Your Role
The Medi-Cal Operations and Performance team oversees the operations governance and regulatory oversight in a complex highly matrixed environment for Blue Shield of California Promise Health Plan . The Executive Assistant, Senior will report to the VP, Medi-Cal Operations and Performance . In this role you will serve as the primary point of contact for internal and external constituencies on all matters pertaining to the office of the executive. You will be the liaison to the Operations and Performance; monitor and respond to emails, heavy scheduling and calendaring meetings; organize and coordinate all travel and arrange special events and offsite events. organize and coordinate all travel and arrange special events and offsite events. organize and coordinate all travel and arrange special events and offsite events.
The Executive Assistant must be creative, agile and nimble, and enjoy working in an entrepreneurial environment that is member-driven, results-driven, and service-oriented. The ideal individual will have the ability to exercise good judgment and high level of discretion, with strong written and verbal communication, scrupulous administrative and organizational skills, and the ability to maintain balance among multiple competing priorities. The Executive Assistant position requires the ability to work independently as well as within a team environment on projects from inception to completion and must be able to work under pressure to handle a wide variety of activities and confidential matters with discretion.
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience
Requires at least 5 years of prior relevant experience
Requires at least 3 years of increasing professional level responsibility in executive support for C-level executives
Requires expert proficiency with Microsoft Office applications including PowerPoint, electronic communications, and IT savvy
Requires the ability to work executive hours and must be willing to work non-business hours when needed for special projects or events; must have excellent communication skills, both verbal and written, and work with a sense of urgency while applying well-honed attention to detail
Requires the ability to be both service-oriented and behind the scenes leader; able to effectively manage multiple projects and tasks simultaneously; possess excellent organizational skills and ability to design, set-up and manage internal processes and protocols; manage collaboratively and thrive in a fast-paced, rapidly changing environment; possess a positive, can-do attitude and value continuous professional development; good judgement, attention to detail, keen sensitivity and responsiveness to executive's needs and requests
Requires ability to travel to offsite team events and/or meetings as needed
#LI-AD3
Your Work
In this role, you will:
Be responsible for providing analytical and specialized administrative support to relieve and assist executive managers with complex details and advanced administrative duties
Collect and prepare information for use in discussions/meetings of executive staff and outside individuals
Analyze problems, determine approach, compile and analyze data and prepare reports/recommendations
Contact company personnel at all organizational levels to gather information and prepare reports
Manage day-to-day organization of executive's calendar, appointments, meetings, and related schedule
Compose and prepare correspondence; arrange meeting agendas; monitor and respond to emails; scheduling and calendaring meetings; Research required information or background on organizations and individuals; prepare travel arrangements, expense reports, plans/coordinates and ensure the executive's schedule is followed and respected; acts in a “gatekeeper” capacity, creating win-win situations for direct access to the executive
Research, prioritize, and follow up on incoming issues and concerns addressed to the executive, including those of a sensitive or confidential nature; Consult with the executive in determining appropriate course of action, referral, or response; communicate directly, and on behalf of the executive with senior leaders and board members, and others on matters related to the organization's initiatives and activities; Provide a bridge for clear communication and maintains credibility, trust and support between the office of the executive and the internal staff
Work closely and effectively with the executive to keep the leader well informed of upcoming commitments and responsibilities and follows up appropriately; Act as a “barometer,” having a sense for the issues taking place in the internal and external environments and keeps the executive updated; Draft correspondence to the team, and other tasks that facilitate the executive's ability to effectively lead the organization; Prioritize conflicting needs; handles all matter expeditiously, proactively, and follows through on projects to successful completion, often with deadline pressures
Serve as the day-to-day manager of office logistics; manages accounts receivable and payable, maintains office supplies, mail processing, and manages office protocols including space requirements, IT, equipment, phone protocols, etc.; Update and edit Shield Central page and coordinate with the team members on upcoming updates to publicize; Perform several high-level review functions including department financial performance against budget, and processing payment for vendors and related service contracts; sets up internal systems and protocols ensuring standardization of processes and a high level of efficiency; Provide back-up support to the other Medi-Cal Executive Assistants and Administrative Support team as needed
Other duties as assigned
$75k-124k yearly est. Auto-Apply 17d ago
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Compliance and Ethics Program Specialist, Senior
BSC Group 4.4
BSC Group job in Oakland, CA
Your Role
The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company's compliance and ethics program across the enterprise, including all business units, products, services and activities. This includes the implementation and maintenance of proper preventive, detective and remedial programs and controls; the execution of relevant policies and procedures; training and educating the workforce; implementing an effective communications program; ensuring effective testing, auditing, monitoring, tracking and reporting; and remediate control deficiencies.
