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Business Process Analyst, Experienced (Short-term Employment)
Blue Shield of CA
-
Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Pharmacy Infrastructure Team acts as the support staff for Pharmacy Services and is responsible for the development and maintenance of operational processes. The Business Process Analyst, Experienced reports to the Sr. Manager of the Pharmacy Infrastructure Team and will work closely with multiple team members and subject matter experts across the organizati
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Posted Today
Accountant, Senior
Blue Shield of CA
-
El Dorado Hills, CA / Oakland, CA / Lodi, CA / 5 more...
Your Role The Corporate Financial Accounting and Reporting team is responsible for the financial accounting and reporting for Blue Shield of California and its subsidiaries. The Senior Accountant will report to the Accounting Manager. In this role, you will be required to possess strong analytical and problem solving skills to quickly identify, analyze and resolve complex
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Posted Today
Contracting Specialist, Senior
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Contracting Specialist, Senior will report to the Manager, Procurement Contracting. This role is responsible for every phase of contract development from integrating relevant
Email Job
Posted 1 day ago
Systems Analysis, Senior
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Centers of Excellence (COE) Systems Analyst team defines and deliver solutions that meet business objectives and will serve as a facilitator between the business and IT in understanding the business needs; leads eliciting, analyzing, validating, and managing requirements, processes, and high level solution designs; is a proactive member of an Agile product t
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Posted 1 day ago
Accountant, Experienced
Blue Shield of CA
-
San Francisco, CA / Oakland, CA
Your Role The Foundation is an independent licensee of the Blue Shield Association. Our mission is to build lasting and equitable solutions that make California the healthiest state and end domestic violence. The Accountant Specialty, experienced role will report to the Finance and Operations Manager. In this role you will perform accounts payable related duties, process
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Posted 1 day ago
Program Manager, Change Management and Employee Engagement
Blue Shield of CA
-
Oakland, CA
Your Role The People and Engagement (P&E) Change Management and Employee Engagement team has three core impact areas lead and execute enterprise level change efforts, holistically manage data collection, analysis and strategy on employee experience, and measuring organizational effectiveness from a human resources standpoint. The Program Manager, Change Management and Emp
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Posted 1 day ago
Operations Specialist, Experienced
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Pharmacy Vendor Performance Management team supports Pharmacy Services in managing vendor relationships, tracking vendor escalations, running operational processes related to vendor management, overseeing vendor performance, and managing vendor contracting. The Operations Specialist, Experienced position will report to the Manager of Pharmacy Vendor Performa
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Posted 1 day ago
Data Engineer, Consultant
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Data Engineering development team Is responsible for design, development, test and deployment of large enterprise data warehouse/BI data solutions using both on prem and cloud technologies. The Data Engineer, Consultant will report to the Manager, Data Engineering Development. In this role you will be responsible for design, development, and implementation o
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Posted 1 day ago
Senior DevSecOps Engineer
Blue Shield of CA
-
Oakland, CA
Your Role As a DevSecOps Engineer specializing in Azure Cloud, you will play a critical role in assessing our current IT infrastructure and driving the digital transformation efforts towards cloud migration, primarily on Microsoft Azure. As part of a Center of Excellence, your primary responsibility will be to establish best practices and standards for DevSecOps methodolo
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Posted 1 day ago
Salesforce Developer, Consultant
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Los Angeles, CA
Your Role Blue Shield of California is looking for an experienced (consultant level) Application Developer to join our IT Application Services team. The candidate will be the lead salesforce & integration developer on one of our Operations Portfolio's service teams needed to transform our Employer will be the lead Salesforce & integration developer on one of our Operation
Email Job
Posted 1 day ago
Appeals and Grievances - RN, Senior
Blue Shield of CA
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Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of member initiated ap
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Posted 2 days ago
Clinical Quality Coordinator, Entry
Blue Shield of CA
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Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, partic
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Posted 2 days ago
Clinical Quality Reviewer - Nurse, Senior
Blue Shield of CA
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Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role The Clinical Quality team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer Nurse Senior will report to the Manager, Clinical Quality Analytics. In this role you will be reviewing medical records to support HEDIS and other regulatory audits. This role will require t
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Posted 2 days ago
Clinical Claims Review Nurse, Senior
Blue Shield of CA
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Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The FEP Post Service (PS CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against FEP medical benefit and/or payment policy. The Post Service Clinical Review nurse will report to the manager of FEP Post Services. In
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Posted 2 days ago
Program Manager, Principal
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Quality Governance team is responsible for managing key and critical health plan quality program functions and processes. The Principal Program Manager will report to the Senior Manager, Quality Governance. In this role you will be is responsible for the leading and overseeing the coordination and implementation of quality related regulatory activities, and
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Posted 2 days ago
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