Financial & Risk Regulatory Reporting

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....

Job Summary: Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities.Essential Responsibilities: Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care...

Job Summary: Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities.Essential Responsibilities: Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care...

Overview: *All positions are located in Fresno/Clovis CA*Opportunities for you!Join a Forbes Top 10 CA Employer!Tuition reimbursement, education programs, and scholarshipsVacation time starts building on Day 1, and builds with your seniority403(b) retirement plan with up to 8% matching contributions Free parking and electric chargingGreat food options with...

Your Role The Blue Shield of California Commercial Finance team is responsible for providing financial planning and analysis support for the mid to large segment employer groups. The Financial Analyst, Senior will report to the Sr. Manager, Finance Analytics. In this role, you will be responsible for the monthly membership close deliverables which includes...

Job Summary: The Pre-op/PACU Manager, in collaboration with the Administrator, is responsible for leading day-to-day operations to facilitate organizational success related to clinical strategic goals and objectives in accordance with sound general management principles, regulatory and accreditation standards, and the facility mission, vision and values....

Job Summary: Acts as the on-site administrative designee for the entire facility for off-shifts and weekends. Manages all the patient care departments, ensuring appropriate quality of care and compliance with regulations.Essential Responsibilities: Manages the off-hours and weekend patient care activities. Ensures staff provides the highest quality of care...

Job Summary: Acts as the on-site administrative designee for the entire facility for off-shifts and weekends. Manages all the patient care departments, ensuring appropriate quality of care and compliance with regulations.Essential Responsibilities: Manages the off-hours and weekend patient care activities. Ensures staff provides the highest quality of care...

Your Role The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager. In this role, you will work closely and collaborate with other stakeholders...

Description The Patient Relations Supervisor is a clinical position, which oversees and manages the Patient Relations Liaison team and the clinical reviews associated with patient concerns. This role oversees all functions of the Patient Relations Liaison team, including staff performance management and evaluation, coordination and design of workflows,...

Your Role The Blue Shield’s Risk Adjustment (RA) team plays a crucial role in bringing healthcare into the digital age. The RA team is highly cross-functional, with each team member deeply skilled in both business-operations and data-analytics; this enables us to deliver industry-leading results. The RA team is looking to improve operational coordination...

Your Role The ACA retrospective chart team develops suspecting logic to determine unreported diagnosis in medical charts, tracks retrieval, coding, QA of charts, perform ad hoc analytics to help team monitor expected value of each chart chase and determine drivers of performance.. The Risk Adjustment senior will report to the Sr Manager. In this role you...

An All-Inclusive Opportunity! 90 Day Temporary EmploymentTo optimize your experience applying to a job at Kaiser Permanente we have created a unique and easy all-inclusive process to apply for all open career opportunities in this specific nursing specialty for this Service Area relevant to your work experience and interests. These Variable Hour and Schedule...

An All-Inclusive Opportunity! 90 Day Temporary EmploymentTo optimize your experience applying to a job at Kaiser Permanente we have created a unique and easy all-inclusive process to apply for all open career opportunities in this specific nursing specialty for this Service Area relevant to your work experience and interests. These Variable Hour and Schedule...

Our client is looking for hardworking, motivated talent to join their team. Don't wait… apply today! Job Title: Financial Analyst Location: Onsite in Sacramento, CA Salary: Starting salary is $110,000 What’s the Job? The Financial Analyst will support the company’s internal and external reporting of financial positions. Financial...

Job Summary: The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and...

Job Summary: The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and...

Your Role The Corporate Services Finance team ensures financial stewardship of the Corporate Services administrative budget and serves as the trusted financial advisor to executive leadership. Our team is looking for a Financial Analyst, Consultant to steer financial performance toward Blue Shield goals. The position will support annual planning, monthly...

Unit Description: Are you seeking a rewarding and challenging careerthat allows you to make a difference? Sodexo Energy and Resource is seeking a Design and Construction Project Manager II in Richmond, CA who will become a key member of Sodexo’s Design and Construction management team at one of our largest energy accounts. At Sodexo, we are in the business...

Job DescriptionWhat will I be doing in this role?The Senior Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with, educates, and trains providers and staff on results, identifies issues and/or risks...