This Senior Level Compliance and Ethics Specialist is a critical individual contributor and program lead who will report to the Senior Manager, Compliance and Ethics. In this role you will work closely with the Senior Manager and department to drive and lead the department's strategic priorities and projects, including advancing the compliance training program, developing and implementing compliance policies such as the Conflict of Interest, Gifts and Entertainment, Anti-Corruption, etc., and serve as a subject matter expert on compliance issues, providing guidance and support to various departments within the organization. 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 Knowledge and Experience
Requires a Bachelor's degree; Masters in relevant field or Juris Doctor preferred
Requires a minimum of 5 years of prior relevant experience (experience in a health plan or related health care organization preferred)
Certification in Healthcare Compliance (CHC) or Certified Ethics and Compliance Professional (CCEP) preferred
Exceptional written and verbal communication skills, including the ability to explain complex regulatory requirements to diverse audiences
Experience with project management preferred. Excellent execution skills required
Working knowledge of healthcare regulations and compliance requirements, including the DOJ Federal Sentencing Guidelines, OIG Compliance Plan, Privacy Rules, Stark Law, Anti-kickback statute, and Fraud and Abuse
Experience collecting and analyzing data and developing sophisticated reports on compliance and ethics data and metrics
Advanced presentation skills, including PowerPoint, Excel, Word
Experience and success in program/project management and driving change
Key necessary competencies include critical thinking, business acumen, collaboration, ability to influence others, strong written and verbal communication, efficient time management, and excellent organizational & problem-solving skills
Your Work
In this role, you will:
Provide guidance, quality review and execution of compliance and ethics case management and compliance activities
Responds to inquiries and provides advice and guidance regarding BSC's Code of Conduct, Corporate Compliance owned policies, and C&E Program operations. Triage and refer cases or inquiries to other BSC compliance resources (e.g., Privacy Office, SIU, Employee Relations)
Support the coordination and management of the Corporate Compliance & Ethics communication portals including email boxes, web applications, and Navex EthicsPoint hotlines
Designs and develops presentations and resources, implements and promotes awareness of the organization's compliance and ethics policies and the Code of Conduct.
Review and analyze compliance metrics, performance data, and monitoring results to identify trends and areas requiring improvement
Proactively supports Conflict of Interest (COI) disclosure and assessment activities, including reviewing and responding to guidance requests pertaining to COIs and handling of disclosures
Serve as a subject matter expert on compliance issues, providing guidance and support to various departments within the organization. This includes staying current with industry trends and regulatory changes, proactively and continuously improving the compliance program to address new challenges and requirements.
Coordinate and respond to requests for Compliance Program documentation and records including surveys, assessments, compliance certifications, attestations, and audit related requests for C&E records
Collaborate with colleagues and stakeholders across the BSC enterprise to drive compliance and ethics workplans and projects and exercise independent drive and judgment to suggest and move forward program improvements and priorities
Collaborate, as necessary, with other compliance resources (e.g., Privacy, IT Security, Human Resources, operational management) with respect to identified compliance issues
Develops and delivers compliance training curricula that are focused on the essential elements of the compliance program
Collaborate with colleagues and stakeholders to draft and deliver presentations related to compliance and ethics program work and priorities, risks, and metrics
May manage major/complex projects involving delegation of work and review of work products
$81k-110k yearly est. Auto-Apply 32d ago
Head of Talent - GenAI-Driven Recruiting & Growth
Career 4.5
Mountain View, CA job
A leading venture studio in California seeks a Head of Talent to innovate and lead recruiting functions in the AI era. The role involves managing a team of recruiters and collaborating directly with company leadership to build high-performing teams. Candidates should have significant technical hiring experience, a willingness to use AI tools, and a leadership mindset. This position offers a unique opportunity to shape the future of recruiting in startups and venture capital settings, with competitive compensation including equity participation.
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$95k-157k yearly est. 3d ago
Senior Workplace Experience Manager
Careers 4.5
San Francisco, CA job
A global law firm in San Francisco is seeking a Workplace Experience Manager II to enhance client and personnel experiences. The role requires a bachelor's degree and at least ten years in hospitality or customer service management. Responsibilities include developing strategies, recruiting, managing department expenses, and providing top-tier client service. This position offers a competitive salary of $140,000 - $160,000 and a range of benefits including healthcare, a 401k plan, and generous PTO.
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$140k-160k yearly 2d ago
Retail Associate
Sw Bakersfield Ca 4.5
Bakersfield, CA job
GENERAL PURPOSE\:
The Retail Associate is responsible for ensuring our Customers have a positive shopping experience. The Associate makes eye contact, smiles, and greets all Customers in a courteous and friendly manner, treats fellow Associates with respect, efficiently follows all company best practice standards as outlined in all work centers, and ensures proper merchandise presentation. The Retail Associate is expected to be engaged in these tasks as assigned during all working hours, and will be expected to perform a range of functions in all areas of the Store as business needs require. The Associate may be requested to perform additional tasks in specific situations, if performance of these tasks will help achieve our Customer service and operational goals.
