Top 706 Clinical services manager Jobs in El Dorado Hills Ca

Manager, Operations
Blue Shield of California —Rancho Cordova, CA
- $102,900 - $154,300 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Office
- Work from home
Clinical Services Coordinator, Intermediate
Blue Shield of California —El Dorado Hills, CA
- $21.73 - $30.43 an hour
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Research
- Work from home
3d
Patient Logistics Clinical Coordinator RN-CA
Dignity Health —Rancho Cordova, CA
- $52.15 - $77.58 an hour
- Full-time
- Acute care
- Nursing
- RN License
Clinical Performance Analyst (Roseville)
Adventist Health —Roseville, CA
- $78,000 - $105,309 a year
- Day shift
- Mid-level
- Experience equivalent to degree accepted
- 1 year
Supervisor Imaging Referrals
Dignity Health Medical Group —Rocklin, CA
- $37.50 - $49.45 an hour
- Full-time
- Word processing
- Writing skills
- Clinic experience
Program Manager IV, Outreach & Relationship Management
Sutter Health —Sacramento, CA
- $117,436.80 - $176,155.20 a year
- Weekends as needed
- Writing skills
- Office
- Master's degree
Clinical Management Manager
Accenture —Sacramento, CA
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Customer Service Scheduler
TeleMed2U —Sacramento, CA
- Remote
- Google Workspace
- HIPAA
- High school diploma or GED
Quick Apply
Manager, Risk Mitigation
Adventist Health —Roseville, CA
- $114,359 - $171,538 a year
- Full-time
- Nursing
- Management
- Hospital
Contact Center Manager
UC Davis Health —Sacramento, CA
- $8,775 - $17,375 a month
- Overtime
- Background check
- Word processing
- Writing skills
- Continuing education credits
- Paid holidays
11d
Assistant Manager
PDS Health —Folsom, CA
- $29.75 - $37.25 an hour
- Full-time
- Dental office
- Computer literacy
- Local
- Health insurance
- Dental insurance
Patient Support Services Manager 1 - Emergency Medicine
UC Davis Health —Sacramento, CA
- $8,775 - $17,375 a month
- Overtime
- Background check
- CPR Certification
- Surgery
- Continuing education credits
- Paid holidays
4d
Emergency Department Business Administrative Manager
UC Davis Health —Sacramento, CA
- $8,775 - $208,500 a year
- Overtime
- Background check
- Surgery
- Customer service
- Continuing education credits
- Paid holidays
4d
Case Management Assistant
UC Davis Health —Sacramento, CA
- $33.13 - $41.17 an hour
- Multiple hires
- Acute care
- Background check
- Microsoft Excel
- Continuing education credits
- Paid holidays
Manager Infection Prevention
Mercy General Hospital —Sacramento, CA
- $57.37 - $85.33 an hour
- Full-time
- Acute care
- Management
- Hospital
Clinical Research Program Manager
Shriners Hospitals for Children —Sacramento, CA
- $80,246.40 - $155,487.07 a year
- Full-time
- 18 years or older
- Management
- Hospital
Quick Apply
Clinical Operations Manager
UC Davis Health —Sacramento, CA
- $9,283.33 - $19,150.00 a month
- 8 hour shift
- Background check
- PALS Certification
- Customer service
- Continuing education credits
- Paid holidays
Credentialing Coordinator (Temporary) - Remote - Nationwide
Vituity —Sacramento, CA
- $22.05 - $27.01 an hour
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- Salesforce
- Profit sharing
- Wellness program
10d
Product Line Manager, Consultant
Blue Shield of California —Rancho Cordova, CA
- $123,090 - $184,800 a year
- Full-time
- Hybrid work
- Background check
- 7 years
- Pass drug screening
- Work from home
Supervisor, Provider Enrollment - Remote - Nationwide
Vituity —Sacramento, CA
- $64,970 - $81,215 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Profit sharing
- Wellness program

I want to receive the latest job alert for clinical services manager in el dorado hills ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical services manager jobs near el dorado hills ca

