Top 20585 Biological scientists, all other Jobs in Riverside, 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
Surgical Technology Program Director
North-West College —Riverside, CA
- $90,000 - $120,000 a year
- Weekends as needed
- Classroom
- Surgery
- 3 years
- Health insurance
- Dental insurance
Quick Apply
11d
Staff Pharmacist
Infusion For Health —Riverside, CA
- $75 - $80 an hour
- Full-time
- Customer service
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Analyst II - Product System Configuration
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Access
- Software troubleshooting
- Disability insurance
- Health insurance
Surgical Technologist
Cal Med Ambulatory Surgery Center —Colton, CA
- $1,040 - $1,360 a week
- 8 hour shift
- CPR Certification
- Surgery
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Academic Educator
Loma Linda University Health —Loma Linda, CA
- From $75.67 an hour
- Temporary
- Microsoft Outlook
- English
- High school diploma or GED
14d
Lab Assistant
University of California, Riverside —Riverside, CA
- $53,766 - $67,463 a year
- Full-time
- Databases
- High school diploma or GED
- Team management
Patient Service Representative/Medical Assistant
ACCESS UROLOGY —Riverside, CA
- $20 - $25 an hour
- Part-time
- Spanish
- Surgery
- No experience needed
Quick Apply
3d
Scribe - Orthopedics - Riverside University Health System - Medical Center
Vituity —Moreno Valley, CA
- $21 an hour
- Weekends as needed
- Anatomy knowledge
- Ability to walk for extended periods
- Writing skills
- Employee assistance program
Quality Improvement, RN
Inland Empire Health Plan —Rancho Cucamonga, CA
- $91,249.60 - $120,910.40 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- RN License
- Disability insurance
- Health insurance
Science Adjunct Instructor
California Institute of Applied Technology —California
- $33 - $38 an hour
- Part-time
- Remote
- Microsoft Word
- 18 years or older
- Microsoft Excel
- Work from home
Per Diem Nurse
Specialty Care Rx —California
- $55 - $65 an hour
- Weekends as needed
- Remote
- Background check
- CPR Certification
- Nursing
Quick Apply
Part-Time Licensed Psychologist (California) – Clinical Supervisor & Intake Director
Counseling Services, Inc. —California
- $120 - $150 an hour
- Part-time
- Remote
- Mid-level
- Outpatient experience
- Psychology
Quick Apply
3d
RN | School Nurse | 2026-2027 School Year | 27565 | Riverside, CA
Ro Health - Riverside Branch —Riverside, CA
- $38 - $40 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- Paid training
- Health insurance
Quick Apply
12d
Examiner Physician Assistant - Travel
Loyal Source —California
- $133,120 - $163,120 a year
- Microsoft Word
- Microsoft Outlook
- Military
Quick Apply
Vehicle Test Driver
Applus IDIADA —Corona, CA
- $20 an hour
- Extended hours
- Clean driving record
- 5 years
- High school diploma or GED
Quick Apply
Licensed Vocational Nurse - Clinical Research (6:00 pm - 6:00 am)
CenExel Clinical Research —Riverside, CA
- $28 - $29 an hour
- Weekends as needed
- Nursing
- LVN
- Psychiatry
- Paid training
- Health savings account
Quick Apply
4d
Cognitive Assessment Psychologist
Attentive Cognitive Mental Health —California
- $100,000 - $140,000 a year
- Choose your own hours
- Background check
- HIPAA
- Residential
- Continuing education credits
- Health insurance
Quick Apply
3d
DQA Representative
PRIORITY AMBULANCE CALIFORNIA LLC —Rancho Cucamonga, CA
- $25 - $35 an hour
- Nursing
- Customer service
- HIPAA
DQA Representative
PRIORITY AMBULANCE CALIFORNIA LLC —Redlands, CA
- $25 - $35 an hour
- Nursing
- Customer service
- HIPAA

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biological scientists, all other jobs near riverside, 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

biological scientists, all other jobs in riverside, ca

Engineer III - EDI

Surgical Technology Program Director

Staff Pharmacist

Analyst II - Product System Configuration

Surgical Technologist

Academic Educator

Lab Assistant

Patient Service Representative/Medical Assistant

Scribe - Orthopedics - Riverside University Health System - Medical Center

Quality Improvement, RN

Science Adjunct Instructor

Per Diem Nurse

Part-Time Licensed Psychologist (California) – Clinical Supervisor & Intake Director

RN | School Nurse | 2026-2027 School Year | 27565 | Riverside, CA

Examiner Physician Assistant - Travel

Vehicle Test Driver

Licensed Vocational Nurse - Clinical Research (6:00 pm - 6:00 am)

Cognitive Assessment Psychologist

DQA Representative

DQA Representative

I want to receive the latest job alert for biological scientists, all other in riverside, ca

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