ESSENTIAL FUNCTIONS:
Understands that safety is the number one priority and practices safe behaviors in everything they do.
Maintains a high level of awareness on the sales floor to create a safe and secure shopping environment for everyone. Maintains clutter free, clear egress to emergency exits. Immediately corrects or reports any unsafe conditions or practices to Store Leadership.
Treats all Customers and Associates with respect and courtesy; is friendly and professional at all times. Recognizes fellow Associates using Company recognition programs.
Assists Customers in any way necessary - is register-trained, assists Customers with merchandise, and answers Customer questions in a polite and knowledgeable manner. Greets all Customers by making eye contact, smiling and saying “hello” throughout the Store as well as saying “thank you” with every register transaction.
Provides prompt and efficient responses to Customers at all times. Responds to Customer Service calls immediately. Handles all Customer issues in a courteous and helpful way, calling a member of the Store Leadership when needed.
Represents and supports the Company brand at all times.
Maintains a professional appearance, and adheres to the Company dress code at all times.
Performs daily assigned sizing and recovery per company best practice to ensure a neat, clean and organized store that is well-maintained and efficiently merchandised to standards.
Expedites newly received merchandise receipts to the sales floor with a sense of urgency, merchandising all items per company best practice to the monthly presentation guidelines and maintaining merchandise/brand name familiarity within departments to assist Customers.
Understands the Loss Prevention Awareness program, the Shortage Highway, the Store Protection Specialist (SPS) position (where applicable), and merchandise protection standards.
As a representative of Ross Inc., demonstrates integrity and honesty in all interactions with Associates and Customers. Safeguards confidential information, cash and credit card information, and merchandise.
Follows all Mark-Out-of-Stock (MOS) policies, including the identification of MOS merchandise, proper processing of each piece and the notification of Store Leadership to review and approve all disposals.
Follows all policies and procedures concerning cash, check, charge card and refund transactions, voids and offline procedures. Maintains a high level of awareness and accuracy when handling bankable tenders.
Demonstrates a sense of urgency to efficiently perform their role. Maximizes productivity by executing all Store best practices and minimizing steps and touches in their work flow.
COMPETENCIES:
Manages Work Processes
Business Acumen
Plans, Aligns & Prioritizes
Builds Talent
Collaborates
Leading by Example
Communicates Effectively
Ensures Accountability & Execution
QUALIFICATIONS AND SPECIAL SKILLS REQUIRED:
Effectively communicate with Customers, Associates and Store Leadership in a friendly, respectful, cooperative and pleasant manner.
Ability to perform basic mathematical calculations commonly used in retail environments.
PHYSICAL REQUIREMENTS/ADA:
Ability to use all Store equipment, including PDTs, registers and PC as required.
Ability to spend up to 100% of working time standing, walking, and moving around the Store.
Ability to regularly bend at the waist, squat, kneel, climb, carry, reach, and stoop.
Ability to occasionally push, pull and lift more than 25 pounds.
Ability to use janitorial equipment, rolling racks, ladders and other assigned supplies.
Certain assignments may require other qualifications and skills.
Associates who work Stockroom shifts\: Ability to regularly push, pull and lift more than 20 pounds.
SUPERVISORY RESPONSIBILITIES:
None
DISCLAIMER
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at management's discretion.
Ross is an equal employment opportunity employer. We consider individuals for employment or promotion according to their skills, abilities and experience. We believe that it is an essential part of the Company's overall commitment to attract, hire and develop a strong, talented and diverse workforce. Ross is committed to complying with all applicable laws prohibiting discrimination based on race, color, religious creed, age, national origin, ancestry, physical, mental or developmental disability, sex (which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breastfeeding), veteran status, military status, marital or registered domestic partnership status, medical condition (including cancer or genetic characteristics), genetic information, gender, gender identity, gender expression, sexual orientation, as well as any other category protected by federal, state or local laws.
$30k-36k yearly est. Auto-Apply 60d+ ago
Founding AI-Native CTO & Lead Engineer (Shopify)
Career 4.5
San Francisco, CA job
A leading tech startup in San Francisco seeks an experienced engineer to own their robust Shopify app and manage end-to-end processes. The role involves designing and developing solutions using TypeScript while leveraging AI tools to enhance efficiency and reliability. Ideal candidates should be comfortable with ambiguity and possess strong technical skills in product development and user experience. Join a dynamic team that prioritizes innovation and product success.
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$190k-317k yearly est. 2d ago
Scrum Master, Consultant
BSC Group 4.4
BSC Group job in El Dorado Hills, CA
The Payer Systems Applications team plays a critical role in enhancing customer and technical collaboration while delivering all application development through a Platform and Technology Product Operation Model. The candidate will report to the Sr. IT Manager, Application Services Lead. In this role, you will be responsible for leading, facilitating, and driving continuous improvement of Agile practices for the team or teams that you'll be supporting. The Portfolio is responsible for the development and support of complex technology solutions from claims processing to benefit enrollment. The Agile team that this role will lead has representation from across our matrixed organization, including IT, business & vendor partners, to deliver value & capabilities that meet the needs of our customers. We strive to deliver sustainable solutions that optimize cost, quality, and fit for purpose.
