Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River
Job Description: Job Title: Residential Specialist Location: Springfield, MO Department: Adult Housing Employment Type: Full Time Job Summary: Are you passionate about helping others build the skills and confidence needed to live more independently? Join our
We are so glad you are interested in joining Sutter Health! Organization:SGMF-Sutter Gould Med Foundation Position Overview:Provides clinical and clerical support to providers and members of the patient care team(s) by performing a variety of back
Product Marketing Strategist, Digital Gtm, Principal The Product Marketing team oversees the Go-to-Market (GTM) strategy and delivery of multiple Blue Shield products enabling Marketing, Product (e.g., Digital Experience, Product Strategy, Healthcare Quality & Affordability), and Sales
Behavioral Health Business Analyst, Principal The Behavioral Health Services (BHS) team is responsible for developing and executing a best-in-class behavioral health insurance product for Blue Shield. The Behavioral Health Business Analyst, Principal will report to the
Behavioral Health Therapy Clinical Services Coordinator The Behavioral Health Utilization Management team provides utilization management and support for members seeking behavioral health treatment. The BHT Clinical Services Coordinator will report to the Supervisor of Behavioral Health
Job Description The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral
Product Marketing Strategist, Digital GTM, Principal The Product Marketing team oversees the Go-to-Market (GTM) strategy and delivery of multiple Blue Shield products enabling Marketing, Product (e.g., Digital Experience, Product Strategy, Healthcare Quality & Affordability), and Sales
Emergency Medicine Practice Administrator Munster, IN Seeking Emergency Medicine Practice Administrator Everybody has a role to play in transforming healthcare as a practice administrator, you play a critical role by providing direct, business operations support to
Job Title QC Configuration Analyst Associate Job Description Your Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst Associate will
Tax Accountant, Senior We are currently seeking a Tax Accountant, Senior. This position will report to the Tax Director and will be responsible for assisting in the preparation of financial statement quarterly tax provision, tax projections,
Email Development Specialist, Senior The Digital and Measurement team is responsible for elevating marketing strategies into omnichannel solutions that deliver measurable business outcomes for the Markets Organization. We strive to move at the speed of retail,
Provider Dispute Resolution Operations Manager The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing(NSB) process. The team also partners
Senior Director, Tax Accounting The Senior Director, Tax Accounting leads enterprise tax strategy, compliance, and specialty accounting across the family of companies, ensuring accurate execution, regulatory compliance, and disciplined risk management. This role reports to the
Senior Internal IT Auditor The Senior Internal IT Auditor leads and executes audit engagements, serving as a subject matter resource and ensuring high-quality audit delivery across technology and cybersecurity domains. Responsibilities In this role, you will:
Job Description The Medi-Cal Actuarial and Finance Analytics team is responsible for rate development, financial oversight, regulatory compliance, and strategic financial analysis. The Program Manager, Principal will report to the Senior Director of Medicare and Medi-Cal
Senior Manager Of Care Management The Care Management team is looking for a leader with who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. The Senior Manager
Care Management Team Member 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
Veterinarian Position at Petco Want to help pets live their best lives? Were proud to be where the pets go and where the pet people go. If you want to make a real difference, create an
Case Management Nurse, Senior 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