Blue Shield of California Jobs in Rancho Cordova
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Search Results - Blue Shield of California Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
education on core 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...
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-Rancho Cordova
Your Role
The MCS Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Requests. The Clinical Services Coordinator (CSC), Intermediate will report to the Supervisor of Clinical Services Intake. In...
Blue Shield of California-Rancho Cordova
Your Role
The UM Prior Authorization team conducts medical necessity reviews for services before they are rendered. The Sr. Manager Medical and Utilization Review will report to the Director Medical and Utilization Review. In this role you will be...
Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior...
Blue Shield of California-Rancho Cordova
Your Role
The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior...
Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization and...
Blue Shield of California-Rancho Cordova
Your Role
The MCS Clinical Service Intake team is responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator (CSC), Advanced will report to the Supervisor of Clinical Services Intake. In...
Blue Shield of California-Rancho Cordova
Our Senior Markets Customer Experience Teams receive incoming telephone calls from both our 65+, Medicare and Medicare Supplement Senior members. The Senior Markets Call Center is open 7 days a week, 8:00 a.m. – 8:00 p.m., including holidays. If...
Blue Shield of California-Rancho Cordova
Your Role
The Strategic Planning and Performance team develops long-term strategies, annual plans, and performance reporting for the Individual and Family Plan line of business. The Strategic Planning and Performance, Consultant will report to the...
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