Dialysis Program Manager California

Your Role The Customer Experience, Digital, and Operations Analytics team is responsible for accelerating data driven value-based solutions that drive out expense, generate growth while elevating experience for members, providers and brokers. The Senior Manager of Digital and Marketing Analytics will report to the Senior Director of Customer Experience,...

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield’s Law Department and will be a leader in the company. The Law Department partners with the company’s business leaders to embrace legal and ethical behavior in the achievement of the company’s mission. This team is highly regarded within the company and respected by management....

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior Manager....

Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical...

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role: The Senior level Developer of the Client Personalization team is responsible for application service level achievement and customer satisfaction of Blue Shield of California’s Salesforce Health Cloud capabilities. This developer creates, configures, and manages Salesforce applications and related components and will be accountable for...

Your Role The Cloud Engineering team is a cross functional group responsible for the advancement and support of the Blue Shield multi cloud presence. The Cloud Engineer - Principal will report to the Sr. Director Hybrid Cloud Engineering. In this role you will have a broad and deep impact on how Blue Shield achieves its business and technical goals by...

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider...

Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

Your Role The ​IT Development Center Of Excellence​ team ​at Blue Shield is tasked with establishing best practices and standards as we rapidly transform ourselves to be a digital first company​. The ​DevSecOps Engineer, Principal​ will report to the ​Sr Manager, IT Development Centers Of Excellence​. As a DevSecOps Engineer, you will play a...

Your Role The Communication Governance team supports the development and implementation of strategic communication programs to improve overall member experience, streamline operational processes, and govern member-facing communications to align with company policies and regulatory requirements. The Marketing Operations Specialist, Consultant - Communication...

Your Role The Trust Assurance Services team drive BSC information security adherence to regulatory standards, as well as policies, standards, and controls with the goal of safeguarding company assets and maintaining confidentiality, integrity, and availability of information. The Technical Business Continuity, Principal will report to the Senior Manager,...

Love kids?Looking for a part-time position that enables you to make an impact on your community? Exciting opportunities within Right At School Early Learning Center located in the Arcadia School DistrictAs a Program Manager with Right At School, you’ll have a positive impact on children, parents, and schools in your local community! Be a part of an...

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes...

Overview: *All positions are located in Fresno/Clovis CA*OverviewWe are looking for an RN Risk Management Coordinator to join our growing team. In this fast-paced environment, you will have the opportunity to collaborate with a close-knit team, all while caring for a wide acuity of patients. As the management coordinator, you will provide in-depth clinical...

Overview: *All positions are located in Fresno/Clovis CA*The Community Health System is a locally owned, not-for-profit, public-benefit organization based in Fresno, California. Community is the region's largest healthcare provider and private employer. We operate a physician residency program with one of the nation's top medical schools - the...

*Job Summary*Under limited supervision, the Production Supervisor is responsible for overseeing, planning, organizing, and coordinating employee activities for the safe production of material in the cement plant. This position works closely with the Process Control Supervisor on same shift. This position reports to the Production Superintendent or designated...

Overview: *All positions are located in Fresno/Clovis CA*Fresno Heart and Surgical Hospital is a campus of Community Regional Medical Center that is known for its luxurious accommodations, excellent patient experience and five-star cardiac, vascular and bariatric surgery services. With 57 beds (48 are private patient suites), we admit more than 3,100...