This role specifically is planned to support Agile delivery related to our Member Customer Experience area as part of our Membership and Support Platform.
Your Knowledge and Experience
Requires bachelor's degree or equivalent experience and Scaled Agile (SAFe) Certification and 7 years of Project Management skills or Scrum Master experience
Requires Scaled Agile (SAFe) certification: Scrum Master or Product Owner/Product Manager (POPM)
Preferred Scrum Master certification (PSM II, PSM III, CSP, CTC); CSM, A-CSM (Scrum Alliance certifications)
Preferred experience as a Scrum Master role for minimum of two years for a Scrum team
Preferred experience using JIRA and AgilePlace
Preferred Healthcare experience
Preferred experience on the Pegasystems platform
#LI-JA1
In this role, you will:
Provide Agile team support by serving as the Scrum Master and Team Coach for Agile teams, ensuring smooth operation and adherence to Agile principles
Educate and lead one or more Agile teams in Scrum, Built-in Quality, Kanban, and Scaled Agile (SAFe) principles and practices, fostering a culture of continuous improvement
Facilitate Program Increment (PI) Planning readiness by preparing Agile teams for PI Planning sessions, guiding the creation of PI plans, objectives, and business values, ensuring alignment with organizational goals
Collaborate with other Scrum Masters, Agile Coaches, and Product Management roles across the enterprise, contributing to the maturation of business units along with IT agile teams on the path towards our business agility
Lead iteration execution by facilitating key team events, including backlog refinement, team planning, team synchronization, team review, demo, and retrospective sessions, fostering collaboration, transparency, and continuous improvement within the team
$114k-147k yearly est. Auto-Apply 28d ago
Security Officer Lead
Career Center 4.5
Placerville, CA job
DUTIES AND RESPONSIBILITIES
Assists in the supervision of Security Officers on assigned shift.
Maintains adequate staffing levels, by interviewing, selecting, training, scheduling, evaluating, promoting and disciplining employees, as needed.
Patrols the property on assigned shift, identifying potential security and/or safety hazards, and reporting same to the appropriate individual, to ensure the safety and protection of guests, employees and the entire facility.
Acts as a back-up to Security Officers on assigned shift, and assumes their duties when necessary.
Prepares and requests reports on incidents involving guests, employees and/or the facility, as needed.
Guards transfers of monies and chips on the casino floor, as well as the physical transportation of chip fills and credits.
Acts as a backup to Security Officers on assigned shift, and assumes their duties.
Interacts with guests and employees in a positive, professional manner.
Ensures a maximum level of guest service and satisfaction throughout the property is achieved and maintained.
Facilitates the flow of information throughout the property, by attending regularly scheduled departmental meetings.
Held accountable, to a high degree, for the accuracy and thoroughness of departmental records and reports.
Create and utilize a comprehensive and sustainable employee engagement strategy through both formal and informal feedback as well as constant communication
Performs all other duties as assigned.
QUALIFICATION REQUIREMENTS
High school diploma or GED required; an Associates of Arts degree in any field is preferred.
Must have a minimum of one year of supervisor and guest services experience.
Two years of experience in law enforcement or gaming security strongly preferred.
Excellent communication skills required.
Must be at least 21 years of age.
$29k-50k yearly est. 60d+ ago
Product Builder
Career 4.5
Palo Alto, CA job
Job DescriptionWho we are: AI is the new electricity: Just as electricity transformed numerous industries starting 100 years ago, AI is now poised to do the same. AI Fund is a venture studio founded by Dr. Andrew Ng in 2017. Our portfolio companies use AI technology to build applications across numerous industry sectors. The AI Fund team combines their experiences as AI pioneers, entrepreneurs, venture capitalists, investors, and operators. We are backed by a $370 million dollar fund from top-tier global corporations and VC firms. Our purpose is to build AI companies that move humanity forward.
