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Showing 1 - 100 of 100
Delegation Operations Auditor, Senior Blue Cross and Blue Shield Association  Long Beach, CA
Your RoleThe Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversig ... Read more
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Long Beach,CA

Your RoleThe Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversig

Community Health Advocate, Experienced - Panorama City Blue Cross and Blue Shield Association  Los Angeles, CA
Your Role* This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center*The Community Progr ... Read more
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Los Angeles,CA

Your Role* This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center*The Community Progr

Program Manager Clinical, Principal Blue Cross and Blue Shield Association  Woodland Hills, CA
Your RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our t ... Read more
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Woodland Hills,CA

Your RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our t

Clinical Services Coordinator, Intermediate Blue Cross and Blue Shield Association  Long Beach, CA
Your RoleThe Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with member ... Read more
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Long Beach,CA

Your RoleThe Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with member

Community Health Advocate, Experienced - Panorama City Blue Shield of California  Los Angeles, CA
Job DescriptionYour Role*This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center* The ... Read more
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Los Angeles,CA

Job DescriptionYour Role*This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center* The

Community Resource Center Representative, Intermediate (Bilingual Spanish)- South L.A. Blue Shield of California  Los Angeles, CA
Job DescriptionYour Role*This position is located in our South Los Angeles Community Resource Center Location require employee to work 5 days per week in the South Los Angeles Community Resource Cent ... Read more
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Los Angeles,CA

Job DescriptionYour Role*This position is located in our South Los Angeles Community Resource Center Location require employee to work 5 days per week in the South Los Angeles Community Resource Cent

Outreach Manager - Medi-Cal (Non-Sales), Senior - Los Angeles Blue Shield of California  Los Angeles, CA
Job DescriptionYour RoleThe Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will repor ... Read more
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Los Angeles,CA

Job DescriptionYour RoleThe Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will repor

Financial Analyst, Consultant Blue Shield of California  Long Beach, CA
The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant w ... Read more
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Long Beach,CA

The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant w

Clinical Services Coordinator, Advanced Blue Shield of California  Long Beach, CA
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 pro ... Read more
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Long Beach,CA

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 pro

Clinical Services Coordinator, Intermediate (Bilingual) Blue Shield of California  Long Beach, CA
The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medica ... Read more
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Long Beach,CA

The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medica

Clinical Services Coordinator, Advanced (Bilingual) Blue Shield of California  Long Beach, CA
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 pro ... Read more
Apply

Long Beach,CA

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 pro

Clinical Services Coordinator, Specialist Blue Shield of California  Long Beach, CA
The Clinical Service Coordinator, Specialist responsible for the daily operations within the Promise Health Plan Case Management Department for non-clinical functions. The Lead will be responsible fo ... Read more
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Long Beach,CA

The Clinical Service Coordinator, Specialist responsible for the daily operations within the Promise Health Plan Case Management Department for non-clinical functions. The Lead will be responsible fo

Clinical Services Coordinator, Intermediate Blue Shield of California  Long Beach, CA
The Behavioral Health Utilization Management team provides utilization management and support for member seeking behavioral health treatment. The Clinical Services Coordinator will report to the Manag ... Read more
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Long Beach,CA

The Behavioral Health Utilization Management team provides utilization management and support for member seeking behavioral health treatment. The Clinical Services Coordinator will report to the Manag

Supervisor, Operations Blue Shield of California  Woodland Hills, CA
The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The Operations, Supervisor will report to the Sr. Manager for Medicare Appeals and ... Read more
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Woodland Hills,CA

The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The Operations, Supervisor will report to the Sr. Manager for Medicare Appeals and

Clinical Quality Coordinator, Entry Blue Shield of California  Long Beach, CA
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS ... Read more
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Long Beach,CA

The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS

Data Analyst - Health, Experienced Blue Shield of California  Long Beach, CA
The Network Performance Analysis and Contracts is part of the Provider Partnerships Network Management Division and focuses on provider network performance analysis, reporting, and consulting. The Da ... Read more
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Long Beach,CA

The Network Performance Analysis and Contracts is part of the Provider Partnerships Network Management Division and focuses on provider network performance analysis, reporting, and consulting. The Da

Licensed Life/Health Agent - Qualified Leads, No Cold Calling Blue Skye Financial  West Hollywood, CA
Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien ... Read more
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West Hollywood,CA

Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien

Delegation Operations Auditor, Senior Blue Shield of California  Long Beach, CA
The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of con ... Read more
Apply

Long Beach,CA

The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of con

Community Resource Center Representative, Intermediate (Bilingual Spanish) - Long Beach Blue Shield of California  Long Beach, CA
Job DescriptionYour Role*This position is located in our Long Beach Community Resource Center Location require employee to work 5 days per week in the Long Beach Community Resource Center* The Commun ... Read more
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Long Beach,CA

Job DescriptionYour Role*This position is located in our Long Beach Community Resource Center Location require employee to work 5 days per week in the Long Beach Community Resource Center* The Commun

Case Management - Nurse, Consultant Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setti ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setti

Case Management - Nurse, Senior (CA Children's Health) Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe 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 Cli ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe 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 Cli

Coordinated Entry System Liaison, Senior - Los Angeles (Short-Term Employment) Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe Community Programs team provides high-touch engagement with member and community-based organizations to remove barriers to health care access, enhance population health ini ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Community Programs team provides high-touch engagement with member and community-based organizations to remove barriers to health care access, enhance population health ini

Program Manager Clinical, Principal Blue Shield of California  Woodland Hills, CA
Job DescriptionYour RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principa ... Read more
Apply

Woodland Hills,CA

Job DescriptionYour RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principa

Community Resource Center Representative, Intermediate (Bilingual Spanish) - West L.A. Blue Shield of California  Woodland Hills, CA
Job DescriptionYour Role*This position is located in our West Los Angeles Community Resource Center Location require employee to work 5 days per week in the West Los Angeles Community Resource Center ... Read more
Apply

Woodland Hills,CA

Job DescriptionYour Role*This position is located in our West Los Angeles Community Resource Center Location require employee to work 5 days per week in the West Los Angeles Community Resource Center

Marketing Operations Specialist, Principal - Provider Directories Blue Shield Of California  Long Beach, CA
Job DescriptionYour RoleThe Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. Th ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. Th

Clinical Medical Review Nurse (Remote) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl ... Read more
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Washington,DC

Resp QualificationsPURPOSE:The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the cl

Consultant FEP SIU Blue Cross Blue Shield Association  Washington, DC
Job Description SummaryExecutes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue ... Read more
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Washington,DC

Job Description SummaryExecutes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue

Senior Business Consultant - Medicaid Growth (Remote) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Sr. Business Consultant for Medicaid Growth provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initi ... Read more
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Washington,DC

Resp QualificationsPURPOSE:The Sr. Business Consultant for Medicaid Growth provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initi

Public Policy, Cost of Care Analyst (Hybrid) Blue Cross and Blue Shield Association  Washington, DC
Resp QualificationsPURPOSE:The Public Policy Analyst, Cost of Care supports development and promotion of positions on legislative and regulatory matters with input from internal stakeholders to furth ... Read more
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Washington,DC

Resp QualificationsPURPOSE:The Public Policy Analyst, Cost of Care supports development and promotion of positions on legislative and regulatory matters with input from internal stakeholders to furth

Senior Public Policy Analyst, Technology Policy (Hybrid) CareFirst BlueCross BlueShield  Washington, DC
Resp Qualifications PURPOSE: The Senior Public Policy Analyst, Technology Policy proactively develops and promotes positions on legislative and regulatory matters with input from internal stakeholde ... Read more
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Washington,DC

Resp Qualifications PURPOSE: The Senior Public Policy Analyst, Technology Policy proactively develops and promotes positions on legislative and regulatory matters with input from internal stakeholde

External Affairs Manager (Hybrid) CareFirst BlueCross BlueShield  Washington, DC
Resp Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective jurisdiction(s) to include five coun ... Read more
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Washington,DC

Resp Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective jurisdiction(s) to include five coun

Public Policy, Cost of Care Analyst (Hybrid) CareFirst BlueCross BlueShield  Washington, DC
Resp Qualifications PURPOSE: The Public Policy Analyst, Cost of Care supports development and promotion of positions on legislative and regulatory matters with input from internal stakeholders to fu ... Read more
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Washington,DC

Resp Qualifications PURPOSE: The Public Policy Analyst, Cost of Care supports development and promotion of positions on legislative and regulatory matters with input from internal stakeholders to fu

