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Results based on filters ( 1048 jobs found )

Program Coordinator, Experienced

Blue Shield Of California
San Diego, CA
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External Description Str : Your Role The Behavioral Health Operations ...
Details
Summary
About the job:
Oversight team maintains program integrity and ensures compliance with regulatory and accreditation standards. The Program Coordinator, Experienced, will focus on Behavioral Health Mandates and Implementations and report to the Senior Manager, Program and Project Management of Behavioral Health Mandates and Implementation. In this role you will support Blue Shield of California’s Behavioral Health program through mandate and implementation readiness efforts to meet federal and state requirements. Our leadership model is...
Location:
San Diego, CA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
El Dorado Hills, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
El Dorado Hills, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Oakland, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Oakland, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Lodi, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Lodi, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Rancho Cordova, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Rancho Cordova, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Woodland Hills, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Woodland Hills, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Long Beach, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Long Beach, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
San Diego, CA
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
San Diego, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances - RN, Senior

Blue Shield Of California
Redding, CA
Actions
Apply
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External Description Str : Your Role The Appeals and Grievances team is ...
Details
Summary
About the job:
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 appeals or appeals initiated by someone qualified to speak on behalf of the member. The RNs perform first and second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced...
Location:
Redding, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Product Manager, Principal

Blue Shield Of California
Lodi, CA
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External Description Str : Your Role The Installation and Billing team ...
Details
Summary
About the job:
provides support to over 3.5M members and collects 14.5B annually across 9 lines of business to ensure accurate and timely management of enrollment and premium billing. The Product Manager, Principal will report to the Director of Program and Project Management. In this role you will be setting the strategy for 4 products within the operations portfolio, leading the product owners and business analysts to drive improvements to our enrollment systems and technology that support cost savings, process efficiencies, compliance...
Location:
Lodi, CA
Job Type:
Full-Time
Permanent
Occupation:
General and Operations Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Blue Shield Of California
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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