What we seek:
We are looking for an energetic Product Builder to join our build team to build AI Startups. As founders and investors ourselves we are looking to add top new talent to our company building team. We welcome candidates who possess a growth mindset, strong analytical skills and ability to handle ambiguity. You will be responsible for driving projects forward until either they are falsified (and ended) or smoothly transitioned to a newly found company. What you will do:
Drive rapid engineering efforts to build full-stack applications using GenAI tools, enabling deep exploration of product ideas, user experiences, and technical feasibility
Carry out ideation and early product validation: You will be responsible for working with our team to quickly validate or falsify specific ideas. This may involve exploring candidate business concepts, prototyping, and customer interview work
Assist with bringing on FIRs (Founders in Residence): You will play an instrumental role in explaining the product and business idea to potential founders, helping them understand the potential of the product, and working to bring on a strong FIR to carry the product forward through a three month company Build Stage
Collaborate closely with Founders-in-Residence (FIRs), Venture Advisors, and the Venture Studio team throughout the initial build phase to implement and iterate on the product vision
Lead product development and coordination efforts, ensuring consistent progress and alignment during the Build Stage
Conduct customer discovery calls to identify needs, validate hypotheses, and contribute to achieving product-market fit
Maintain proactive and organized communication across internal and external stakeholders, including managing schedules, tracking milestones, and ensuring timely updates
Provide regular reports to the Venture Advisor and AI Fund team, highlighting key updates, risks, and opportunities, and escalating issues as needed
Perform market and competitive research to inform product strategy and positioning
Support the fundraising preparation process by contributing to financial models, pitch decks, and other investor materials as needed
Assist FIRs and Venture Advisors with ad hoc strategic and operational requests to accelerate the venture's success
Gather user feedback and iterate quickly based on insights to improve usability and effectiveness
What you must bring:
Experience in software engineering, including developing AI-powered applications
Demonstrated experience building applications that incorporate Generative AI (such as LLM calls, RAG, Agentic workflows, evals, etc)
Hands-on experience using AI-assisted coding tools (e.g., Claude Code, Cursor, OpenAI Codex, etc and understanding of best practices for effective use
Ability to scrappily and quickly write disposable code for fast prototyping, and clean code for scalable products
Nice to haves:
Experience gathering user feedback directly and iterating based on insights
Exposure to rapid prototyping methodologies and shipping MVPs
Interest or experience in product design and product thinking
Contributions to open-source GenAI projects or tools
At AI Fund, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. AI Fund believes that diversity and inclusion among our employees is critical to our success as a company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool. Selection for employment is decided on the basis of qualifications, merit, and business need.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$29k-37k yearly est. 2d ago
Valet Attendant
Career Center 4.5
Placerville, CA job
DUTIES AND RESPONSIBILITIES • Assists guests promptly and courteously in valet check-in and check-out. • Parks vehicles in designated areas of the property, then accurately records the location of the vehicle onto a valet receipt, which is attached to the appropriate keys and stored in the Valet office until the guest is ready to leave the property.
• Picks-up vehicles from the valet lot, in accordance with established safety guidelines.
• Effectively communicates with the Lead Valet Attendant.
• Promptly clears ramp area of cars to be parked.
• Presents a clean, neat and well-groomed appearance.
• Ensures a maximum level of guest service and satisfaction is achieved and maintained.
• Held accountable for the accuracy and thoroughness of departmental records and reports.
• Maintains a working knowledge of the facilities, as well as special events on property, in order to advise guests and fellow team members of same, whenever possible.
• Ability to run/jog intermittently for an entire shift
• Transports guests to other destinations when needed
• Valet Unsanitary Vehicles
• Working outside in adverse weather: Rain, Snow, Ice, Extreme Heat
• Acts as an Ambassador for RHC
• Performs all other duties as assigned.
QUALIFICATION REQUIREMENTS
• High school diploma GED preferred.
• Must possess a valid driver's license from the State and a good driving record.
• Physical endurance and stamina, as well as effective communication skills required.
$26k-36k yearly est. 41d ago
General Interest Application
Career Center 4.5
Placerville, CA job
If you do not see a job posted on our career portal which fits your skillset and experience and you would like us to have your resume on file for general consideration, please complete our application process here.
How this works:
By completing this application your profile will be entered into our applicant talent pool for review against both current and future needs. We will contact you once there is a position that matches your background.
$26k-46k yearly est. 60d+ ago
Data Analyst - Health, Principal
BSC Group 4.4
BSC Group job in Oakland, CA
Your Role
The Finance, Cost of Health Care (CoHC) team is responsible for financial oversight, analytics and strategic planning to manage and reduce healthcare costs across all lines of business for Blue Shield of California. The Data Analyst - Behavioral Health, Principal will report to the Medical Informatics Analyst - Sr Principal. In this role you will be collaborating with leadership in developing behavioral health finance analytics including measurement of the internal cost of healthcare, and reporting and analytics supporting the various stakeholders in the behavioral health (BH) insourcing project. A key responsibility will be to work with Line of Business Leadership on their cost of health care metrics and analytics.
