra A. Meadows D.D.S. Inc., Endodontics —San Bernardino, CA
- From $22 an hour
- Part-time
- Private practice
- Spanish
- Dental office
Quick Apply
Customer Outreach Associate
Confidential —Jurupa Valley, CA
- $900 - $1,400 a week
- Full-time
- Bilingual
- 18 years or older
- In-person
Quick Apply
1d

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Jobs jobs near jurupa valley, ca

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

jobs in jurupa valley, ca

Engineer III - EDI

ICC Construction Inspector

CNC SET UP PROGRAMMER

Avionics Installer

Plumber Technician

Women's Health NP and CNM opportunities with established, not-for-profit company located in Northern California—San Joaquin County ...student loan repayment program available; experience required (ENPLWPRI)

Entry-level Research Coordinator

Apartment Day Porter - Groundskeeper

Video Producer/Editor

Behavior Technician - Urgently Hiring!

Junior Golf Tour Field Representative

Hotel Front Desk Agent / Night Audit

Infection Control Assistant

Property Adjuster Specialist - Field

After School Program Leaders: Alvord Unified

Research Analyst for Workers Compensation Fraud

Hotel Front Desk Manager - OPERA FRONT DESK SYSTEM

Solar Appointment Setter

Front Desk Receptionist

Customer Outreach Associate

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