Trabajos anthem blue cross blue shield en Sacramento, California (CA) State

In this role you will work with clinical staff to support member needs using the established and approved Blue Shield Medical Policies and Guidelines which align with nationally recognized standards. ...

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. Group Underwriting team to ensure Medavie Blue Cross achieves its financial targets on the group health, life and disability income lines of business. Our...

The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. This person executes and delivers value through strategic, operational, and transactional sourcing initiatives ...

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. The team also responds to inquiries from various internal and external stakeholders such as Broker / Corporate Sales, other Blue Cross plan sponsors. Work...

The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes, Customer Experience and Line of Business. This role must work in...

What makes us a different kind of employer?.As a national health solutions partner, Medavie is committed to improving the wellbeing of Canadians — and in our digital-first culture, technology is key to providing the products, services and solutions that increase access to care and improve health ...

The Data and Analytics (D&A) organization focuses enterprise-wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes.The Data Services & Solutions team is part of the centralized D&A organi...

What makes us a different kind of employer?.As a national health solutions partner, Medavie is committed to improving the wellbeing of Canadians — and in our digital-first culture, technology is key to providing the products, services and solutions that increase access to care and improve health ...

Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case. ...

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. Group Underwriting team to ensure Medavie Blue Cross achieves its financial targets on the group health, life and disability income lines of business. Our...

The Blue Shield Strategic Solutions team defines the product offering strategy and roadmap across the enterprise portfolio. In this role you will operationalize and support a strategic product lifecycle across health plan value segments within the strategic solutions team. Lead end-to-end definit...

Qu’est-ce qui nous distingue en tant qu’employeur? .En tant que partenaire national de solutions de santé, Medavie se consacre à améliorer le bien-être de la population canadienne et, dans le cadre de sa culture axée sur le numérique, mise essentiellement sur la technologie pour offrir des produi...

The Product Strategy team is responsible for developing and executing on a transformative portfolio and product strategies that supports short and long term financial and membership growth across lines of business. In this role you will lead a team of product managers to establish and execute our...

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded....

Develop and enforce data integration and data quality standards across all development initiatives according to the organization’s Enterprise information services policies as well as best practices. ...

Depuis plus de 75 ans, Croix Bleue Medavie est un partenaire reconnu en matière de santé et de bien-être pour les particuliers, les employeurs et les gouvernements à l’échelle du Canada.En tant qu’organisme sans but lucratif, nous sommes fiers d’investir dans nos collectivités afin de lutter cont...

The Pharmacy team provides pharmacy benefit management services and strategies to support Blue Shield affordability and membership goals. Manage team and work cross functionally as needed to manage and resolve client issues, respond to day to day client inquiries and ensure client contract guaran...

The Information Security team is responsible for providing cyber security services to Blue Shield of California that enable secure product development and operations. You will collaborate closely with cross-functional teams to ensure that security measures are seamlessly integrated into our techn...

The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. Pe...

The Developer & Employee Experience team enables Blue Shield of California’s workforce through its delivery of enhanced digital capabilities, technical development, and infrastructure foundations. Operate across a matrixed environment, able to manage ambiguity and to reach understanding and gain ...

Monitor the execution of internal processes and procedures as requested by business unit leaders; ensure compliance with regulatory, legal, and contractual requirements, as well as accreditation and Blue Shield standards . Be responsible for strategic alignment and integration across projects/pro...

Build strong relationships and drive alignment on difficult topics; Effectively work across team boundaries to implement data architecture and data management best practices. Provide comprehensive analytical thinking to ensure time to market, cost impact and value are properly understood, estimat...

The Data & Analytics (D&A) team focuses enterprise-wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes.The Medical Informatics Analyst, Principal will report to the Senior Manager, Medi...

With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. Blue Shield of California is looking for a full-stack application developer to join our Sof...