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  • Interaction Designer

    El Dorado Hills, CA Temp 3 Days ago
    We are looking for someonw who will perform as part of a fast-paced and busy communications team to execute and maintain a variety of SharePoint-based projects and external web-based pages, working closely with the UX Strategist on the Training Support team (Medical Care Solutions), interacting with BSC’s Digital Experience team (for external website pages only), and reporting to the Senior Manager of Communications in the Training and Support Team. Tasks will include developing and maintaining simple to ...
    Order: 17197
  • Business Analyst

    El Dorado Hills, CA Temp 3 Days ago
    Day to Day Responsibilities of this Position and Description of Project: Provides analytical support through the analysis and interpretation of data in support of cross-functional business operations. May develop annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives. Develops, prepares, and analyzes reports for management review. Defines business requirements and provides analysis toward operational efficiency. Analyzes actual results against...
    Order: 17196
  • Case Manager

    Rancho Cordova, CA Temp 3 Days ago
    Day to Day Responsibilities of this Position and Description of Project: Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective d...
    Order: 17195
  • UX Analyst

    San Francisco, CA Temp 5 Days ago
    UX Research Assistant Job Description: Blue Shield of California is seeking a user experience (UX) research assistant to join our growing design team. In this role, you will assist with a number of research activities to help Blue Shield of California explore user behaviors and motivations, ultimately improving products that touch our members, providers, brokers, and employers. In this role you will work with researchers and product managers to understand questions and user objectives before partnering...
    Order: 17192
  • Usability Specialist

    San Francisco, CA Temp 5 Days ago
    Job Description: Blue Shield of California is seeking a user experience researcher to help our UX team, product owners, and the organization focus on the user. In this role, you will lead research activities that help Blue Shield of California explore user behaviors and motivations, ultimately improving products for our members, providers, brokers, and employers. You will conduct primary research, exploring the behaviors and motivations of our users, utilizing methods such as field visits, ethnography, sur...
    Order: 17191
  • Pharmacist

    Rancho Cordova, CA Temp 5 Days ago
    Day to Day Responsibilities of this Position and Description of Project: **Please do not include in external postings; please also exclude information below.** The day to day job responsibilities in this role includes reviewing prior authorization requests, utilizing BSC’s P&T approved clinical coverage criteria, for clinical appropriateness and medical necessity within the regulatory turnaround times. All prior authorization cases are reviewed by our pharmacy technicians and approved when possible...
    Order: 17190
  • Network Engineer

    El Dorado Hills, CA Temp 1 Week ago
    Installs, maintains, supports and at the most senior level, designs network related equipment and servers in an advanced network environment. Represents the ITSG organization in customer planning sessions and team meetings. Documents systems requirements for data and voice network systems. At senior level, designs and documents systems requirements. Researches and provides assistance on integration of third-party tools. Conducts or assists in product evaluations and research, including beta testing and anal...
    Order: 17186
  • Marketing PM

    San Francisco, CA Temp 1 Week ago
    Day to Day Responsibilities of this Position and Description of Project: Responsible for product planning and execution throughout the software product lifecycle including: gathering and prioritizing product and customer requirements, defining the product vision and working closely with internal departments and external partners to ensure financial, membership and customer satisfaction goals are met. Ensures product pipeline supports the company’s overall strategy and goals by improving product developme...
    Order: 17185
  • Health Data Analyst

    Woodland Hills, CA Temp 1 Week ago
    Day to Day Responsibilities of this Position and Description of Project: Responsible for the clinical and/or financial data management, acquisition and analysis. Provides statistical analysis, data modeling and recommendations on specific courses of action. Prepares complex reports and studies for a variety of uses including cost of health care analysis, quality improvement, enhancing operations and addressing identified issues. Designs and modifies database applications in order to develop sophisticated s...
    Order: 17184
  • Help Desk