Your Knowledge and Experience
Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience
Requires at least 10 years of prior relevant experience
Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
Requires advanced SQL and Excel for data manipulation and analysis
Requires expertise in Data Modeling to support predictive and prescriptive analytics
Requires experience with data visualization tools for creating insightful dashboards
Requires strong analytical and problem-solving abilities to interpret complex datasets and identify actionable insights
Requires the ability to communicate complex findings clearly, using compelling narratives and visual representations to engage technical and non-technical audiences
Requires strong customer service orientation and proven ability to collaborate with individuals at all organizational levels
Your Work
In this role, you will:
Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand, specifically for Behavioral Health as we move to in-sourced environment
Apply advanced statistical methods, advanced analytics and modeling techniques, visualization techniques, and advanced programming to innovate our products and services
Identify how our customers are using our products to make strategic decisions and generate/implement ideas to improve our products and services to allow even better decision support
Work with business partners to engineer new products/services/analytics that will improve customer satisfaction; estimate the resources needed and provide planning and support for product/service innovation
Conduct proof of concept using techniques that can quickly contemplate the viability of a product/service
Deliver accurate and timely submissions to the Compliance team for mandated Behavioral Health reporting requirements, aligned with regulatory standards
Design and implement ad-hoc models, analyses, and tools to address emerging issues, including initiatives to detect and mitigate Fraud, Waste, and Abuse with a focus on Behavioral Health
Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various departments on resolution
Conduct research and perform data-driven analyses to identify priority areas for Behavioral Health initiatives and strategic improvement
Role will also collaborate with the Corporate Finance department on budget to actual variance analyses and projections
Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various teams on resolution
$70k-92k yearly est. Auto-Apply 1d ago
TG Dealer
Career Center 4.5
Placerville, CA job
• Protects and controls specific game assigned. • Conducts the games in accordance with policies and procedures, handling player transactions and notifying the Floor Person or Pit Manager of any irregularities. • Advises the Floor Person or Pit Manager of any player disputes or arguments that may arise during the game.
• Informs the Floor Supervisor or other more senior Table Games personnel of any important or relevant facts regarding specific players and their action.
• Utilize ACT standards at all times while maintaining a professional, friendly, and courteous atmosphere.
• Notify a Floor Person of any guest needs; i.e., cocktails, host service, etc.
• Keeps abreast of, and promotes departmental and property-wide promotions.
• Responsible to learn new games when provided appropriate training.
• Maintains current knowledge of gaming laws (federal, state, compact, etc.) and attendant regulations, as well as internal controls, policies and procedures.
• Meeting the department standards for game pace while maintaining accuracy.
• Performs all other duties as assigned.
QUALIFICATION REQUIREMENTS
• High school diploma, GED, or equivalent experience preferred.
• Proven dealer experience, or having successfully passed an audition on the assigned game(s) required.
• Basic knowledge of all casino and departmental policies & procedures required.\
• Must be at least 21 years of age.
Your Role
The Health Qualify and Affordability team is a part of our larger Strategy & Health Solutions organization, which oversees provider partnerships & network management, health transformation acceleration, innovation, healthcare services, strategy, planning, and operations functions at Blue Shield.
As an intern, you will support HQA Strategy Planning and Performance initiatives with a focus on analytics and process improvement for two key areas:
Quality Review (Auditing Team)
Workforce Management
This internship offers hands-on experience in data analysis, performance measurement, and operational improvement within a dynamic healthcare environment.
Your Knowledge and Experience
Actively pursuing a bachelor's or master's degree in public health, business, health care or related field
Minimum 1 year of related professional experience, project, or coursework
Must reside in the state of California
Strong communication skills required, particularly writing for publication
Proactive, solution focused mindset with demonstrated creative, problem-solving skills
Knowledge of the key synergies necessary among practices, payers, community, populations, and policy leaders to better align health care transformation efforts
Passionate about changing healthcare and challenging the status quo to advance health equity
Pay
$25.00 per hour for Undergraduate
$30.00 per hour for Graduate
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!
About Our Internships
Our paid internship program is thoughtfully curated to provide students experience and exposure to the health professional industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationship and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program, check out this video.
Our Summer 2026 Internship is June 8th or June 15th through August 14th, 2026.
Application Process and Timeline:
Now: Actively accepting applications
January: If you meet the requirements, you will receive an invitation to complete Pre-Recorded Video Interview
January-February: 2nd round interviews & offers extended
As an intern at Blue Shield of California, you will:
Participate in impactful projects during a 10-week internship program
Undertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and more
Be invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more
Your Work
In this role, you will:
Assist in developing and maintaining analytics to support strategic planning and performance measurements
Provide data-driven insights for the Quality Review team, including audit trends and compliance metrics
Support Workforce Management by analyzing staffing models, productivity, and resource allocation
Help create dashboards and reports for leadership to communicate performance outcomes
Translate complex data into clear, actionable insights for business stakeholders
Contribute to process improvement initiatives that enhance efficiency and accuracy in both areas
Use appropriate tools and analytical methods to query, evaluate, and interpret data
$25-30 hourly Auto-Apply 9d ago
(ResolveGrid) Founding Senior Full Stack Software Engineer (AI-First SaaS Platform)
Career 4.5
Irvine, CA job
Job DescriptionCompany OverviewResolveGrid is a recently funded startup building a next-generation SaaS platform focused on solving complex, real-world problems using modern software and AI. We are assembling a small, highly talented AI-first engineering team where engineers have meaningful ownership and influence from day one.