Business Change Management Manager (Remote) CareFirst BlueCross BlueShield  Washington, DC
Resp Qualifications PURPOSE:The Manager provides change management leadership for internal customers programs and projects. Incumbent is responsible for developing and delivering strategies, tactics ... Read more
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Washington,DC

Resp Qualifications PURPOSE:The Manager provides change management leadership for internal customers programs and projects. Incumbent is responsible for developing and delivering strategies, tactics

Senior Cyber Security Analyst (Hybrid) CareFirst BlueCross BlueShield  Washington, DC
Resp Qualifications PURPOSE:To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cy ... Read more
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Washington,DC

Resp Qualifications PURPOSE:To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cy

Member Service Representative I (Remote) CareFirst BlueCross BlueShield  Washington, DC
The Member Service I Representative is proficient in routine benefits, claims, and general inquiries. They have a general knowledge of the following: systems, benefits, contracts/products, functions o ... Read more
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Washington,DC

The Member Service I Representative is proficient in routine benefits, claims, and general inquiries. They have a general knowledge of the following: systems, benefits, contracts/products, functions o

Customer Service Advocate II (Hybrid) CareFirst BlueCross BlueShield  Washington, DC
Responsible for answering member, provider broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively ... Read more
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Washington,DC

Responsible for answering member, provider broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively

Lead Data Analyst (Hybrid) CareFirst BlueCross BlueShield  Fairfax, VA
Resp Qualifications PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the org ... Read more
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Fairfax,VA

Resp Qualifications PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the org

Principal Enterprise Architect (Hybrid) CareFirst BlueCross BlueShield  Reston, VA
Resp Qualifications PURPOSE:Leads the organization in the planning, development, and application of enterprise architecture to achieve business strategies and transformations. Possesses a broad unde ... Read more
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Reston,VA

Resp Qualifications PURPOSE:Leads the organization in the planning, development, and application of enterprise architecture to achieve business strategies and transformations. Possesses a broad unde

Field Community Health & Social Impact Specialist - Southern Maryland (Remote) CareFirst BlueCross BlueShield  Columbia, MD
Resp Qualifications PURPOSE: This role will serve as the face of our CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Southern Maryland. As a Community Health an ... Read more
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Columbia,MD

Resp Qualifications PURPOSE: This role will serve as the face of our CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Southern Maryland. As a Community Health an

Licensed Life/Health Agent - Qualified Leads, No Cold Calling Blue Skye Financial  Hyattsville, MD
Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien ... Read more
Apply

Hyattsville,MD

Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien

Lead Cyber Security Analyst (Remote) CareFirst BlueCross BlueShield  Reston, VA
To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cybersecurity team while support ... Read more
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Reston,VA

To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cybersecurity team while support

Sr Paralegal - Blue Sky DLA Piper  Washington, DC
DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation ... Read more
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Washington,DC

DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation

Engineer - Supply Chain II Blue Origin  Washington, DC
At Blue Origin, we envision millions of people living and working in space for the benefit of Earth. We're working to develop reusable, safe, and low-cost space vehicles and systems within a culture o ... Read more
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Washington,DC

At Blue Origin, we envision millions of people living and working in space for the benefit of Earth. We're working to develop reusable, safe, and low-cost space vehicles and systems within a culture o

Supply Chain Engineer - Early Career Blue Origin  Washington, DC
At Blue Origin, we envision millions of people living and working in space for the benefit of Earth. We're working to develop reusable, safe, and low-cost space vehicles and systems within a culture o ... Read more
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Washington,DC

At Blue Origin, we envision millions of people living and working in space for the benefit of Earth. We're working to develop reusable, safe, and low-cost space vehicles and systems within a culture o

Sr. Consultant - Reltio MDM (USDM) Blue Altair  Washington, DC
About Blue AltairHave you ever wanted to be a part of something bigger than yourself?At Blue Altair, we believe each of our employees is a star, full of diverse elements that emit a brilliant light. J ... Read more
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Washington,DC

About Blue AltairHave you ever wanted to be a part of something bigger than yourself?At Blue Altair, we believe each of our employees is a star, full of diverse elements that emit a brilliant light. J

Automation Developer - Blue Prism Detroit Engineered Products (DEP)  Falls Church, VA
Searching for a DevOps Engineer / Administrator to work cross-functionally with business /IT operations, RPA developers and process analysts to maintain and optimize RPA platforms (Blue Prism and Pow ... Read more
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Falls Church,VA

