
Sr. Director, Clinical Quality
Woodland Hills, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
9d
Job Type | Full Time |

Clinical Services Coordinator, Intermediate (BH Specialty TOC )
San Francisco, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
9d
Job Type | Full Time |

Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Rancho Cordova, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
9d
Job Type | Full Time |

Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Oakland, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
9d
Job Type | Full Time |

Utilization Management Nurse, Senior
El Dorado Hills, California
Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their families . The FEP Concurrent Review Utilization Management Nurse will report to the FEP Utili...
9d
Job Type | Full Time |

Medical Director, Line of Business
Long Beach, 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...
9d
Job Type | Full Time |

Sr. Director, Clinical Quality
El Dorado Hills, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
9d
Job Type | Full Time |

Utilization Management Nurse, Senior
San Diego, California
Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their families . The FEP Concurrent Review Utilization Management Nurse will report to the FEP Utili...
9d
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...
9d
Job Type | Full Time |

Utilization Management Nurse, Senior
Rancho Cordova, California
Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their families . The FEP Concurrent Review Utilization Management Nurse will report to the FEP Utili...
9d
Job Type | Full Time |