Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and cost effectiveness standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role you will be an individual with advan

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. It is comprised of top

Your Role The Medi Cal Program Support (MPS) team ensures sufficient and complete Medi Cal operational documentation by reviewing and supporting development of business process documentation; development of regulatory data and files process documentation; and development of employee trainings. The Business Analyst will report to the Senior Manager of the Business Process

Your Role The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub committee of the Quality Oversight Committee (QOC), is responsible for oversight of contracted delegated entities. This includes auditing, corrective actions follow up and monitoring activities. The DO team will coordinate with other internal departme

Your Role The Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. The Marketing Operations Principal, Communication Governance will report to the Senior Manager Implementation and Quality. In this role you will oversee and maintain the end to end developme

Your Role This position is located in our South Los Angeles Community Resource Center Location & require employee to work 5 days per week in the South Los Angeles Community Resource Center The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Ange

Your Role The Strategic Planning and Performance team responsible for issue and risk management for operational contact center teams (both tactical and proactive), and for Business Continuity planning and management. The Program Manager, Principal for Risk Management and Business Continuity will report to the Strategic Planning and Performance Director. In this role you w

Your Role The Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will report to the Director of Strategic Partnerships. In this role you will be responsible for supporting Blue Shield Promise's growth and retention goals by 1) building relationships and serving a

Your Role The People and Engagement (P&E) Enterprise Planning, Principal will report to the Director, P&E Strategy and Planning. In this role you will support the creation, ongoing execution and reporting of P&E's enterprise impacting plans and initiatives, and maintain alignment with our people strategy and P&E annual planning efforts. This will include Blue Shield's hum

Your Role This position is located in our West Los Angeles Community Resource Center Location & require employee to work 5 days per week in the West Los Angeles Community Resource Center The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angele

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M

What this job involves The Maintenance Mechanic will support the operation, inspection, and maintenance processes for mechanical, electrical, and plumbing equipment and systems in a campus setting of commercial facilities. In this role, you will collaborate with MES Mobile Engineers to perform maintenance and repair tasks and independently handle defined assignments. Your

Immediate positions available to work with children with autism spectrum disorder and their families! At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow Benefits and Compensation $20.00 $24.50 / hour Ear

Overview Find Your Passion and Purpose as a Caregiver Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your clients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it's really spe

Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o