Searching for a DevOps Engineer / Administrator to work cross-functionally with business /IT operations, RPA developers and process analysts to maintain and optimize RPA platforms (Blue Prism and Pow

API Developer (USAP) - Remote Blue Altair  Washington, DC
Have you ever wanted to be a part of something bigger than yourself?At Blue Altair, we believe each of our employees is a star, full of diverse elements that emit a brilliant light. Just as stars illu ... Read more
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Washington,DC

Have you ever wanted to be a part of something bigger than yourself?At Blue Altair, we believe each of our employees is a star, full of diverse elements that emit a brilliant light. Just as stars illu

Luxury Sales Consultant - Mandarin Speaking Required - Tysons Corner Center Blue Nile  Vienna, VA
Communicate the Blue Nile difference, instilling trust and confidence in our brand. Demonstrate exceptional customer service and continually develop your product knowledge to educate customers. Commun ... Read more
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Vienna,VA

Communicate the Blue Nile difference, instilling trust and confidence in our brand. Demonstrate exceptional customer service and continually develop your product knowledge to educate customers. Commun

Advanced Blue Cyber Analyst JFL Consulting, LLC  Alexandria, VA
Advanced Blue Cyber AnalystPrimary Place of Performance: Alexandria, VAMandatory Requirements: U.S. Citizenship and TS/SCI ClearanceYears of Experience: Mid-Senior Level (5- ... Read more
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Alexandria,VA

Advanced Blue Cyber AnalystPrimary Place of Performance: Alexandria, VAMandatory Requirements: U.S. Citizenship and TS/SCI ClearanceYears of Experience: Mid-Senior Level (5-

Director, Blue Carbon Positive Business Models Conservation International  Arlington, VA
Director, Blue Carbon Positive Business ModelsConservation International protects nature for the benefit of humanity. Through science, policy, fieldwork, and finance, we spotlight and secure the most ... Read more
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Arlington,VA

Director, Blue Carbon Positive Business ModelsConservation International protects nature for the benefit of humanity. Through science, policy, fieldwork, and finance, we spotlight and secure the most

Triage Specialist Blue Cross and Blue Shield Association  Philadelphia, PA
MAG Triage Specialist Job DescriptionBring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health ... Read more
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Philadelphia,PA

MAG Triage Specialist Job DescriptionBring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health

Auditor, Payment Integrity Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Billing Analyst Blue Cross and Blue Shield Association  Philadelphia, PA
Job Summary:The Self Funded Billing Analyst is responsible for the billing, account maintenance, and collection of accounts receivable for a portfolio of self funded customers. This position works clo ... Read more
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Philadelphia,PA

Job Summary:The Self Funded Billing Analyst is responsible for the billing, account maintenance, and collection of accounts receivable for a portfolio of self funded customers. This position works clo

Billing Analyst - AHA Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, team orientation and customer commitment to AmeriHealth Administrators; help us renew and reimagine our business and shape the future of health care. Our organization ... Read more
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Philadelphia,PA

Bring your drive for excellence, team orientation and customer commitment to AmeriHealth Administrators; help us renew and reimagine our business and shape the future of health care. Our organization

Supervisor Appeals Blue Cross and Blue Shield Association  Philadelphia, PA
The Supervisor of Appeals will lead a team of Appeal Specialists and Appeals Coordinators who service clinical and non-clinical appeals, and claim review requests, from all provider types, as well as ... Read more
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Philadelphia,PA

The Supervisor of Appeals will lead a team of Appeal Specialists and Appeals Coordinators who service clinical and non-clinical appeals, and claim review requests, from all provider types, as well as

Health Coach RN - remote Blue Cross and Blue Shield Association  Philadelphia, PA
Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of heal ... Read more
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Philadelphia,PA

Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of heal

Senior Pharmacy Compliance Coordinator Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
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Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

College Coop Student: Pharmacy Services - Project Coordinator (Polli) Blue Cross and Blue Shield Association  Philadelphia, PA
The Clinical Pharmacy team at Independence Blue Cross (IBX) has multiple open projects and new initiatives and operational responsibilities including management of the IBX drug formulary list and coll ... Read more
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Philadelphia,PA

The Clinical Pharmacy team at Independence Blue Cross (IBX) has multiple open projects and new initiatives and operational responsibilities including management of the IBX drug formulary list and coll

Medicare Senior Account Executive-B Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
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Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

Director Medicare Sales Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Medical Policy Coordinator Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Senior Pharmacy Underwriter/ Pharmacy Underwriter (Remote) Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Medical Director Blue Cross and Blue Shield Association  Philadelphia, PA
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p ... Read more
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Philadelphia,PA

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p

Case Manager Behavioral Health - Substance Abuse (remote) Blue Cross and Blue Shield Association  Philadelphia, PA
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p ... Read more
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Philadelphia,PA

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p

Senior Accountant Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Quality Specialist Blue Cross and Blue Shield Association  Philadelphia, PA
Job SummaryResponsibility for completing accuracy reviews of case samples for program audits. Assesses operational and service performance of substantially all branded, core health business. The most ... Read more
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Philadelphia,PA

Job SummaryResponsibility for completing accuracy reviews of case samples for program audits. Assesses operational and service performance of substantially all branded, core health business. The most

Manager Customer Care - (Behavioral Health) Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
Apply

Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

Lead Client Implementation Analyst Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Member Correspondence Spec Blue Cross and Blue Shield Association  Philadelphia, PA
Description - ExternalBring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our miss ... Read more
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Philadelphia,PA

Description - ExternalBring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our miss

Client Implementation Specialist Blue Cross and Blue Shield Association  Philadelphia, PA
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ... Read more
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Philadelphia,PA

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.

Regulatory Performance Analyst II - Part D Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
Apply

Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

Senior Account Executive-R Blue Cross and Blue Shield Association  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
Apply

Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

Manager, Operations Command Center Independence Blue Cross  Philadelphia, PA
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea ... Read more
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Philadelphia,PA

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the hea

Medical Director Independence Blue Cross  Philadelphia, PA
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p ... Read more
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Philadelphia,PA

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We p

Care Management Coordinator RN (remote) Independence Blue Cross  Philadelphia, PA
Care Management Coordinator RN (remote) - 240335DESCRIPTION/RESPONSIBILITIES: Job Summary The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through th ... Read more
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Philadelphia,PA

Care Management Coordinator RN (remote) - 240335DESCRIPTION/RESPONSIBILITIES: Job Summary The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through th

Delegation Operations Auditor, Senior Blue Cross and Blue Shield Association  Long Beach, CA
Your RoleThe Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversig ... Read more
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Long Beach,CA

Your RoleThe Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversig

Community Health Advocate, Experienced - Panorama City Blue Cross and Blue Shield Association  Los Angeles, CA
Your Role* This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center*The Community Progr ... Read more
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Los Angeles,CA

Your Role* This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center*The Community Progr

Program Manager Clinical, Principal Blue Cross and Blue Shield Association  Woodland Hills, CA
Your RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our t ... Read more
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Woodland Hills,CA

Your RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our t

Clinical Services Coordinator, Intermediate Blue Cross and Blue Shield Association  Long Beach, CA
Your RoleThe Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with member ... Read more
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Long Beach,CA

Your RoleThe Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with member

Community Health Advocate, Experienced - Panorama City Blue Shield of California  Los Angeles, CA
Job DescriptionYour Role*This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center* The ... Read more
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Los Angeles,CA

Job DescriptionYour Role*This position is located in our Panorama City Community Resource Center Location require employee to work 5 days per week in the Panorama City Community Resource Center* The

Community Resource Center Representative, Intermediate (Bilingual Spanish)- South L.A. Blue Shield of California  Los Angeles, CA
Job DescriptionYour Role*This position is located in our South Los Angeles Community Resource Center Location require employee to work 5 days per week in the South Los Angeles Community Resource Cent ... Read more
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Los Angeles,CA

Job DescriptionYour Role*This position is located in our South Los Angeles Community Resource Center Location require employee to work 5 days per week in the South Los Angeles Community Resource Cent

Outreach Manager - Medi-Cal (Non-Sales), Senior - Los Angeles Blue Shield of California  Los Angeles, CA
Job DescriptionYour RoleThe Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will repor ... Read more
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Los Angeles,CA

Job DescriptionYour RoleThe Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will repor

Financial Analyst, Consultant Blue Shield of California  Long Beach, CA
The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant w ... Read more
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Long Beach,CA

The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant w

Clinical Services Coordinator, Advanced Blue Shield of California  Long Beach, CA
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 pro ... Read more
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Long Beach,CA

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 pro

Clinical Services Coordinator, Intermediate (Bilingual) Blue Shield of California  Long Beach, CA
The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medica ... Read more
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Long Beach,CA

The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medica

Clinical Services Coordinator, Advanced (Bilingual) Blue Shield of California  Long Beach, CA
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 pro ... Read more
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Long Beach,CA

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 pro

Clinical Services Coordinator, Specialist Blue Shield of California  Long Beach, CA
The Clinical Service Coordinator, Specialist responsible for the daily operations within the Promise Health Plan Case Management Department for non-clinical functions. The Lead will be responsible fo ... Read more
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Long Beach,CA

The Clinical Service Coordinator, Specialist responsible for the daily operations within the Promise Health Plan Case Management Department for non-clinical functions. The Lead will be responsible fo

Clinical Services Coordinator, Intermediate Blue Shield of California  Long Beach, CA
The Behavioral Health Utilization Management team provides utilization management and support for member seeking behavioral health treatment. The Clinical Services Coordinator will report to the Manag ... Read more
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Long Beach,CA

The Behavioral Health Utilization Management team provides utilization management and support for member seeking behavioral health treatment. The Clinical Services Coordinator will report to the Manag

Supervisor, Operations Blue Shield of California  Woodland Hills, CA
The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The Operations, Supervisor will report to the Sr. Manager for Medicare Appeals and ... Read more
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Woodland Hills,CA

The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The Operations, Supervisor will report to the Sr. Manager for Medicare Appeals and

Clinical Quality Coordinator, Entry Blue Shield of California  Long Beach, CA
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS ... Read more
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Long Beach,CA

The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS

Data Analyst - Health, Experienced Blue Shield of California  Long Beach, CA
The Network Performance Analysis and Contracts is part of the Provider Partnerships Network Management Division and focuses on provider network performance analysis, reporting, and consulting. The Da ... Read more
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Long Beach,CA

The Network Performance Analysis and Contracts is part of the Provider Partnerships Network Management Division and focuses on provider network performance analysis, reporting, and consulting. The Da

Licensed Life/Health Agent - Qualified Leads, No Cold Calling Blue Skye Financial  West Hollywood, CA
Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien ... Read more
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West Hollywood,CA

Join Our Mission to Transform Financial Futures! If you're an experienced financial pro, licensed in health and life, ready for your last position, keep reading. If you have more than 3 years experien

Delegation Operations Auditor, Senior Blue Shield of California  Long Beach, CA
The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of con ... Read more
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Long Beach,CA

The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of con

Community Resource Center Representative, Intermediate (Bilingual Spanish) - Long Beach Blue Shield of California  Long Beach, CA
Job DescriptionYour Role*This position is located in our Long Beach Community Resource Center Location require employee to work 5 days per week in the Long Beach Community Resource Center* The Commun ... Read more
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Long Beach,CA

Job DescriptionYour Role*This position is located in our Long Beach Community Resource Center Location require employee to work 5 days per week in the Long Beach Community Resource Center* The Commun

Case Management - Nurse, Consultant Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setti ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setti

Case Management - Nurse, Senior (CA Children's Health) Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe 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 Cli ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe 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 Cli

Coordinated Entry System Liaison, Senior - Los Angeles (Short-Term Employment) Blue Shield of California  Long Beach, CA
Job DescriptionYour RoleThe Community Programs team provides high-touch engagement with member and community-based organizations to remove barriers to health care access, enhance population health ini ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Community Programs team provides high-touch engagement with member and community-based organizations to remove barriers to health care access, enhance population health ini

Program Manager Clinical, Principal Blue Shield of California  Woodland Hills, CA
Job DescriptionYour RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principa ... Read more
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Woodland Hills,CA

Job DescriptionYour RoleThe Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principa

Community Resource Center Representative, Intermediate (Bilingual Spanish) - West L.A. Blue Shield of California  Woodland Hills, CA
Job DescriptionYour Role*This position is located in our West Los Angeles Community Resource Center Location require employee to work 5 days per week in the West Los Angeles Community Resource Center ... Read more
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Woodland Hills,CA

Job DescriptionYour Role*This position is located in our West Los Angeles Community Resource Center Location require employee to work 5 days per week in the West Los Angeles Community Resource Center

Marketing Operations Specialist, Principal - Provider Directories Blue Shield Of California  Long Beach, CA
Job DescriptionYour RoleThe Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. Th ... Read more
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Long Beach,CA

Job DescriptionYour RoleThe Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. Th

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