    El Dorado Hills, CA Temp 1 Week ago
    Day to Day Responsibilities of this Position and Description of Project: This position is for a Service Desk Technician. We are looking for someone with a couple years of experience in Help Desk Support. Blue Shield of California Service Desk Mission: To empower and educate our users to explore IT self-service solutions while delivering professional and timely service as customer focused champions Come work within a team of IT professionals who deliver Customer Excellence focused support. Levera...
    Order: 17183
  • Product Manager

    Sunnyvale, CA Temp 1 Week ago
    Job Description Summary As a Senior Product Manager in the GoDaddy Voice and Messaging team, you will have a career-defining opportunity to contribute to the business strategy and drive key elements of the customer experience for the SmartLine product line. SmartLine enables small businesses to have real-time texting and voice calls with their customers, prospects, partners and employees on their existing mobile phone--through a second number that allows them to appear professional while keeping their p...
    Order: 17181
  • Sr Flutter Software Developer

    San Francisco, CA DirectHire 1 Week ago
    We are looking for a Senior Flutter Software Developer to join our engineering team. Location for the new entity is still being finalized targeting the Redwood City vicinity with easy access to Caltrain. Requirements: - Experience developing in Flutter in a substantial way, either as a previous job, major open source contributor, significant personal projects of merit, etc. - Passion for and evangelism of Flutter, the community and the ecosystem. - 5+ years experience developing in progressive web appli...
    Order: 17179
  • Sr Rust Software Developer

    San Francisco, CA DirectHire 1 Week ago
    We are looking for a Senior Rust Software Developer to join our engineering team. Location for the new entity is still being finalized targeting the Redwood City vicinity with easy access to Caltrain. Requirements: - Experience developing in Rust in a substantial way, either as a previous job, major open source contributor for example to crates.io, significant personal projects of merit, etc. - Passion for and evangelism of Rust, the community and the ecosystem. - 5+ years experience developing in high ...
    Order: 17178
  • SEO Manager

    Phoenix, AZ DirectHire 1 Week ago
    Our Phoenix Client is growing and seeking a new SEO Manager to join our team! The SEO Manager is responsible for generating and implementing successful search engine marketing initiatives for clients and guiding successful and unique optimization strategies. This role works collaboratively with assigned marketing partners, external clients and vendors in planning, executing and overseeing digital marketing initiatives on various lead generating web properties. This is a metric driven role meas...
    Order: 17177
  • Recruiting Coordinator

    El Dorado Hills, CA Temp 1 Week ago
    Experience working in Recruiting or HR preferred. This is a Recruiting Coordinator role. Responsibilities: Responsible for coordinating/scheduling all phases of the interview process for both on site and off-site locations. Drive consistent use of established recruiting process to ensure a positive recruiting experience for both the candidate and hiring team. Confirm interview dates and details with candidates and interview team via email and/or via phone. Organize travel arrangements for candidates ...
    Order: 17175
  • Medical Assistant

    Palmdale, CA Temp 2 Weeks ago
    Day to Day Responsibilities of this Position and Description of Project: Assists medical physicians/providers, nurses, and other medical staff by performing administrative and clinical duties under the direction of a physician. Administrative duties may include scheduling appointments, maintaining medical records, discharging patients, outreach efforts, faxing, managing direct referrals, and answering phones. Clinical duties may include, such preparing treatment room for patient exams, recording pat...
    Order: 17171
  • Case Manager Intermediate

    San Francisco, CA Temp 3 Weeks ago
    Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families. Responsible for prior authorizations, UM concurrent review meeting medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective discharge planning and colla...
    Order: 17169
  • clinical support coordinator

    San Diego, CA Temp 3 Weeks ago
    No description posted
    Order: 17168
  • clinical support coordinator

    Rancho Cordova, CA Temp 3 Weeks ago
    Day to Day Responsibilities of this Position and Description of Project: • Answers high volume of inbound calls – 40-50+/day • Serves as initial point of contact for providers and members in the medical management process by telephone, email, or fax correspondence. • Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific services and supplies. • Process authorization requests and facilitates referrals. • Assists with system letters, requests ...
    Order: 17167
  • Product Marketing Manager

