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  • Senior Medical Record Reviewer

    El Segundo, CA Temp 3 Days 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
  • Product Marketing Manager

    Sunnyvale, CA Temp 4 Days ago
    Job Description Summary   GoDaddy’s Services group provides hands-on website design and online marketing services to small businesses and individuals globally. From site creation and maintenance to social media marketing and more, we’re helping to ensure even the smallest of ventures has the help it needs to have an amazing, effective online presence.   As a Senior Product Marketing Manager, you’ll grow the websites and marketing services by driving product and marketing strategy, includin...
    Order: 17158
  • Care Coordinator

    Monterey Park, CA Temp 6 Days 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 6 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 dis...
    Order: 17152
  • Marketing Assistant

    San Francisco, CA Temp 1 Week 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
  • clinical support coordinator

    Rancho Cordova, CA Temp 1 Week ago
    Day to Day Responsibilities of this Position and Description of Project: Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME. Process authorization requests and facilitates...
    Order: 17145
  • .NET Developer

    Sacramento, CA TempToFT 1 Week 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 Week 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
  • Front Desk Coordinator /Receptionist

    San Francisco, CA TempToFT 2 Weeks ago
    Front Desk Coordinator/ Receptionist Our office management team is bringing on a new happy, energetic contractor for a Front Desk Coordinator in the reception to support our busy San Francisco Office ! Start date: Mid-Sept Hours: 9- 5pm, Monday- Friday most days Temp to hire - Temp Contract start $22.00/hr- Pay increase with FTE Responsibilities and duties Includes but not limited to: Visitor coordination Working with building security for building access Mail coordination Office su...
    Order: 17141
  • Sr. Project Manager

    Albany, NY DirectHire 2 Weeks 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 2 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, 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 3 Weeks 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 4 Weeks 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 1 Month 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 1 Month 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
  • Case Manager Intermediate

    Woodland Hills, 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, 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 discharge planning and collaborates with member support system and health car...
    Order: 17076
  • Interaction Designer

    El Dorado Hills, CA Temp 1 Month ago
    We are looking for someone 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: 17075
  • Database Analyst Lead

    San Francisco, CA Temp 1 Month ago
    Day to Day Responsibilities of this Position and Description of Project: • Participate in data requirements gathering • Ability to write complex SQL joining multiple tables to perform data analysis and profiling from one to multiple sources • Ability to present issues, options, and recommendations to various audience • Creation and/or update existing Source-to-target mapping (STTM) documents including transformation logic and profiling results • Responsible for gathering and documenting metadata • Re...
    Order: 17071
  • Sr. Workday Analyst

    Phoenix, AZ DirectHire 1 Month 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 1 Month 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 1 Month 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
  • Senior Gameplay Engineer

    Redwood Shores, CA DirectHire 2 Months ago
      You will be joining a team who thrive working in a collaborative environment. You will be interacting on a daily basis with designers, artists, and other developers to build gameplay features and create compelling experiences for players. Here’s what you can expect to do: •Build and maintain a variety of robust, flexible, and well-architected gameplay systems, including controls, abilities, AI, and RPG systems. •Prototype new gameplay ideas and concepts, collaborating with designers and ...
    Order: 17027
  • SR PHP Senior Software Developer

    Scottsdale, AZ Temp More than a year 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 see...
    Order: 16383
  • 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