Regulatory Case Manager

At Blue Shield of California, we are seeking a skilled Appeals and Grievances Case Manager, Senior to join our team. In this role, you will play a critical part in managing and resolving member appeals and grievances in a timely manner.About the RoleThis position involves answering inquiries, investigating issues, and providing explanations of health plan...

**About the Role**We are looking for a dedicated and results-driven RN Case Manager to join our team at Blue Shield of CA. As a key member of our FEP team, you will be responsible for delivering high-quality patient care and promoting cost-effective outcomes.**Responsibilities:**Develop and implement comprehensive care plans that meet the unique needs of...

OverviewBlue Shield of CA is seeking a highly skilled Clinical Case Manager to join our team. As a key member of our FEP Care Management Department, you will play a crucial role in delivering high-quality care management services to our members.

**About Blue Shield of California**Blue Shield of California is a health plan dedicated to providing high-quality, affordable healthcare services to our members. We are committed to improving the health and well-being of our community by delivering exceptional customer service, promoting healthy lifestyles, and supporting innovative healthcare...

OverviewThe Appeals and Grievances team at Blue Shield of California plays a crucial role in managing and resolving member appeals and grievances. As an Appeals and Grievances Representative, Advanced Coordinator, you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to appeals and grievances within established...

Job SummaryWe are seeking an experienced Healthcare Operations Manager to join our team at Blue Shield of California.About the RoleThe ideal candidate will have a strong background in healthcare management, with experience in care coordination, utilization management, and quality improvement. The successful applicant will be responsible for ensuring that...

Our team is responsible for resolving member appeals and grievances in a timely manner.About the RoleThis role involves answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers.You will be working with our Appeals and Grievances team to ensure that all cases are resolved within established...

About This RoleAs a Healthcare Advocate Coordinator at Blue Shield of California, you will play a critical role in managing and resolving member appeals and grievances in a timely manner.Your key responsibilities will include answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers. To succeed in...

**Job Title:** Cloud Security ExpertCompany Overview:Blue Shield of California is a leading health plan that provides high-quality, affordable healthcare services to its members. We are committed to delivering exceptional care and improving the health and well-being of our communities.About the Role:We are seeking a highly skilled Cloud Security Expert to...

At ACELYRIN, INC., we prioritize the well-being of our patients and strive to deliver innovative therapies against serious diseases.Salary:$240,000 - $290,000 per yearThis salary estimate is based on industry standards for a Regulatory Affairs CMC position in the Agoura Hills area, California / South San Francisco, California / Remote locations.About the...

Your RoleAs a Cloud Security Engineer in the IT Quality Engineering Organization at Blue Shield of California, you will play a crucial role in ensuring the security and quality of software products. Your primary responsibility will be to establish best practices and standards for cloud-based security methodologies, ensuring a secure and seamless transition...

Senior Case Manager Position at Razi Law GroupRazi Law Group A Professional Law is seeking a highly skilled Senior Case Manager to join our team. This is a full-time, in-person position located in Beverly Hills.Key Responsibilities:Manage Personal Injury Cases: Handle cases from medical treatment to preparing demands, working closely with attorneys to build...

Company Overview:SmartyPants Vitamins is a leading vitamin and supplement brand committed to making high-quality, nutrient-dense products that taste great. As part of Unilever's Health & Wellbeing Collective, we continue to grow globally while prioritizing our collective well-being.Salary:The estimated salary for this position is $80,000 to $100,000 per...

Job DescriptionJBA International is a leading provider of [industry] solutions, and we are now seeking an Intake Specialist to join our Los Angeles-based team.Key Responsibilities:Engage with clients, lawyers, and internal stakeholders to deliver exceptional intake servicesConduct thorough screenings to assess case strengths and weaknessesManage appointment...

About Redwood Family Care NetworkRedwood Family Care Network is an innovative leader in delivering person-centered home and community-based services to individuals with intellectual and developmental disabilities.Salary InformationWe offer a competitive salary range of $70,000 - $73,000 per year, based on the location and experience.Job DescriptionThe...

Salary and Benefits:We offer a competitive salary of $65-$78 per hour, depending on experience and qualifications. In addition to your base salary, enjoy the rewards of an organization that values its employees and the communities they serve. Benefits include medical, dental, and vision coverage, a 401(k) retirement savings plan, employee stock purchase...

Key ResponsibilitiesBusiness Strategy Development: Collaborate with the CEO and executive team to design and implement comprehensive business strategies that drive growth and success.Operational Oversight: Manage and oversee all operational departments, ensuring seamless alignment with company objectives and goals.Innovation and Process Improvement: Identify...

Job OverviewThe Chief Operating Officer is responsible for overseeing daily operations and driving strategic initiatives in a rapidly expanding renewable energy organization. This role requires collaboration with the CEO and executive team to develop and implement business strategies.Estimated Annual Salary: $250,000 + Performance-Based BonusKey...

Overview:At CVS Health, we prioritize the well-being of our patients and customers. As a Staff Pharmacist, you will play a vital role in delivering high-quality care and services that meet their needs.We are committed to creating a culture of compassion and respect within our organization. Our employees are encouraged to take an active role in promoting...

Specialty Healthcare: Case Management RoleWe are seeking a highly skilled and experienced Case Manager to join our team at Specialty Professional Services in Mission Hills, CA. This role requires a valid RN license and at least one year of recent experience in case management.Key Responsibilities:Evaluate patient needs and develop comprehensive care...