    Woodland Hills, CA Temp 3 Weeks ago
    Responsible for marketing / product management efforts for assigned Strategic Business Unit (SBU) or across multiple Strategic Business Units. Depending on level may lead cross-functional teams to develop, execute and measure annual marketing plans or new products that facilitate achievement of business unit and corporate goals. Accountable for some or all components in the marketing/product management life cycle; components include product maintenance, new or strategic product development, business case de...
    Order: 17163
  • Senior Medical Record Reviewer

    El Segundo, CA Temp 1 Month ago
    Calabria Group is currently seeking Senior Medical Reviewers for a REMOTE position. Must have 2 years HEDIS experience. APPLY NOW   Day to Day Responsibilities of this Position and Description of Project:   This position will be in support of the HEDIS Medical Record Review (MRR) cycle. The individuals will work directly with HEDIS MRR Program Manager and other medical record reviewers to review medical record. Primary responsibility will be to perform medical record review, enter...
    Order: 17162
  • Care Coordinator

    Monterey Park, CA Temp 1 Month ago
    Day to Day Responsibilities of this Position and Description of Project: - Outreach to members to review their care plans and complete Health Risk Assessments - Properly Document calls and care plan reviews in Clinical Database (CCMS)/ Case Tracker (CTD) - Be able to quickly learn programs to identify member enrollment and profiles in database - Log into Phone Queue – Answering phone calls and making calls out to members and providers - Data mining in our internal database
    Order: 17153
  • Case Manager

    Rancho Cordova, CA Temp 1 Month ago
    Day to Day Responsibilities of this Position and Description of Project: Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective dis...
    Order: 17152
  • Marketing Assistant

    San Francisco, CA Temp 1 Month ago
    Day to Day Responsibilities of this Position and Description of Project: • Support small business account management team open enrollment requests, build group-specific enrollment microsites (uses BSC tool; no web-development knowledge or experience required) • Support large group account service representative team open enrollment requests
    Order: 17147
  • .NET Developer

    Sacramento, CA TempToFT 1 Month ago
    We are looking for a .Net developer to build software using languages and technologies of the .NET framework. The position entails: • Creating application enhancements to a large-scale existing software system • Working with internal teams to design, develop and maintain software • Supporting Tier 3 Service Desk escalations on a rotation that includes coverage from 4:00 pm to 7:00 pm M-F • 8-10 years that can work as directed but without a lot of supervision • Help with UAT/production deployments and r...
    Order: 17143
  • Business Analyst

    Brooklyn, NY DirectHire 1 Month ago
    Job Responsibilities Elicit, analyze and document business and functional requirements resulting in comprehensive design solutions Responsible for conducting Requirement Sessions, Fit-Gap Analysis, Process Modeling (As-Is and To-Be), Use Case modeling Document detailed requirements/business rules, use case specifications including wireframes and/or screen design / mockups, process workflow and context diagrams Responsible for evaluating information gathered from multiple so...
    Order: 17144
  • Sr. Project Manager

    Albany, NY DirectHire 1 Month ago
    Calabria Group is currently seeking a Project Management consultant for a permanent position located in Albany NY Bachelor’s Degree in Information Management, Computer Science, or related degree Minimum 8 years’ experience managing large-scale software implementation projects Complete Project Management responsibility on at least 3 prior large-scale projects in a public sector (government) environment Prior experience managing complex teams of 15-25 resources Excell...
    Order: 17140
  • Utilization Management

    Rancho Cordova, CA Temp 1 Month ago
    Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective discharge planning and collaborates with member support system and health care profess...
    Order: 17133
  • Actuarial Analyst

    San Francisco, CA Temp 1 Month ago
    Day to Day Responsibilities of this Position and Description of Project: Co-ordinate forecasting deliverables for Financial forecasts Maintain actuarial forecasting consolidation tool and build out new tool in Hyperion Maintain and generate forecasting reports to explain variance to Plan and prior forecasts Prepare materials for board deck slides Consolidate Line of Business forecasts to total company results Partner with Accounting on medical Loss ratio filing
    Order: 17130
  • Usability Specialist

    San Francisco, CA Temp 1 Month ago
    Job Description: Blue Shield of California is seeking a user experience researcher to help our UX team, product owners, and the organization focus on the user.In this role, you will assist with research activities that help Blue Shield of California explore user behaviors and motivations, ultimately improving products for our members, providers, brokers, and employers. You will build out our recruitment structure and conduct primary research, exploring the behaviors and motivations of our users through met...
    Order: 17097
  • Case Manager Intermediate

    San Francisco, CA Temp 2 Months ago
    Responsibilities: Researches and designs treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Implements discharge (DC) planning activities for medically complex cases. Determines appropriateness of referral for CM services. Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD). Conducts member care review with medical groups or indiv...
    Order: 17089
  • Project Coordinator

    San Francisco, CA Temp 2 Months ago
    Responsibilities (add bullets if needed): • Supports Custom Accounts marketing team through coordination and implementation of print deliverables for open enrollment seminars and health fairs. • Manages deliverables on project plans of low to moderate complexity by preparing creative briefs, estimating costs, preparing timelines, and securing resources. • Keeps Custom Accounts marketing team abreast of project deliverables, milestones and budgets through regular status updates. • Updates marketing co...
    Order: 17088
  • Medical Informaticist

    Woodland Hills, CA Temp 2 Months ago
    Employees are applying advanced technical, clinical, and financial concepts and company policies in preparing analyses of high complexity with moderate supervision Begins to engage in strategic thinking at this level. Delegates at this level. Self-directed work that contains major enhancements and improvements added by the employee is a hallmark of this level astery of Medical Informaticist I & II responsibilities Conducts independent analysis of high complexity under moderate supervision and guidance, d...
    Order: 17060
  • Sr. Workday Analyst

    Phoenix, AZ DirectHire 2 Months ago
    Calabria Group is providing Talent Support for Grand Canyon Education, formerly part of Grand Canyon University, became its own entity in July 2018 after the Higher Learning Commission approved GCU’s application to become a nonprofit institution. GCE will work in close partnership with GCU. Moreover, many positions with GCE are located on GCU’s main campus. Responsible for providing a positive example to students by supporting the University’s Doctrinal Statement, Ethical Position Statement a...
    Order: 17059
  • PHP Framework Developer-Laravel

    Scottsdale, AZ DirectHire 2 Months ago
    2 -SR. PHP Framework Developers -Full Time Employee opportunity Keys to this position are PHP Frameworks such as Laravel/Silex/Symfony2 Scottsdale, AZ NO REMOTE   Senior PHP SW Developer- FTE   Our client is seeking qualified LOCAL senior level candidates to join their Scottsdale, AZ based application development team. They are a collaborative team with many years experience developing sophisticated, unique solutions.The office environment is modern, casual, and social.   We are seeki...
    Order: 17056
  • Actuarial Analyst

    San Francisco, CA Temp 2 Months ago
    Day to Day Responsibilities of this Position and Description of Project: Actuarial Operations: Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products. Actuarial Analyst - Setting reserves for both health and life products, data reporting, financial forecasting/projections, creating filings...
    Order: 17050
  • Sr. Instructional Designer

    Tempe, AZ Temp More than a year ago
    Job Title: Sr. Instructional Designer Location: Tempe, AZ Duration: Six months with extension(s)     We're looking for an Instructional Designer to join our client’s Education Services Team. Their ideal candidate is equal parts design wizard and creative genius, with a proven knack for creating awesome and engaging customer training. To succeed in this role, you’ll draw on your instructional design experience, collaboration skills, and ability to create brand-new, cutting-edge courses and...
    Order: 16285