Role OverviewWe are seeking a Founding Senior Full Stack Software Engineer with 10+ years of professional experience to help design, build, and scale ResolveGrid's core SaaS platform. This is a hands-on role for someone who thrives in early-stage environments, takes end-to-end ownership, and actively uses AI as a core part of their development workflow. You will work across the entire stack-backend, frontend, and AI-powered capabilities-while helping define the technical direction and engineering culture of the company.
Candidates must be based in Orange County, CA or willing to relocate and commute regularly to Irvine.Responsibilities
Act as a founding engineer, shaping architecture, engineering standards, and best practices.
Design, build, and maintain end-to-end features across the ResolveGrid SaaS platform.
Develop and operate backend services using Node.js with TypeScript/JavaScript.
Build and evolve frontend application flows using modern JavaScript/TypeScript frameworks.
Write and maintain Python services and supporting tools.
Design and implement AI-powered features, including: Chat agents and autonomous agents, Context management and memory strategies, Prompt engineering, evaluation, and iteration, and Agent workflows and orchestration.
Use AI coding agents (e.g., Cursor, Windsurf, Claude) as a first-class part of daily development.
Make architectural decisions with scalability, reliability, and maintainability in mind.
Collaborate closely with product and leadership on roadmap and execution.
Debug production issues and continuously improve system performance and reliability.
Mentor and help grow the engineering team over time.
Required Qualifications
7+ years of professional software engineering experience.
Strong expertise in TypeScript/JavaScript and Node.js.
Proven experience building and operating SaaS platforms.
Solid production experience with Python.
Hands-on experience building AI-driven systems, including LLM-based chat or agent workflows.
Practical knowledge of prompt engineering, context/window management, and agent design patterns.
Demonstrated experience using AI coding agents (e.g., Cursor, Windsurf, Claude).
Experience deploying and operating systems on AWS, GCP, or Azure.
Strong understanding of system design, APIs, and distributed systems.
Comfortable operating with ambiguity and high ownership in an early-stage startup.
Ability to work regularly from Irvine, CA (Orange County).
Nice to Have
Experience scaling early-stage or recently funded products.
Familiarity with vector databases, embeddings, and RAG architectures.
Experience with security, authentication, and multi-tenant SaaS systems.
Prior founding or early startup experience.
Why Join ResolveGrid
Be a founding engineer with real ownership and influence.
Join an AI-first, high-caliber engineering team that treats AI as a force multiplier.
Build production-grade AI systems with real customer impact.
Competitive compensation including meaningful equity.
Opportunity to grow into technical leadership as the company scales.
#LI-DNI
#LI-Remote
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$120k-158k yearly est. 1d ago
Verona Barista
Career Center 4.5
Placerville, CA job
A Barista, or Coffee Bar Attendant, is responsible for preparing and serving coffee and other beverages to customers in a coffee house or cafe. Their duties include working with other Baristas to help take orders, make drinks and provide timely service to customers.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Preparing and serving hot and cold drinks such as coffee, tea, artisan and specialty beverages.
Cleaning and sanitizing work areas, utensils and equipment
Cleaning service and seating areas
Describing menu items and suggesting products to customers
Servicing customers and taking orders
Ordering, receiving and distributing stock supplies
Receiving and processing customer payments
QUALIFICATIONS REQUIRMENTS:
High school or GED preferred.
Strong interpersonal and communication skills required.
$26k-33k yearly est. 60d+ ago
Pharmacy Technician, Intermediate
BSC Group 4.4
BSC Group job in Rancho Cordova, CA
Your Role
The Drug Utilization Review & Prior Auth team processes and reviews prior authorization requests from the MD's office. The Pharmacy Technician, Intermediate will report to the Supervisor, Pharmacy Services Operations. In this role, you will work independently to review medication cases while adhering to insurance company guidelines and regulations. Responding to and resolving prior authorization inquiries through real-time communication channels and ensuring seamless communication within the team.
Your Knowledge and Experience
Requires a California Certified Pharmacy Technician license
Requires 2 years of pharmacy related experience and training, or equivalent combination of education and experience
Requires basic job knowledge of systems and procedures obtained through prior work experience or education
Experience with navigating through multiple programs is preferred
Knowledge of brand and generic drugs
Familiarity with major ICD 10 codes is preferred
Your Work
In this role, you will:
Coordinate, assist in and support implementation of procedures and guidelines for the prior drug authorization program for the outpatient Pharmacy Benefit
Evaluate prior authorization requests based on medication policy and operational principles
Provide drug usage history and other pertinent pharmacy benefit related inquiries to internal business partners to assist in case specific reviews and drug evaluations
Participate in, evaluate, and maintain efficient workflow procedures
Make outbound calls to MD's office for additional information and reach out to Pharmacy to resolve claim issues
$36k-46k yearly est. Auto-Apply 31d ago
2026 Summer Law Internship
BSC Group 4.4
BSC Group job in Oakland, CA
Your Role
The Law Department Intern will work with the attorneys in the Law (Corporate Law, Litigation, Health Law, Privacy, and Compliance) and Government Affairs teams to support clients across the Company.
