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Contracting Specialist, Senior

Blue Shield of CA |

Springfield Meadows , Minnesota |

7 days ago

Your Role We are seeking a skilled contracting professional to lead and support the negotiation and execution of contracts for corporate services, professional advisory engagements, and healthcare-related services. This role will focus on drafting, reviewing, and managing complex agreements that drive value, mitigate risk, and ensure compliance across the organization. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Required a minimum of 5 years of exp

Snaprecruit - ID: SD-APP-763e958d460a14efd763b6e1c9dbdb2482266d141b9031b0f0cb1e4fdc91981e

Job origin: APPCAST_CPC

Provider Contracting Specialist, Senior

Blue Shield of CA |

Springfield Meadows , Minnesota |

1 week ago

Your Role The PPO Professional Provider Contracting team manages our PPO network to maintain network adequacy by contract negotiation, recruitment, and building/maintaining professional relationships. The Provider Contracting Specialist, Senior will report to the Senior Manager, Provider Contracting. In this role, you will ensure the acquisition, servicing and performance of Physicians/Medical Groups and other Specialty Network Providers to the Blue Shield of California contracted network. Supp

Snaprecruit - ID: SD-APP-e47a67604a505788d09269185e2c8e264799316d4d6b95cd2b15d3161244cc36

Job origin: APPCAST_CPC

Senior Internal Controls Advisor — Risk & Compliance

Blue Shield of CA |

Springfield Meadows , Minnesota |

1 week ago

A leading health insurance provider is seeking an Internal Controls Consultant to enhance the effectiveness of internal controls and drive performance improvements. The ideal candidate will have a bachelor's degree, 7+ years of experience, and knowledge in Internal Audit or SOX compliance. Experience with data analytics tools like Power BI and Tableau is preferred. This role will report to the Senior Manager and is positioned within a dynamic hybrid environment in California. #J-18808-Ljbff

Snaprecruit - ID: SD-APP-3649ffd41c04bcd8edbe4811a34edb8c6044b98f2f4954f4e6bddbf191f58798

Job origin: APPCAST_CPC

Pricing & Contract Configuration Analyst

Blue Shield of CA |

Springfield Meadows , Minnesota |

2 weeks ago

A healthcare organization in California is seeking a QC Experienced Configuration Analyst to perform audits on negotiated provider contracts and ensure compliance with contractual terms. The ideal candidate will have a bachelor's degree in healthcare management or a related field, along with at least one year of experience in a configuration analyst role. This position involves validating contracts, supporting process improvements, and requires knowledge of medical claims. Competitive salar

Snaprecruit - ID: SD-APP-f5d2f735d02955c26770537708bafe617b545fbf39c9e9db49688724dd5b91ed

Job origin: APPCAST_CPC

Clinical Account Manager, Principal

Blue Shield of CA |

Springfield Meadows , Minnesota |

2 weeks ago

Your Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and the CMO Team for Commercial Business will be responsible for collaborating with all internal stakeholders and externally facing partners to transform the way health care is delivered, ensuring best‑in‑class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on e

Snaprecruit - ID: SD-APP-7b07cf6eeff206329cf0310c0a74adc9440db97bdcc219aaa97495fb71aa2891

Job origin: APPCAST_CPC

Configuration Analyst, Experienced

Blue Shield of CA |

Springfield Meadows , Minnesota |

1 month ago

Your Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Experienced Configuration Analyst will report to the QC Pricing Analytics Contract Configuration, Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms. Validate that the negotiated provider contracts were built correctly and according to the contrac

Snaprecruit - ID: SD-APP-ea1fdeb724bf692cce2e52552ce4a7532ab75caaf7d62e8783b8106ae66f00b1

Job origin: APPCAST_CPC

Clinical Account Manager, Consultant - Commercial

Blue Shield of CA |

Springfield Meadows , Minnesota |

1 month ago

Your Role The Commercial CMO team works across multiple teams within Blue Shield to ensure smooth implementations for the commercial lines of business. The Program Manager Clinical Consultant, will report to the Regional Medical Director. In this role you will be responsible for working on premier accounts as part of the Commercial CMO team. Oversees clinical program management responsibilities for various commercial lines of business with a focus on premier accounts, working closely with medic

Snaprecruit - ID: SD-APP-efa9515ea2919da3b9049cf86e0265edcc7b3f4badb9a93835e89a9c1a352bc7

Job origin: APPCAST_CPC

Lead, Digital Strategy & Marketing Operations

Blue Shield of CA |

Springfield Meadows , Minnesota |

1 month ago

A healthcare insurance provider in California is seeking a Digital Marketing Strategist, Principal to enhance customer engagement through innovative digital strategies. The ideal candidate will have over 10 years of experience in digital marketing, strong knowledge of SEO/AEO best practices, and a proven track record of managing cross-functional teams. This role involves collaboration across departments to drive measurable business outcomes and requires a bachelor's degree in marketing or b

Snaprecruit - ID: SD-APP-84add0f5035a238975972696749ed968802fa0b5a3f59f56c59df4c95b31b106

Job origin: APPCAST_CPC

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