Blue Shield Of California jobs in California

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CLINICAL SERVICES COORDINATOR, ADVANCED (BILINGUAL)

Telephonic outreach to conduct the Health Risk Assessment (HRA) with the member Telephonic outreach to members as directed by protocol or RN care manager or social worker. Assists with system letters, requests for information and...

CompanyBlue Shield Of California
AddressLong Beach, CA
CategorySales/marketing
Salary$22.69 - $31.77 an hour
Job typeFull-time
Date Posted just now See detail

Clinical Services Coordinator, Advanced (Bilingual) New

Blue Shield Of California

Long Beach, CA

$22.69 - $31.77 an hour

Telephonic outreach to conduct the Health Risk Assessment (HRA) with the member Telephonic outreach to members as directed by protocol or RN care manager or social worker. Assists with system letters, requests for information and...

Operations Specialist, Experienced

Blue Shield Of California

El Dorado Hills, CA

Act as subject matter expert and review operational workflows, identifying problems and developing improvements, modifications, and enhancements Develop and evaluate tools and materials that enhance operating efficiency and accura...

Director, Facilities

Blue Shield Of California

Oakland, CA

$165,990 - $248,930 a year

Develop and administers corporate policies and procedures to ensure compliance with regulatory requirements and overall organizational business needs Delegate full authority for overseeing/directing multiple functional activities...

Clinical Services Coordinator, Advanced

Blue Shield Of California

Rancho Cordova, CA

$22.69 - $31.77 an hour

Process faxed/phoned in authorizations, UM/CM requests, special processing/case types and/or calls left on voicemail Monitor specific queues/workstreams and generates pre-defined reports to identify and resolve common errors Handl...

Claims Processor, Intermediate

Blue Shield Of California

Long Beach, CA

$18.61 - $26.06 an hour

Be experienced in back-end processing; proficient in resolving complex edits using available documents/job aids with minimum direction. Experience front-end processing and complex adjustments. Be given special processing assignmen...

Well-being and Recognition Analyst, Senior

Blue Shield Of California

Oakland, CA

$87,230 - $130,900 a year

Analyzes and develops recognition programs and policies Researches, evaluates, and recommends needed changes or program enhancements in response to problem and opportunity areas Develops administrative procedures to monitor and re...

DevSecOps Engineer, Consultant

Blue Shield Of California

Oakland, CA

$118,800 - $178,200 a year

Evaluate and analyze the existing IT infrastructure, identifying areas for improvement and security enhancement. Design and implement secure, scalable, and automated cloud-based solutions on Microsoft Azure to support application...

Administrative Assistant, Specialist

Blue Shield Of California

Long Beach, CA

$31.39 - $43.94 an hour

Be responsible for providing administrative support for large team, their functional areas, directors, managers, and team members Manage and coordinate calendars for directors and team members, involving internal and external indi...

Pharmacy Technician, Advanced

Blue Shield Of California

El Dorado Hills, CA

$22.69 - $31.77 an hour

Utilize medication policy and operational principles to make authorization determination on drug case reviews within technician extension of authority Research and collect pertinent patient and drug information to assist the pharm...

Community Connector Health Advocate, Experienced - San Diego

Blue Shield Of California

San Diego, CA

$66,770 - $93,390 a year

Assess psychosocial and social determinants of health needs for moderate-risk members and document assessment results or augment available information in appropriate systems Consult with or refer members to licensed staff (social...

Financial Analyst, Consultant

Blue Shield Of California

El Dorado Hills, CA

$109,120 - $163,680 a year

Partner cross-functionally to effectively steer financial performance through detailed planning and analysis Develop and present financial models, annual plans, and monthly results with updated outlooks to executive leadership Ide...

Operations Specialist, Experienced

Blue Shield Of California

El Dorado Hills, CA

$66,770 - $93,390 a year

Act as subject matter expert and review operational workflows, identifying problems and developing improvements, modifications, and enhancements Develop and evaluate tools and materials that enhance operating efficiency and accura...

Clinical Quality Coordinator, Entry

Blue Shield Of California

Long Beach, CA

$17.41 - $24.38 an hour

Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.) Educat...

Licensed Clinician, Senior (Board Certified Behavioral Analyst)- Part Time

Blue Shield Of California

El Dorado Hills, CA

$87,230 - $130,900 a year

Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of bus...

Clinical Services Coordinator, Intermediate

Blue Shield Of California

Long Beach, CA

$20.47 - $28.66 an hour

Process faxed/phoned in authorization requests, UM/CM requests and/or calls left on voicemail. Select support for Case Manager such as mailings, surveys Data entry including authorization forms, high risk member information, verba...

Pharmacist, Consultant

Blue Shield Of California

Rancho Cordova, CA

$118,800 - $178,200 a year

Support the operational and clinical implementation of medication policies for injectable drugs covered under the medical benefit for the FEP PPO line of business Provide pharmacist support for the FEP Medical Management Pre-servi...