Clinical Policy Innovator and Healthcare Strategist

Senior Medical Director, Medical Policy Role OverviewBlue Shield of California seeks a skilled Senior Medical Director, Medical Policy to drive clinical policy innovations and provide medical leadership for our organization.About the JobThis critical role will oversee the development and implementation of medical policies, ensuring we stay at the forefront...

The Blue Shield of California Medical Policy team is a forward-thinking group that prioritizes medical, medication, and payment policy innovation to accelerate the emergence of a value-based healthcare system in California. As a Senior Medical Director, you will be an integral part of this team.Your primary role will involve working closely with leaders to...

Lead the Way in Clinical Policy InnovationWe are seeking a Strategic Medical Director for Clinical Policy Innovation to join our team at Blue Shield of California.About the Role:In this role, you will be responsible for providing clinical oversight and input for medical policy operations. You will chair the Medical Policy Committee and work closely with...

Job SummaryBlue Shield of California is seeking a highly skilled Healthcare Contract Strategist to join our Provider Contracting team. In this role, you will drive strategic initiatives to support our objectives in achieving growth and maintaining a strong market position.

About SolidigmSolidigm is a multibillion-dollar global company that combines innovative technology, people, and operational scale to drive the memory industry forward. Headquartered in Rancho Cordova, California, our organization has international presence in Asia, Europe, and the Americas. We strive to lead the world in innovating new Memory technologies,...

Blue Shield of California seeks an innovative and proactive Innovation Engineer Intern to join its Health Information & Technology (HIT) development team. The successful candidate will be responsible for investigating emerging technologies, collaborating with cross-functional teams, and creating prototypes that improve healthcare outcomes.About Our...

At Blue Shield of California, we are dedicated to accelerating the emergence of a value-based healthcare system in our state.About the RoleWe are seeking a Senior Medical Director, Behavioral Health to lead our behavioral health medical director team and oversee clinical strategies. This role involves direct participation in utilization reviews and quality...

Company OverviewBlue Shield of California is a leading healthcare organization that strives to improve the health and well-being of its members. Our company is committed to delivering innovative solutions and exceptional service.

Job OverviewHealthyU Clinics is seeking a Chief Clinical Informatics Strategist to lead the implementation and optimization of clinical information systems, ensuring alignment with organizational goals.About the RoleThis key position plays a vital role in supporting the organization's mission by providing expert-level support, training, and troubleshooting...

Job DescriptionBlue Shield of California is seeking a Senior Medical Director, Behavioral Health to lead our behavioral health medical director team.This role involves overseeing clinical strategies and ensuring compliance with regulatory requirements. Direct participation in utilization reviews and quality improvement is expected, as well as providing...

OverviewSkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities in the healthcare industry.Salary and BenefitsWe offer industry-leading benefits, including top of the line weekly pay packages, travel assistance, weekly tax-free stipend, medical, dental, and vision insurance, and 24/7 support...

Job Title: Traveling Healthcare Professional for Clinic SettingAbout Next Move Healthcare:Next Move Healthcare is a leading provider of healthcare staffing solutions. We pride ourselves on our commitment to excellence and our ability to deliver high-quality professionals to meet the needs of our clients.Job Summary:We are seeking a skilled travel nurse RN...

We are seeking a highly skilled Travel Healthcare Professional to join our team as a Clinical Nurse Coordinator in Rancho Cordova, California. This is an exciting opportunity to work with a reputable healthcare company and make a difference in the lives of patients.About the RoleThe successful candidate will be responsible for coordinating patient care...

Overview: Blue Shield of California seeks a skilled Utilization Management Nurse, Senior to review inpatient stays and ensure medical necessity compliance with state and federal regulations.About the Role:In this critical position, you will conduct clinical reviews, discharge planning, and present cases to our Medical Director. You will work closely with...

About Our Internship ProgramWe are committed to identifying, designing, implementing, and evaluating innovations that transform health. To achieve this goal, we need talented individuals who can creatively leverage data to drive improvement in the delivery of care for our members and optimize internal operations.As a Health Data Strategy Intern at Blue...

About the RoleThe Clinical Pharmacy Specialist will report to the Manager of Medical Benefit Drug Utilization and support the Blue Shield of California Pharmacy and Therapeutics Committee process.

Company Overview">Blue Shield of California is a leading health insurance company dedicated to providing high-quality healthcare services to its members. The organization values innovation, excellence, and teamwork in achieving its goals.Job Summary">We are seeking an experienced Healthcare Executive Director for Utilization Management to lead our team in...

The Clinical Compliance Principal oversees the development and maintenance of audit playbooks for regulatory compliance across multiple lines of business. This role requires strategic engagement with internal and external stakeholders to adapt to changing compliance requirements and manage complex audit processes.About UsAt Blue Shield of California, we are...

Job Overview">The Clinical Compliance Principal role at Blue Shield of California is a strategic position that oversees the development and maintenance of audit playbooks for regulatory compliance across multiple lines of business. This requires strong engagement with internal and external stakeholders to adapt to changing compliance requirements and manage...

Job SummaryWe are seeking a highly skilled and experienced Healthcare Manager to join our team at Blue Shield of California. This role involves providing integrated case management and disease management activities, demonstrating clinical judgment and independent analysis, and collaborating with members and healthcare professionals.About the RoleThe...