Top 328 Implementation specialist Jobs in Greenbrae, Ca

Government Programs Compliance Medi-Cal Specialist, Experienced
Blue Shield of California —Oakland, CA
- $33.99 - $50.98 an hour
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
- Work from home
3d
Clinical Lab Specialist, Hematology/Coagulation, Full-Time, Days
MarinHealth Medical Center —Greenbrae, CA
- $72.79 - $109.19 an hour
- 8 hour shift
- Hospital
- 5 years
- Computer literacy
Quick Apply
26-27 Education Specialist-Mild-Moderate Support Needs Bilingual (Spanish & English) - Certificated
Voices College-Bound Language Academies —Richmond, CA
- $64,446 - $97,299 a year
- Full-time
- Microsoft Word
- Background check
- School experience
- Health insurance
- Dental insurance
Quick Apply
Field Safety Specialist – Traffic Division
Alvah Contracting LLC —South San Francisco, CA
- $85,000 - $105,000 a year
- Weekends as needed
- Spanish
- CPR Certification
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
4h
GIRLSMART Literacy Specialist - (WCC Elementary Schools)
Bay Area Community Resources —San Pablo, CA
- $25 an hour
- Part-time
- School experience
- Google Workspace
- Current TB test
Quick Apply
3h
GIRLSMART Literacy Specialist - (WCC Elementary Schools)
Bay Area Community Resources —Richmond, CA
- $25 an hour
- Part-time
- School experience
- Google Workspace
- Current TB test
Quick Apply
3h
Clinical Care Transition Specialist / Registered Nurse - Oakland
Option Care Health —Oakland, CA
- $82,574.27 - $137,601.27 a year
- Full-time
- Acute care
- Microsoft Word
- Nursing
- Health insurance
- Dental insurance
Quick Apply
13d
Data Center EHS Specialist
Tellusicom INC —San Francisco, CA
- $3,200 - $5,400 a month
- Full-time
- English
- Mid-level
- Continuous improvement
Quick Apply
Senior Epic Applications Analyst - Professional Billing and Claims
Delta Dental —Oakland, CA
- $80,500 - $174,300 a year
- Full-time
- Hybrid work
- Background check
- Clinic experience
- Research
- Paid holidays
- Health insurance
IT SAP Functional Analyst, Expert
PG&E Corporation —Oakland, CA
- $128,000 - $218,000 a year
- Hybrid work
- Computer science
- 7 years
- Computer Science
Memory Care Activity Specialist
Atria Senior Living - Tamalpais Creek —Novato, CA
- $22.00 - $26.40 an hour
- Part-time
- High school diploma or GED
- 1 year
- Entry level
- Paid holidays
- Health insurance
Academic Resources Specialist
Horizons Unlimited of San Francisco Inc. —San Francisco, CA
- $26.27 - $27.05 an hour
- Part-time
- Spanish
- Google Workspace
- Current TB test
- AD&D insurance
- Paid holidays
Quick Apply
Events Specialist, Helen Diller Institute for Jewish Law and Israel Studies (5414C), Berkeley Law #8
University of California, Berkeley —Berkeley, CA
- $32.85 - $38.00 an hour
- Weekends as needed
- Background check
- Customer service
- Mid-level
- Travel reimbursement
6d
Marketing Operations Specialist, Senior - Email Development
Blue Shield of California —Oakland, CA
- $90,860 - $136,290 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Pass drug screening
- Work from home
Onboarding Specialist (Remote)
LeagueApps —San Francisco, CA
- $62,014 - $93,021 a year
- Remote
- Mid-level
- 2 years
- Communication skills
- Commuter assistance
- Health savings account
Quick Apply
Operations Specialist, Experienced
Blue Shield of California —Oakland, CA
- $32.03 - $48.04 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
6d
ALS/Neonatal Transport Nurse Specialist
Sutter Health —Berkeley, CA
- $90.58 - $126.81 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
Government Programs Compliance Specialist, Senior
Blue Shield of California —Oakland, CA
- $90,860 - $136,290 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Work from home
6d
Operations Specialist, Senior
Blue Shield of California —Oakland, CA
- $81,950 - $122,870 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
6d
Risk Adjustment Compliance Specialist, Principal
Blue Shield of California —Oakland, CA
- $148,940 - $223,300 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Office
- Work from home
4d

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Government Programs Compliance Medi-Cal Specialist, Experienced

Blue Shield of California -
Oakland, CA

Apply Now

Job Details

Full-time
$33.99 - $50.98 an hour
3 days ago

Benefits

Work from home

Qualifications

Health insurance knowledge
Medicaid regulations
Medicaid

Full Job Description

Your Role

The Blue Shield of California Promise Health Plan Compliance team is responsible for the administration and oversight of an effective compliance program. The Government Programs Compliance Medi-Cal Specialist, Experienced will report to the Government Programs Compliance Medi-Cal Manager, Senior Manager. In this role you will be providing support for the planning and identification of Medi-Cal requirements within the department due to ongoing, newly enacted, or revised federal or state regulatory requirements. This role also supports Medi-Cal Compliance department activities e.g. development & maintenance of the department audit calendar, CMS, DMHC and DHCS audit calendar, corrective action plans, department mailboxes, intranet website, policies and procedures, and other items as needed.

Your Work

In this role, you will:

Provide support for the planning and identification of Medi-Cal requirements within the department due to ongoing, newly enacted or revised regulatory requirements
Support the implementation of quality, repeatable and documented compliance processes and escalate and propose resolution for low complexity requirements and process issues
Support maintenance and enhancements to the Medi-Cal Compliance tracking system(s) and/or application(s)
Support Medi-Cal Compliance department activities including development & maintenance of the department audit calendar, external regulatory audit calendar, department mailboxes, intranet website, policies and procedures, and other items as needed
Be responsible for data collection, retention, and the development of low complexity analyses and reports
Assists with routine departmental functions and initiatives, as needed
Participates in multiple projects or initiatives within job area and other duties as assigned
Supports ongoing alignment with Blue Shield and Promise strategy and company objectives

Your Knowledge and Experience

Requires a bachelor's degree or equivalent experience
Requires at least 3 years of prior relevant experience
Requires knowledge of Medi-Cal regulatory compliance standards and processes
Professional certifications (CHC –Certification in Healthcare Compliance) & additional degrees preferred

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

implementation specialist jobs in greenbrae, ca

Government Programs Compliance Medi-Cal Specialist, Experienced

Clinical Lab Specialist, Hematology/Coagulation, Full-Time, Days

26-27 Education Specialist-Mild-Moderate Support Needs Bilingual (Spanish & English) - Certificated

Field Safety Specialist – Traffic Division

GIRLSMART Literacy Specialist - (WCC Elementary Schools)

GIRLSMART Literacy Specialist - (WCC Elementary Schools)

Clinical Care Transition Specialist / Registered Nurse - Oakland

Data Center EHS Specialist

Senior Epic Applications Analyst - Professional Billing and Claims

IT SAP Functional Analyst, Expert

Memory Care Activity Specialist

Academic Resources Specialist

Events Specialist, Helen Diller Institute for Jewish Law and Israel Studies (5414C), Berkeley Law #8

Marketing Operations Specialist, Senior - Email Development

Onboarding Specialist (Remote)

Operations Specialist, Experienced

ALS/Neonatal Transport Nurse Specialist

Government Programs Compliance Specialist, Senior

Operations Specialist, Senior

Risk Adjustment Compliance Specialist, Principal

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