Top Tech Jobs & Startup Jobs in Los Angeles, CA

Manage claims program governance, policies, workflows, controls, budgets and vendor practices. Drive portfolio/initiative change, create requirement/test/training documentation, track metrics, coordinate governance meetings, and recommend program enhancements to improve adoption and value realization.

Perform senior-level analysis on complex healthcare and business datasets (claims, utilization, financials). Design and maintain reports, dashboards, and ETL processes with SQL/SSRS/Excel; ensure data quality; build forecasts and models; lead projects; present insights to stakeholders; support audits and regulatory requests.

Lead design of enterprise solution architectures, translate business requirements into technical blueprints, guide development teams on API/microservices, cloud/vendor integrations and security best practices, collaborate with enterprise architects and stakeholders, evaluate and optimize systems, mentor developers, and ensure compliance within healthcare domain projects.

Lead and operate enterprise cyber response and crisis management activities, develop and test incident response playbooks and SOPs, coordinate cross-functional incident response and state-specific teams, run training and exercises, analyze incidents and after-action reports, and improve response tools, metrics, and compliance.

Provide legal support on corporate governance, entity management, intercompany agreements, regulatory audit responses, and oversee the corporate paralegal team. Partner with compliance, tax, and business stakeholders to improve governance processes and legal operations across subsidiaries.

Design, build, and maintain analytics and reporting for payment integrity post-pay reviews. Extract and consolidate large healthcare claims datasets, apply statistical analysis, develop dashboards and algorithms, and communicate findings to stakeholders. Support monitoring, tracking, and production deployment of analytics solutions.

Ensure integrity and governance of reporting databases; develop automation frameworks and ETL processes; prepare data for BI; conduct code and periodic reviews; create data policies and documentation; collaborate with stakeholders to enforce data management practices; perform data, gap, and root-cause analysis; maintain performance and adopt new technologies.

Designs and implements big-data data management solutions (Cloudera/Hortonworks/Databricks). Builds and automates reporting and analytics using SQL and Databricks, optimizes queries, manages ETL, integrates multiple data sources, enforces data governance, and supports payment integrity reporting requirements.

Manage MMISR program activities including configuration, testing, workflows, governance, vendor practices, budgets, performance tracking, and stakeholder coordination. Produce requirements, test plans, training materials, and recurring reports while driving process improvements and adoption of program guardrails.

Lead a 10-person team building and modernizing ETL pipelines and reporting (SSIS-to-ADF migration), support claims validation/pricing/monitoring data flows, drive AI adoption, improve delivery processes, and coordinate across engineering, QA, product, and stakeholders to ensure reliable data solutions.