Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Blue Cross Blue Shield of Massachusetts
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: This position is directly involved in the daily operations of the Customer Cash Receipts Unit within the Treasury Operations department. This position requires the ability to manage a high
Wellmark Blue Cross and Blue Shield
The Scrum Master partners with the Sr Scrum Master or Lead Scrum Master to assist in creating high performing scrum teams through increasing team efficiencies and driving accountability to meet committed team deliverables. Seeks to motivate and facilitate the scrum teams to self-
Wellmark Blue Cross and Blue Shield
Do you love sharing your compassion and empathy for others in the workplace? Is delivering a phenomenal customer experience important to you? Then it's a great time to consider growing your career with Wellmark! About the opportunity: Our Federal Employee Program department is cu
Wellmark Blue Cross and Blue Shield
Do you love sharing your compassion and empathy for others in the workplace? Is delivering a phenomenal customer experience important to you? Then it's a great time to consider growing your career with Wellmark! About the opportunity: Our Federal Employee Program department is cu
Arkansas Blue Cross and Blue Shield
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job Summary The RN Case Manager plays a critical role in optimizing patient care and resource utilization. The incumbent is responsible for assessing, planning, implementing, coordinating
Shield HealthCare - Medical Supplies for Care at Home Since 1957
Shield HealthCare is looking for a Marketing Summer Intern in our Valencia, CA corporate office to support the product management team by researching, collecting, organizing, maintaining, and updating product data and attributes to ensure accurate items setup and management acros
Blue Cross and Blue Shield of Nebraska
At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to opt
Shields Health
Job Summary: About Shields Health: Shields Health is an independent, Massachusetts-based leader in healthcare services, known for blending exceptional patient care with cutting-edge technology. With over 35 years of proven success, we’re proud to be one of the most sought-after
Blue Shield of California
The Corporate Security team is responsible for the safety and security of Blue Shield of California employees, visitors, and property including oversight of all elements of the Executive Protection, safeguarding facilities, equipment, materials, and employee property. The Corpora
BlueCross BlueShield of South Carolina
Summary Leads the sales, renewal, and service operations for the assigned region, driving growth, customer retention, and market expansion. Provides strategic leadership to a high-performing team while fostering and strengthening long-term relationships with customers and key s
BlueCross BlueShield of South Carolina
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We
Legalshieldcorp
Job Summary: Scope of the Role The Opportunity: LegalShield (PPLSI) is a pioneering provider of subscription-based legal and identity theft protection plans to individuals, families, and businesses in North America. Operating through two brands — LegalShield and IDShield — the
Blue Cross and Blue Shield of Nebraska
At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to opt
BlueCross BlueShield of South Carolina
Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides sup
Blue Shield of California
The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulatory Complaint Supervisor. In this role you will be r
Blue Shield of California
The Blue Shield Promise Community and Local Government Engagement Team is responsible for developing and managing relationships with a wide range of external stakeholders including local elected officials, county government agencies, community-based organizations, advocacy groups
Blue Shield of California
The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements. You will
Blue Shield of California
The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical
Blue Shield of California
The Care Management team is looking for a strategic leader with Care Management experience who can help support our Population Health Management (PHM) Medi-Cal Care Management line of business. The Program Manager Clinical, Senior will report to the Director of Care Management. I
Blue Cross Blue Shield Association
Job Description Summary: The role is responsible for developing, executing, and overseeing a comprehensive anti-fraud program driven by advanced data analytics and focused on identifying, investigating and mitigating fraud, waste and abuse across all lines of business. This posi
Blue Cross Blue Shield of Massachusetts
Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a dynamic leader to join our team as the Manager, Clinical Review. This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a c
Blue Cross Blue Shield of Massachusetts
Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a seasoned Financial Reporting Consultant to provide expert-level data analysis and reporting for our critical business functions. This role is pivotal in delivering essential reports,
BlueCross BlueShield of South Carolina
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description This position is a fully remote position workin
Shield HealthCare - Medical Supplies for Care at Home Since 1957
Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer
Blue Shield of California
The Program Manager, Consultant provides leadership and operational support to advance quality performance across clinical programs and contracted provider groups. This role drives the implementation, oversight, and continuous improvement of quality structures, processes, and out