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Senior Director, Provider Partnerships
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Sr Director, Provider Partnerships Location: Various regions and locations in California www.blueshieldca.com Our Company Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in...
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From Blue Shield Of California
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Date
2020-01-23
Company
Blue Shield Of California
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Location
Sacramento, CA
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About the job:
Sr Director, Provider Partnerships Location: Various regions and locations in California www.blueshieldca.com Our Company Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2...
Location:
Sacramento, CA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Appeals and Grievances Nurse (RN), Senior
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Essential Responsibilities: Researches and resolves standard and expedited member grievances related to the prospective, concurrent, or retrospective denial of services which include, but are not limited to, the following: Prior-authorization...
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From Blue Shield Of California
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Date
2019-12-21
Company
Blue Shield Of California
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Location
Sacramento, CA
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About the job:
Essential Responsibilities: Researches and resolves standard and expedited member grievances related to the prospective, concurrent, or retrospective denial of services which include, but are not limited to, the following: Prior-authorization denials issued by BSC Medical Management or Pharmacy Services, delegated IPA/Medical Groups, and external vendors such as National Imaging Associates (NIA) and Mental Health Services Administrator. Concurrent or retrospective utilization review denials of inpatient or outpatient care by internal or delegated entities. Retrospective denial of claims by...
Location:
Sacramento, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

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WorkKeys®

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182860 jobs as of 1/26/2020
Sort by Relevance | Date
Jobs 1 To 2 of 2 Page 1 of 1 Page [1]

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