Clinical Quality Analytics, Senior

About the RoleBlue Shield of California and Promise Health Plan are seeking a skilled Clinical Quality Analytics and Informatics professional to join our team. As a Clinical Quality Analyst - Senior, you will play a critical role in delivering high-quality clinical analytics and informatics to support our mission of providing excellent member-centered...

Job OverviewThe Analytical Project Manager will oversee analytical services projects, ensuring timely completion in alignment with cGMP quality systems. Key responsibilities include supporting business development through client interactions, proposal writing, and representing AMPAC Analytical at conferences.Key Responsibilities:Collaborate with Functional...

Job Title: Senior Quality ChemistJob Summary:We are seeking a highly skilled Senior Quality Chemist to join our team at AMPAC Fine Chemicals. As a Senior Quality Chemist, you will be responsible for analyzing and making determinations as to the quality of a product, using analytical equipment pertinent to the appropriate application of skills.Key...

Job SummaryBlue Shield of California is seeking a skilled Senior Clinical Review Nurse to join our Commercial Post Service Review team. As a key member of our team, you will be responsible for clinically reviewing claims that are the result of either a preservice or claim denial.Key ResponsibilitiesPerform accurate and timely clinical review of post service...

Job OpportunityWe are seeking a highly skilled Pharmaceutical Chemist to join our team at AMPAC Fine Chemicals. As a key member of our analytical team, you will be responsible for executing method development and validation/transfer protocols to support our quality control efforts.Responsibilities:Develop and validate analytical methods for the...

Job OverviewAmpac Fine Chemicals is seeking a highly skilled Analytical Scientist to join our team in Rancho Cordova, CA. As a key member of our analytical team, you will be responsible for executing method development and validation/transfer protocols to support our quality control efforts.ResponsibilitiesDevelop and validate analytical methods for the...

Job Title: Senior Software Quality EngineerWe are seeking a highly skilled Senior Software Quality Engineer to join our team at RICEFW Technologies. As a key member of our software development team, you will be responsible for developing and maintaining high-quality software products.Key Responsibilities:Develop and execute test automation scripts using...

Job Title: Data Analytics SpecialistWe are seeking a highly skilled Data Analytics Specialist to join our team at AMPAC Fine Chemicals. As a Data Analytics Specialist, you will be responsible for designing, developing, and implementing analytics reports, databases, and dashboards to support company-wide analytics projects.Key Responsibilities:Collaborate...

About the RoleThe Senior Care Manager will play a key role in supporting the mission of Blue Shield of California, providing high-quality care to patients in the outpatient setting. This position requires a collaborative and analytical individual who can work effectively with healthcare professionals to coordinate care and optimize outcomes.Key...

We are seeking a highly skilled Data Analytics Specialist to join our team at Ampac Fine Chemicals. This is a part-time contract position that can be performed in-person or remotely.Job Summary:Under limited direction, the successful candidate will provide technical analysis, curated data sets, and reporting tools in a fast-paced environment. They will...

About the RoleThe Clinical Quality Review team at Blue Shield of California is seeking a seasoned leader to oversee the review of potential quality issues that impact our members, providers, and staff. As a key member of our Quality Management and Assurance team, you will work closely with medical directors to identify and address quality concerns, ensuring...

Job SummaryWe are seeking a highly skilled Data Analytics Specialist to join our team at Ampac Fine Chemicals. As a Data Analytics Specialist, you will be responsible for providing technical analysis, curated data sets, and reporting tools in a fast-paced environment.Key ResponsibilitiesProvide technical analysis and reporting tools to support business...

Job SummaryThe Senior Utilization Management Nurse will be responsible for reviewing inpatient stays for our members under nationally recognized levels of care guidelines. This role requires a strong clinical background and excellent analytical skills to determine medical necessity of admissions, appropriate length of stay, and level of care.Key...

Clinical Quality Review Manager Job SummaryWe are seeking a highly skilled Clinical Quality Review Manager to join our team at Blue Shield of California. In this role, you will be responsible for overseeing the Clinical Quality Review team, ensuring operational compliance with timeliness and reporting requirements.Key Responsibilities:Provide supervision and...

We are seeking a highly skilled Data Analytics Specialist to join our team at Ampac Fine Chemicals. As a Data Analytics Specialist, you will be responsible for providing technical analysis, curated data sets, and reporting tools in a fast-paced environment. You will collaborate with business SMEs to accelerate building analytics-driven production...

Job Title: QA/ Systems AnalystJob Summary:Amerit Consulting is seeking a highly skilled QA/ Systems Analyst to join our team. The ideal candidate will have a strong background in quality assurance and systems analysis, with experience in developing solutions to complex problems.Key Responsibilities:Conduct internal audits to ensure quality metric...

Job Title: Senior Business Intelligence DeveloperJob Summary:We are seeking a highly skilled Senior Business Intelligence Developer to join our team at West Advanced Technologies, Inc. As a Senior Business Intelligence Developer, you will be responsible for designing and developing data warehouse solutions, ETL/ELT processes, and data analytics tools using...

Your RoleThe Commercial Post Service Review team at Blue Shield of California is responsible for clinically reviewing claims that are the result of either a preservice or claim denial. As a Senior Clinical Reviewer, you will report to the Manager, Post Service, and perform accurate and timely clinical review of post service claims for the CalPERS...

Job SummaryThe Senior Utilization Management Nurse will be responsible for performing first-level determination approvals for members using BSC evidenced-based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medicare. This role requires a strong clinical judgment and...

About the RoleThe Utilization Management Nurse, Senior will play a critical role in ensuring that members receive high-quality, cost-effective care. This position will be responsible for performing first-level determination approvals for members using evidence-based guidelines, policies, and nationally recognized clinical criteria.Key ResponsibilitiesPerform...