RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE REQUIRED FOR START: Yes CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the Time DescriptionAt Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact
Utilization Management Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization
Utilization Management Genetic Counselor The Commercial Utilization Management team manages accurate and timely authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Genetic Counselor will report to
Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The
Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a
Senior Manager, Program and Project Management - Pharmacy Vendor Management The Pharmacy Vendor Management team supports Pharmacy Strategy and Operations in managing the vendor contracting process, vendor governance model, vendor performance, vendor escalations, and various operational
Job Description Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit
Marketing Communications Principal The Communication Governance team is responsible for developing and deploying member-facing and B2B communications that are regulated and/or operational. This team also works cross-functionally to ensure all member-facing communications are compliant, on-brand, and
Product Marketing Strategist, Consultant The Product Marketing team oversees the Go-to-Market (GTM) strategy and delivery of multiple Blue Shield of California products, enabling Marketing, Product (e.g., Product Strategy, Healthcare Quality & Affordability, Digital Experience), and Sales
Senior Manager, Project & Program Management The Healthcare Quality & Affordability (HQA) Project Management Office (PMO) team drives strategic outcomes for the HQA division and executes initiatives including schedule, scope, resource and financial management. The Senior
Sr. Manager, People Technology and AI Enablement The People & Engagement Technology team is a critical member of the Corporate Platform in the IT Applications organization and is responsible for providing technical and functional leadership for
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 Description This is more than just a daycare job. Its a journey, where you learn, grow, thriveand playevery day. Are you a teacher ready for your next step? Being a Team Lead at a child
Program Manager, Consultant The Behavioral Health Network Management, Healthcare Quality and Affordability (HQA) team is responsible for the development and maintenance of all Behavioral Health provider networks, including vendor relationships necessary to provide our members and
Pharmacist Clinical Program Manager, Provider Partnership Team The Pharmacist Clinical Program Manager, Provider Partnership team supports the development, implementation, coordination, and assessment of pharmacy initiatives with the goal of providing high quality and affordable care to
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
Senior Principal, Strategic Account Manager The Customer Experience organization is responsible for ensuring Stellarus most critical customers achieve measurable, sustained value from the platform and maintain long-term trust and partnership with the company. The Senior Principal,
Behavior Interventionist You may have come here curious about a job but if you stay, youll see its so much more than that. At 360 Behavioral Health, we give you the opportunity to unite passion with
Health Plan Strategy Sr. Director The Health Plan Strategy is a new team that will define and drive Blue Shields strategic position in the market. It ensures strategic recommendations translate into actionable plans aligned with our
Sr Manager Application Services The Application Services team plays a critical role in enhancing customer and technical collaboration while delivering all application development through a Platform and Technology Product Operation Model. The Sr Manager will report