Atlanta, Georgia
Job Summary: The Director of Accreditation leads and manages the regulatory readiness and accreditation programs across Grady Health System to ensure compliance with all applicable standards from The Joint Commission (TJC), Centers for Medi...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
Oakland, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
Rancho Cordova, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
Woodland Hills, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Director, Behavioral Health Performance Monitoring & Improvement
Woodland Hills, California
Your Role The Behavioral Health Services (BHS) team is responsible for developing the foundation for and executing a best-in-class behavioral health product for Blue Shield, including creating pricing models by line of business, and establi...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
San Diego, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Director, Behavioral Health Performance Monitoring & Improvement
San Diego, California
Your Role The Behavioral Health Services (BHS) team is responsible for developing the foundation for and executing a best-in-class behavioral health product for Blue Shield, including creating pricing models by line of business, and establi...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
Long Beach, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Utilization Management Nurse, Senior
El Dorado Hills, California
Your Role The FEP Post Service (PS-CR) department is BSC Federal Employee Program (FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against ...
8h
| Job Type | Full Time |
Director, Behavioral Health Performance Monitoring & Improvement
Long Beach, California
Your Role The Behavioral Health Services (BHS) team is responsible for developing the foundation for and executing a best-in-class behavioral health product for Blue Shield, including creating pricing models by line of business, and establi...
8h
| Job Type | Full Time |