Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty area 5 vacancies in SB/SE Deputy Commissioner Exam, Specialty Examination, Estate & Gift/Excise Tax 1 vacancy in SB/SE Deputy Commissioner Exam Headquarters Exam; Exam Case Selection The following are the

Your Role Clinical Quality Analytics team is looking for a Clinical Quality Analytics, Senior who has hands on experience on data analysis, research and programming using SAS from various data sources (flat files, relational databases, other SAS datasets etc.) using Base SAS. TheClinical Quality Analytics, Senior will report to the Manager, Clinical Quality Analytics. In

Your Role This Compensation team provides leadership and guidance in the development and delivery of effective compensation strategies and policies that support BSC's goals and are in alignment with enterprise values, philosophy, and strategic direction. The Sales Compensation Analyst, Consultant will report to the Senior Director, Compensation. In this role, you will foc

Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas SBSE Small Business/Self Employed, SB/SE Deputy Commissioner Exam, Specialty Examination, Estate & Gift /Excise Tax Exam The following are the duties of this position at the full working level. If this vaca

Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians . The Registered Nurse Case Manageme

Your Role The Children's Health Program (CHP) team provides identification, referrals, and care management for all Medi Cal members under 21 years old and collaborates within Promise Clinical Team. The Clinical Services Coordinator Intermediate will report to the CHP Manager. In this role you will work with clinical staff to support member needs using the established and

Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Information Technology The following are the duties of this position at the full working level. Provides direction for monitoring all program phases to integrate existing and future systems into new business

Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and care management

ROLE Senior Software Engineer Varicent Developer LOCATION Woodland Hills, CA, ONSITE JOB DESCRIPTION Varicent ICM Composer ETL methodologies Experience in the insurance domain (Life, Disability) and understanding of insurance terminology and Life Insurance/Disability Insurance Agent contracts Strong knowledge in Design, Development, and Testing of ETL methodologies in all

Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and care management

Do you want to build B2B relationships and upsell services to existing clients while earning back former clients? You can do that. Ready to outline beneficial combinations of technology products to meet client needs? As an Enterprise Account Manager at Spectrum Enterprise, you can do that. provides modern enterprise technology solutions that meet the unique needs of some

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes through the assessment

Your Role Join Blue Shield's dynamic Enterprise Learning organization, which develops learning solutions to ensure employees can perform their jobs effectively to further our mission. As a IT Learning Developer, Senior you will serve as a strategic partner to talent mobility through innovative learning strategies and solutions. The IT Learning Developer, Senior will repor

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

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to th