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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Associate Director will lead the Application Modernization to deliver on end-to-end execution. The Associate Director requires a solid understanding of how organization capabilities interrelate across departments, people leadership/development skills, ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Product Manager, SOARJoin us as we pursue our disruptive new vision to make machine data accessible, usable and valuable to everyone. We are a company filled with people who are passionate ..
Manager, Clinical Quality Review','21003CI',' At Blue ... of our delegated partners. The Manager, Clinical Quality will report to ... through inquiry research resolution, internal case review and/or IPA/MG oversight activities..
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Salesforce Administrator','2100383',' At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access ..
