Senior Utilization Management Specialist

Clinical Utilization Specialist, SeniorThe Clinical Utilization Specialist, Senior plays a critical role in the Facility Compliance Review team at Blue Shield of California.Responsibilities include reviewing post-service prepayment facility claims for compliance with contract requirements, industry standards, medical necessity, and hospital-acquired...

About the Role    We are seeking an experienced Senior Utility Coordinator to join our team at HDR. In this role, you will be responsible for managing utility infrastructure projects, working closely with project teams, utility companies, and clients to ensure successful project outcomes.Your key responsibilities will include:Assisting with the...

Job Summary    As a Senior Utility Coordinator at HDR, you will play a crucial role in creating a welcoming environment where each of us is valued and respected. We are looking for an experienced professional to join our team and contribute to our mission of making great things possible every day.In this position, you will be responsible for coordinating...

Rocket Lab, a leading innovator in space technology, is seeking an exceptional Senior IT Specialist to join our team. With a strong background in IT systems and a passion for innovative technologies, you will be responsible for supporting the implementation, administration, and operation of infrastructure as code environments across our organization.As a key...

Key ResponsibilitiesAs a Utilization Management Coordinator, you will play a vital role in managing the flow of prior authorization requests, coordinating with providers and payers, and ensuring compliance with regulatory requirements.You will work collaboratively with our cross-functional teams to develop and implement effective solutions to optimize...

About the Role: Senior Support SpecialistAs a Senior Support Specialist with Taylored Care Services, you will be responsible for delivering top-notch caregiving services to seniors in need. Your primary duties will include:Providing companionship and engaging conversationsAssisting with light housekeeping tasks and meal preparationOffering medication...

About the RoleWe are looking for a Senior Project Delivery Specialist to manage complex construction projects across various industries. In this role, you will be responsible for developing comprehensive project plans, managing budgets and timelines, and ensuring compliance with regulatory requirements. If you have a passion for project management and a keen...

We are seeking a highly skilled Property Management Specialist to join our team in Long Beach, CA. The ideal candidate will possess strong customer service, communication skills, and professionalism required for this role.The Property Management Specialist will be responsible for maintaining properties in an efficient manner, overseeing daily operations of...

We are seeking a highly skilled Site Management Specialist to join our team at Global Channel Management. As a key member of our operations team, you will be responsible for ensuring the smooth operation and maintenance of our facilities.The ideal candidate will have a proven track record in facility management, with experience in managing budgets, vendors,...

About the RoleBlue Shield of California is seeking an experienced Implementation Specialist to join our team. As a Senior Implementation Specialist, you will be responsible for managing complex renewals and ensuring the successful onboarding of groups with Shared Advantage and Fully Insured funding types.Key ResponsibilitiesManage delivery of internal...

We are seeking a highly motivated Senior Client Onboarding Specialist to join our team at Blue Shield of California. As a Senior Client Onboarding Specialist, you will be responsible for the onboarding of groups with Shared Advantage and Fully Insured funding types, as well as managing complex renewals across Commercial Markets.This role requires...

Job Title: Senior IT Infrastructure SpecialistWe are seeking an experienced Senior IT Infrastructure Specialist to join our dynamic team at United Pacific. In this role, you will be responsible for the support, administration, and security of our on-site, cloud, and remote site infrastructure.As a key member of our IT Team, you will provide technical...

Job Overview:A Senior Automation Specialist is required by Digital Installers, Inc. to lead high-volume smart home installations and manage a team of technicians. The ideal candidate will have extensive experience in control systems, audio/video integration, and lighting solutions.Key Responsibilities:Complete complex installs and setup of smart home...

Job Title: Senior Clinical Nurse Case Manager - Federal Employee ProgramOverview:The Blue Shield of California team seeks an experienced and skilled Senior Clinical Nurse Case Manager to join our Federal Employee Program. As a Senior Clinical Nurse Case Manager, you will be responsible for conducting comprehensive assessments, developing care plans, and...

About the RoleWe are looking for a Senior Plant Operations Manager to join our team at American Textile Maintenance Co. This role is responsible for overseeing the maintenance and operation of our plant's equipment and facilities.The ideal candidate will have a proven track record of leading high-performing teams and ensuring smooth day-to-day...

Job OverviewBlue Shield of California seeks a Senior Manager, Actuary to lead the ASO and Specialty Pricing team. This role involves managing rate filing, discount submission, and financial analysis for Dental, Vision, and Life Insurance products. The successful candidate will have strong leadership skills, technical expertise, and business acumen.Key...

**Requirements and Qualifications:**To be successful as an Oracle Fusion ERP Cloud Specialist, you should have 5-7 years of development experience in Oracle Fusion ERP Cloud with technical expertise encompassing Fusion APIs, FBDI, ADF DI Loads, BIP, and OTBI Reports. Experience with ESS Jobs, OM Extensions, Flex Fields (DFF, EFF, KFF), Lookups, Value sets,...

About the RoleWe are seeking a talented Senior Therapeutic Area Specialist to join our team at Lifelancer, a leading talent-hiring platform in Life Sciences, Pharma, and IT. This is an exciting opportunity to work with a dynamic organization that connects talent with opportunities in pharma, biotech, health sciences, healthtech, and IT domains.Job...

ResponsibilitiesThis position is responsible for overseeing affordable housing programs, maintaining the accuracy of resident files, coordinating with property owners and reviewing agencies, and collaborating with internal teams and external partners to effectively address housing needs.The Senior Compliance Specialist will ensure compliance with regulatory...

Join Our Team as a Case Manager:Molina Healthcare Services is seeking a skilled Case Management Specialist to join our team. In this role, you will work closely with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate integrated delivery of care across the continuum.Responsibilities:You will utilize a collaborative...