Interactive Learning Jobs In Roma, California - 40 Job Positions Available

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

Marketing Communications Specialist, Consultant The Pharmacy Market Experience team is responsible for the development, management and oversight of Blue Shields pharmacy-related member marketing and operational communications materials and digital experience. In this role you will be

Job Description The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Principal will serve

Internal Auditor Consultant 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 Committee,

Job Description The Internal Audit Services team performs internal audits and advisory services to provide assurance on specific internal control objectives and emerging risk areas. The Internal Audit Principal will report to the Internal Audit Senior

Job Description The Corporate Financial Accounting and Reporting team is responsible for the accurate recording, analysis, and reporting of financial information for Blue Shield of California. The Accountant Consultant will report to the Accounting Manager and

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

AI Internal Audit Consultant The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Consultant

Senior Director, Pharmacy Prior Authorization and Call Center The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably

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

Director, Corporate Platform - Engineering & AI Enablement The Corporate Platform team delivers scalable, secure enterprise technology across Corporate Services (HR, Finance, and Global Business Services). In this role, you will lead the end-to-end engineering delivery

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

Business Analyst, Principal The Strategy, Planning, and Performance team in Healthcare Quality and Affordability (HQA) is responsible for the Workforce Management (WFM) forecasting, modeling, and oversight of all HQA productive staff. In this role you will

Provider Contracting Specialist, Consultant The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide our members and clients with access to

Job Description The Commercial Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis by collaborating with members and those involved with their care including a multidisciplinary