The Program Lead manages all programmatic and staffing aspects of an early care and education center, in accordance with the agency’s program and people management goals. This position ensures program quality is maintained in a single
Your Role The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and
Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract
Your Role The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating MDs. The Case Management Nurse, Senior
Job Title Accreditation And Regulatory Compliance Specialist Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled
Roseville Compliance Analyst Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating
Job Title Lead Infusion Services Coordinator Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our
Program Manager, Principal The Program Manager, Principal provides leadership and operational support to advance quality performance across clinical programs and contracted provider groups. This role drives the implementation, oversight, and continuous improvement of quality structures, processes,
Job Title Oversees all functions within Health Information Managements coding team. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years.
Job Posting Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place
Job Title Support the hospitals continuous readiness efforts by collecting, analyzing, and reporting data related to accreditation, licensing, and regulatory compliance. Job Description Supports the hospitals continuous readiness efforts by collecting, analyzing, and reporting data related
Pharmacy Benefits Operations Consultant KAI Partners, Inc. (KAIP) is currently seeking a Pharmacy Benefits Operation Consultant who will serve as a pharmacy benefits, California Childrens Services (CCS), and Coordination of Benefits (COB) liaison supporting pharmacy benefit
Quality Improvement Coordinator Our home health and hospice agencies are located throughout California, Hawaii, Oregon, and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite
Job Title Coding Specialist Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus
Job Description The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management Nurse, Senior will report to the Manager of Care Management within
Job Description The Payment Innovation team leads the strategy, design, development, and implementation of value-based payment models. The Director, Program and Project Management - Payment Innovation will report to the Senior Director of Payment Innovation. In
Manager Of Medicare Marketing And Sales The Manager of Medicare Marketing and Sales will oversee the development and execution of Partnerships Medicare D-SNP marketing and sales strategy focused on driving smart and measurable growth. The Marketing
Operations Specialist, Experienced The Formulary Management team leads the development and maintenance of multiple formularies to support competitive health plan products, manage cost-of-healthcare, and meet regulatory requirements for all lines of business including Commercial Large Group,
Digital Personalization Product Manager The Platform Strategy & Operations team, within Blue Shield of Californias Intelligent Automation & AI organization, owns BSCs member intelligence and orchestration layerunifying member data, generating predictive insights, and activating personalized experiences
Job Title Systems Patient Experience Program Manager Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled