Director of Networking

Solidigm is Seeking a Director of Network Operations and SecurityWe are looking for an experienced and dynamic leader to join our team as a Director of Network Operations and Security. This role will be responsible for leading the design, implementation, and management of our global network infrastructure within a mix of Full-Time Employee (FTE) and Managed...

About the RoleWe are seeking a highly skilled and experienced Director, Commercial Utilization Management to join our team at Blue Shield of California. This critical role will play a key part in the success of our Utilization Management department in achieving its goals and objectives.Key ResponsibilitiesDevelop and implement effective utilization...

Job SummaryWe are seeking a highly skilled Medical Director of Medical Policy to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring that our medical, medication, and payment policies are at the forefront of innovation and excellence.Key ResponsibilitiesProvide clinical...

About the RoleWe are seeking a highly skilled and experienced Director, Commercial Utilization Management to join our team at Blue Shield of California. This critical role will play a key part in driving the success of our Utilization Management department and contributing to the organization's goals and objectives.Key ResponsibilitiesDevelop and implement...

About the RoleWe are seeking a highly experienced and skilled Director, Medicare & Medi-Cal Utilization Management to join our team at Blue Shield of California. This critical role will play a key part in delivering and collaborating on all aspects of utilization management and care coordination for our Medicare and Medi-Cal membership.Key...

About the RoleThe Director of Medicare and Medi-Cal Utilization Management will play a critical role in the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives.Key ResponsibilitiesDevelop and implement utilization management strategies to ensure timely and cost-effective care for patients.Lead...

Your RoleThe Medical Director Operations - CalPERS will play a pivotal role in ensuring Blue Shield of California's medical management team remains at the forefront of medical, medication, and payment policy innovation. Reporting to the Vice President Medical Management, this position will deliver and collaborate on clinical review activities, including...

Your RoleThe Medical Director of Medical Policy will play a critical role in shaping the medical management strategy at Blue Shield of California. As a key member of the Medical Management team, you will be responsible for providing clinical oversight and input for medical policy operations, including chairing the Medical Policy Committee.In this role, you...

About the RoleWe are seeking a highly skilled Medical Director to join our team at Blue Shield of California. As a key member of our Medical Management department, you will play a critical role in ensuring our members receive the right level of care, at the right time, and at the right cost.Key ResponsibilitiesDevelop and deploy medical management...

Job SummaryWe are seeking a highly skilled Medical Director to lead our CalPERS operations team. As a key member of our Medical Management team, you will be responsible for delivering and collaborating on clinical review activities, including management of physician processes in support of utilization management and transactional functions for CalPERS...

Job Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization remains at the forefront of medical, medication, and payment policy to accelerate the emergence of a...

Job Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that we are on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare...

Job Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based...

Your RoleThe Medical Director, Operations (Behavioral Health) will be a key member of the Medical Management team at Blue Shield of California. This team is responsible for ensuring that the organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.In this role,...

Job SummaryWe are seeking a highly skilled Medical Director, Operations to join our team at Blue Shield of California. As a key member of our Medical Management department, you will play a critical role in ensuring our members receive the right level of care, at the right time, and at the right cost.Key ResponsibilitiesReview and make determinations...

About the RoleWe are seeking a highly skilled and experienced Senior Medical Director, Behavioral Health to join our team at Blue Shield of California. As a key member of our Medical Management team, you will provide leadership and expertise in behavioral health clinical strategy and subject matter expertise.Key ResponsibilitiesProvide oversight of the...

Job SummaryWe are seeking a highly skilled Medical Director Operations to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system...

Your RoleThe Medical Management team at Blue Shield of California is dedicated to ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California. As the Senior Medical Director, Behavioral Health, you will report to the Vice President, Medical...

Job SummaryBlue Shield of California is seeking a highly skilled Medical Director, Utilization Management to join our team. As a key member of our Medical Management department, you will play a critical role in ensuring our Medi-Cal members receive the right level of care, at the right time, and at the right cost.The ideal candidate will have a strong...

About the RoleBlue Shield of California is seeking a highly skilled Medical Director Operations Lead to provide clinical leadership within the Medical Management department. This role will oversee clinical review activities, including utilization management, appeals, and grievances. The successful candidate will have a strong background in healthcare...