Blue Shield of California Jobs
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Search Results - Blue Shield of California Jobs
Blue Shield of California-Long Beach
appropriate modifications in plan of care to adapt to changes occurring over time and through various settings
• Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice...
Intone Networks-Oakland
orchestration, and oversight for the Data as a Product project, ensuring alignment with project goals and timelines. Stakeholder Engagement: Collaborate with Blue Shield of California stakeholders, including SMEs, designers, developers, BAs, and testers...
jobvertise.com -
Blue Shield of California-Long Beach
chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Outreach to members with HEDIS Care Gaps to assist with closure
• Apply detailed knowledge of FEP PPO and Blue Shield of California's established medical/departmental...
Robert Half-Los Angeles
flexible billable hour requirements depending on the attorney. Pay is commensurate with set hours and bonus potential is based on revenue brought in and other intangibles beyond billable hours!
• Benefits kick in Day 1.
• Blue shield of California HMO...
roberthalf.com -
Blue Shield of California-Rancho Cordova
Your Role
Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals...
Blue Shield of California-Long Beach
Quality Department to improve Blue Shield of California and Promise Health Plan quality performance for regulatory and accreditation requirements including National Committee for Quality Assurance, Centers for Medicare and Medicaid and Department...
Blue Shield of California-Long Beach
coordinate, and evaluate pharmacoeconomic outcomes and value-based assessments to support formulary decision making. This role works with Clinical Pharmacists and others to support Blue Shield of California’s mission and strategy.
Your Work
In this role...
1 similar job: Oakland
Blue Shield of California-Oakland
Your Role
The Privacy Office develops and oversees Blue Shield’s Privacy Program. The Privacy Program ensures that Blue Shield and its affiliated covered entities, including Blue Shield of California Promise Health Plan, are in compliance...
Blue Shield of California-Oakland
Your Role
The Sr. Principal Actuarial Analyst for our Medi-Cal team is responsible for overseeing rate development & rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy. This position requires directly...
Blue Shield of California-Oakland
Your Role
Company’s consolidated financial forecasting and reporting activities, finance business systems, and administrative expense allocations. This team oversees the financial forecasting and annual planning activities, delivering comprehensive...
Blue Shield of California-El Dorado Hills
Your Role
The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or...
Blue Shield of California-Woodland Hills (CA)
Your Role
The Care Management Department is seeking a dedicated and compassionate Clinical Service Coordinator (CSC) to join our team. The Clinical Service Coordinator will report to the Supervisor of Care Operations. The CSC will play a vital role...
Blue Shield of California-Long Beach
Your Role
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care...
Blue Shield of California-Oakland
Your Role
The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to...
Blue Shield of California-Long Beach
Your Role
The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an initial point of contact for providers and members in the medical management process by telephone or...
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