Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Leads complex, cross-functional business programs and strategic initiatives from planning through implementation and operational transition. Manages scope, schedules, budgets, resources, dependencies, risks, vendors, documentation, compliance, and stakeholder alignment. Partners with healthcare, clinical, operational, compliance, finance, network, and technology teams to translate business requirements into operational solutions and deliver enterprise-wide transformation initiatives.

Leads federal and state government affairs, policy advocacy, lobbying, legislative monitoring, regulatory strategy, and PAC contribution activities. Builds relationships with Congress, government agencies, state health plans, and other stakeholders; advises senior leadership; coordinates lobbyists; and may manage policy professionals. Requires extensive knowledge of Medicaid, Medicare, Marketplace programs, healthcare policy, ACA issues, state legislative processes, and government relations.

Leads enterprise architecture strategy, roadmaps, standards, systems integration, cloud implementations, and complex IT transformation initiatives. Provides technical leadership for enterprise rollouts, mergers and acquisitions, cross-functional programs, and scalable technology solutions. Translates business requirements into architectures, evaluates technology trends, improves processes, briefs executives, and mentors architecture teams. Requires extensive enterprise architecture, systems integration, cloud, data analysis, healthcare payer, project management, and stakeholder leadership experience.

Leads the design and delivery of scalable analytics solutions using Azure Databricks, Power BI, and related platforms. Transforms and validates structured and unstructured data, applies statistical techniques, develops dashboards and analytical models, and implements data governance and quality processes. Partners with business and technology stakeholders to translate requirements into technical solutions, provides peer guidance, monitors data trends, and communicates actionable insights to technical and non-technical audiences.

Leads complex business and technology programs across the full lifecycle, coordinating multiple project teams and stakeholders. Develops integrated plans, manages dependencies, risks, scope, timelines, resources, and budgets, and tracks program KPIs. Facilitates governance meetings, communicates status and outcomes to leadership, maintains documentation, supports decision-making, and drives alignment with business priorities. May mentor team members and coordinate continuous improvement activities.

Leads engineering support and architecture for enterprise-scale healthcare data platforms on Azure. Designs Databricks, Synapse, Data Factory, and Data Lake solutions; builds batch and real-time pipelines, analytical data models, BI solutions, and automated data quality frameworks. Implements machine learning and AI-assisted development, integrates low-code systems, ensures HIPAA compliance, and translates business needs into technical solutions. Mentors engineers, resolves technical issues, supports Agile delivery, and partners with healthcare business leaders on Medicare and Medicaid analytics initiatives.

Analyzes healthcare claims, pharmacy, laboratory, financial, utilization, and risk-adjustment data. Develops suspect, targeting, tracking, QA, and reporting systems for Medicaid, Marketplace, Medicare, and MMP interventions. Performs predictive modeling, statistical analysis, forecasting, anomaly detection, data validation, root-cause analysis, and risk-score tracking. Communicates analytical findings to technical and nontechnical stakeholders while supporting cross-functional projects and regulatory or business requests.

Manages projects from initiation through delivery, including scope, schedules, budgets, resources, quality, costs, risks, and change management. Develops project plans, tracks milestones, prepares status reports, and leads project meetings. Oversees external vendors and coordinates system analysis and programming staff. Requires knowledge of health plan operations, claims, configuration, PDM, encounters, and claim escalations.

Provide senior-level tax support including compliance, planning, provisions (ASC 740/FIN 48/SFAS 123R), SEC and statutory reporting, SOX 404 compliance, tax return preparation, deferred tax analyses, state apportionment, M&A tax evaluation, and audit/tax agency responses.

Support healthcare and operational analytics by extracting, validating, and analyzing claims, pharmacy, lab, and operational data. Develop and maintain reports and dashboards using SQL, Excel, and BI tools, document workflows, meet regulatory reporting needs, and present insights and recommendations to stakeholders.