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 Knowledge and Experience
Must be a current 1st or 2nd year Law School Student
Must reside in the state of California
Requires strong research, analytical, writing skills and strong interpersonal and communication skills
Requires at least 1 year of related professional experience, project, or coursework
Requires strong communication skills, particularly writing for publication
Experience analyzing and presenting sets of data and reports preferred
Interest in health care preferred
Proactive, solution focused mindset with demonstrated creative, problem-solving skills
Pay:
$25.00 per hour for Undergraduate
$30.00 per hour for Graduate
About Our Internships
Our paid internship program is thoughtfully curated to provide students experience and exposure to the health professional industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationship and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program, check out this video.
Our Summer 2026 Internship is June 8th or June 15th through August 14th, 2026.
Application Process and Timeline:
Now: Actively accepting applications
November: If you meet the requirements, you will receive an invitation to complete Pre-Recorded Video Interview
November - January: 2nd round interviews & offers extended
As an intern at Blue Shield of California, you will:
Participate in impactful projects during a 10-week internship program
Undertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and more
Be invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more
Your Work
In this role, you will:
Review and draft pleadings, contracts, board minutes, and legal memos
Attend client meetings
Conduct legal and policy research
Perform other special assignments
$25-30 hourly Auto-Apply 60d+ ago
Clinical Coding Analyst, Experienced
BSC Group 4.4
BSC Group job in Los Angeles, CA
Your Role
As a Clinical Coding Analyst-Experienced, specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions.
Your Knowledge and Experience
Requires a minimum of an AA degree; Bachelors' degree preferred
AHIMA Certified CCS
Preferred certification as CSS-P
Possess deep technical abilities
Work history in one of more of the following: 2 to 3 years of Provider billing experience in a lead, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit capacity or; 1 to 2 years in a compliance or audit function within a health care system
Requires broad theoretical job knowledge typically obtained through advanced education
Intermittent proficiency in Microsoft Excel, Word and Powerpoint
Your Work
In this role, you will:
Provide expert input to quarterly and annual industry standard code maintenance for multiple systems
Research and prepare benefit files using industry standard codes that meet the intent of member benefit language and/or contracts, and regulatory mandates set forth by the state or federal agencies
Develop payment policies based on industry or content expert-supported research
Provide problem management recommendations on correct application of payment and benefits based on industry and internal research
Conduct research and provide recommendations on industry standard editing for appropriate application in the current system in accordance with Blue Shield of CA payment policies and regulatory guidelines
Collaborate with cross-functional departments to implement code governance framework
$79k-101k yearly est. Auto-Apply 1d ago
Clinical Quality Auditor, Consultant (RN)
BSC Group 4.4
BSC Group job in Long Beach, CA
Your Role
The Quality Review team completes audits of front-line staff to ensure alignment with department processes and regulatory compliance. Clinical Quality Auditors also provide coaching and work closely with business leaders to drive optimal results. The Clinical Quality Auditor, Consultant will report to the Quality Review Senior Manager. In this role you will develop performance metrics, evaluate performance, and provide coaching to ensure that staff have the skills and knowledge required to be successful in Population Health Management and Utilization Management.
Your Knowledge and Experience
Requires a Bachelor's of Science in Nursing or advanced degree preferred
Current California RN license required
At least 7 years of experience in managed care or similar complex healthcare environment with a minimum of 1 year experience in Case Management required
Auditing experience preferred
Population Health Management and Utilization Management experience preferred
Strong organizational and/or project management skills to coordinate departmental projects and to perform multiple projects or tasks simultaneously
Subject matter expert with capability to effectively audit and train all lines of business (Commercial, Federal Employee Program, Medicare, and Medi-Cal)
Your Work
In this role, you will:
Perform audits for Population Health Management (PHM) and Care Coordination adhering to monthly productivity and quality metrics.
Review audit data to identify care gaps, compliance risks, and trends.
Communicate findings to leadership and provide recommendations to mitigate risks.
Design, implement, evaluate and improve audit criteria and coaching strategies to meet the needs of PHM clinical staff.
Provide developmental coaching and support to all staff to improve the skills and competencies required to successfully perform work.
Conduct effective presentations relating to PHM processes and/or regulatory compliance for clinical staff.
May independently represent the Quality Review department in PHM and work re-design, process changes and software implementation.
Act as a resource for the training and auditing team
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BSC Group may also be known as or be related to BSC Companies, Inc., Bsc Group and BSC Group.