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
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 value-based health care
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 Manager, Project &
Job Title Travis Credit Unions (TCU) Financial Advisory Management provides oversight and operational guidance to TCUs Financial Consulting team in assisting members with their financial goals and objectives. This leadership team strategically aligns TCUs Wealth Management goals and
Care Management Manager The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) Medi-Cal Care Management line of business. The Manager, Care Management will report to the Director
Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while
Position Summary Communicate with or to individuals or groups verbally and/or in writing eg customers suppliers associates Drive and implement the business plan for area of responsibility to achieve facility goals eg production quality safety and
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 and contract requirements.
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 Health
Senior Manager of Care Management The Care Management team is looking for a leader who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. In this role you will be
Rocketship Public Schools: Senior Associate of Extending Learning At Rocketship Public Schools, we believe in the infinite possibility of human potential. We believe that every student deserves the right to dream, to discover, and to develop their
Learning & Development Specialist QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and provide exceptional care for the
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 Medical Care Solutions.
Expanded Learning Site Director The Expanded Learning Site Director (ExLD) oversees the ongoing planning and operations of a high-quality education program for students and upholds the mission and values of Aspire Public Schools. This includes training and managing
System Assurance Specialist - Kiewit Infrastructure Engineers Location: Fairfield, CA, US Requisition ID: 180823 Job Level: Mid Level Home District/Group: Kiewit Infrastructure Engineers Department: Design Engineering Market: Transportation Employment Type: Full Time Position Overview The IETS department
Learning Support And Clinical Liaison At NorthBay Health, the Learning Support and Clinical Liaison is a member of the HR Team, providing learning support to the organizations training and competency processes. This position does curricular development, training, and monitors
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, youll be front and center – interacting
Explore opportunities with Pleasant Valley Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping
ABOUT VEG In 2014, VEG was born with a mission to help people and their pets when they need it most. This meant challenging the status quo and fixing everything that was wrong with the ER
The Inventory Planning Process Owner reports to the Inventory Planning and Systems Manager. This role is responsible for owning the process of the design and development of systems using technology, statistics, processes, continuous improvement, best practices, and insights