Blue Shield of California Jobs in California
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Search Results - Blue Shield of California Jobs in California
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-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-Oakland
business units such as Actuary and Product to support line of business management and develop solutions to differentiate Blue Shield of California
• Support issue resolutions, communications, and solutions development that impact pharmacy benefit and day...
1 similar job: Long Beach
National Coalition Of Healthcare Recruiters-Stockton
of Thoracic Surgeons
Designated STEMI Heart Attack and Stroke Receiving Center
Recognized as Blue Distinction Center for Cardiac Care by Blue Shield of California
Five-star rated for Heart Failure Treatment
40 Cardiologists in the referral area
SICU...
nchcr.com -
Blue Shield of California-Long Beach
Your Role
The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Utilization Management Nurse,...
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-Oakland
Your Role
The Individual Pricing team is responsible for forecasting, ratemaking, financial reporting, product development, and designing pricing strategies to support our Individual line of business. The Senior Actuarial Analyst will report to the...
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-Oakland
Your Role
The Core Manual underwriting team is responsible for balancing operating income and membership goals while protecting the company’s bottom line from loss. The group underwriter, large (experience) will report to the group underwriting...
Blue Shield of California-Oakland
Your Work
In this role, you will:
• Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute
• Create value for the Growth...
Blue Shield of California-Oakland
Your Role
The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Sr. Principal will...
Blue Shield of California-Long Beach
Your Role
The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management...
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-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...
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