Clinic Manager jobs in Sacramento, CA

Loss Prevention Manager jobs in Sacramento, CA

Credentialing Coordinator jobs in Sacramento, CA

Clinical Program Manager jobs in Sacramento, CA

Clinic Operations Manager jobs in Sacramento, CA

Operations Manager jobs in Rancho Cordova, CA

Customer Service Representative jobs in Sacramento, CA

Call Center Manager jobs in Sacramento, CA

Case Manager jobs in Sacramento, CA

Clinic Coordinator jobs in El Dorado Hills, CA

Program Manager jobs in Sacramento, CA

Clinic Manager jobs in Branson, MO

Production Manager jobs in Atlanta, GA

Clinic Manager jobs in Springfield, OR

Fertility Clinic jobs in Nashville, TN

Clinic Manager jobs in Oregon

Medspa Manager jobs in California

Clinic Manager jobs in Glendale, AZ

Outpatient Clinic Nurse jobs in Lowell, MA

Loss Prevention Manager jobs in West Bend, WI

Manager, Operations

Blue Shield of California -
Rancho Cordova, CA

Apply Now

Job Details

Full-time
$102,900 - $154,300 a year

Benefits

Work from home

Qualifications

Staff supervision
Team supervision
Coaching
Team scheduling
Health insurance knowledge
Risk & issue management
Task assignment
General management

Full Job Description

Your Role

The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing(NSB) process. The team also partners with an offshore vendor to complete provider disputes and other strategic projects. The PDR Operations Manager will report to the Director of PDR. In this role you will be responsible for ensuring PDR and NSB inventory stays within compliance and regulatory guidelines, manage both onshore and offshore teams, and partner with the PDR Regulatory Audit Manager to create efficiencies in procedures, systems, and develop and implement strategic initiatives that will enhance the PDR department.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work
In this role, you will:

Be responsible for the PDR Operations team over the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing Team. Scope of oversight includes planning, cost management, regulatory compliance and strategy, audit preparation and planning, and creating strategic initiatives to drive production
Demonstrate BSC Leadership Behaviors
Foster a great place to work by clearly communicating mission, vision, goals, roles, and expectations for team members; celebrating team achievements; building successful working relationships across the organization
Direct and control the activities of one or more smaller/less complex department(s) or functional area(s) through subordinate supervisors/team leads
Establish operational objectives for department or functional area and participate with other managers to establish group objectives
Manage the No Surprise Billing Team and ensure admin fees and cases are completed timely and within compliance standards of the No Surprises Act mandate
Ensure team processes are efficient and effective to manage case work timely and accurately
Partner with PDR Regulatory Audit Manager in developing new procedures and guidelines for onshore and offshore PDR teams that are aligned with regulatory requirements and improve quality results through training and oversight
Establish audit readiness across the team and in partnership with your peers and represent the department during all audit activity
Present in Operational Committees, trend top drivers of provider disputes, and work with upstream and downstream partners to reduce provider pain points

Your Knowledge and Experience

Requires a college degree or equivalent experience and minimum 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisor or project/program manager
Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegation
Understands Blue Shield of CA’s mission and business plan
Has functional expertise within the area of responsibility
Requires advanced knowledge of job area usually obtained through advanced education combined with experience
Requires previous experience working for a payor in claims or similar business unit
Requires expertise in at least one or more of the following lines of business – Commercial, Medi-Cal and/or Medicare
Prior auditing and/or compliance/regulatory experience is preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

For most teams, this means coming into the office two days per week.
Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Apply Now

Refine Your Search

clinical services manager jobs in el dorado hills ca

Manager, Operations

Clinical Services Coordinator, Intermediate

Patient Logistics Clinical Coordinator RN-CA

Clinical Performance Analyst (Roseville)

Supervisor Imaging Referrals

Program Manager IV, Outreach & Relationship Management

Clinical Management Manager

Customer Service Scheduler

Manager, Risk Mitigation

Contact Center Manager

Assistant Manager

Patient Support Services Manager 1 - Emergency Medicine

Emergency Department Business Administrative Manager

Case Management Assistant

Manager Infection Prevention

Clinical Research Program Manager

Clinical Operations Manager

Credentialing Coordinator (Temporary) - Remote - Nationwide

Product Line Manager, Consultant

Supervisor, Provider Enrollment - Remote - Nationwide

I want to receive the latest job alert for clinical services manager in el dorado hills ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected