VP, Chief Medical Officer, Medicare
Long Beach, California
Your Role The VP, CMO, Medicare is accountable for providing medical oversight, expertise and leadership to ensure the delivery of affordable, quality healthcare services across all Medicare product lines (Individual, Group, PPO). The role ...
1d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
Long Beach, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
1d
| Job Type | Full Time |
VP, Chief Medical Officer, Medicare
San Diego, California
Your Role The VP, CMO, Medicare is accountable for providing medical oversight, expertise and leadership to ensure the delivery of affordable, quality healthcare services across all Medicare product lines (Individual, Group, PPO). The role ...
1d
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
Oakland, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
1d
| Job Type | Full Time |
Sr. Medical Director, FEP Utilization Management
Oakland, California
Your Role 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 Senior Medical Director FEP ...
1d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
Rancho Cordova, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
1d
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
San Diego, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
1d
| Job Type | Full Time |
Medical Director, Line of Business
Rancho Cordova, California
Your Role The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National Accounts and the Administrative Services Only (ASO) business. This includes strategic c...
1d
| Job Type | Full Time |
Dental Director, Clinical Advisor
El Dorado Hills, California
Your Role 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 Dental Director will report ...
1d
| Job Type | Full Time |
Dental Director, Clinical Advisor
San Diego, California
Your Role 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 Dental Director will report ...
1d
| Job Type | Full Time |