Jobs at Shield AI

Location: Baton Rouge, LA

Posted Nov 22, 2023

The ability to comprehend, document, calculate, visualize, and analyze are required. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Contact other plans, consultants, and local providers to assist in program specifications. Proactively monitors health care and health industry developments, including CMS/Medicare eligibility, EGWP and methodology changes. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Researches, designs, implements, and maintains complex hospital or professional provider reimbursement programs for traditional and managed care programs and Medicare Advantage. Identifies claims and provider reimbursement related system problems, including claims coding and processing issues, coordinates research, audit, and recommendations with Provider Audit, and implements and monitors system changes to resolve any problems. Provides statistical reports to Network Administration, Medical Management, Marketing and Medicare Advantage to support internal strategies and external customer needs, such as contract negotiations and marketing efforts. Due to the high volume of applications we receive, only those most qualified will be contacted.

Account Executive

Company: Coactive AI

Location: South Bay

Posted Nov 22, 2023

We are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We build products, but we develop people. An opinion. The salary, other compensation, and benefits information is accurate as of the date of this posting. Please contact us to request accommodation. *Actual pay is dependent on an individual candidate’s professional background, experience, skills and qualifications, as well as market demand and business demands. Comfort with ambiguous environments. At Coactive, cash salary is only one part of our total compensation package. Other benefits for this position include, but are not limited to: Market leading equity grants 100% medical, dental, & vision coverage for you Medical, dental, & vision partially covered for your dependents Unlimited PTO A workspace allowance Social events ranging from book clubs, happy hours, and hiking to board game nights and games of Mario Kart Further, you can expect a supportive work environment from us. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Operations Specialist, Principal

Location: Sacramento, CA

Posted Nov 22, 2023

In this role you will be the subject matter expert on quality related operational workflows, databases, systems and applications, procedures, tools and documentation. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes Courageous. You will work to enhance the department's operating efficiency, attention to detail/quality, and technical skill levels of staff. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen. The Principal Operations Specialist will report to the Quality Governance Senior Manager, Program and Project Management. Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. You will create/present executive level reports and conduct root cause analyses, as well as make recommendations for addressing identified issues. Your Work In this role, you will: Act as a lead subject matter expert to review operational workflows of high complexity for multiple departments, identifying problems and developing improvements, modifications, and enhancements Create tools and materials that enhance operating efficiency, accuracy, and technical skill levels of unit staff Provide leadership in tracking and communicating workflow and system changes to appropriate sources Develop and generate reports for management review Participate as a Subject Matter Expert (SME) in the development of written guidelines Monitors and reports operational timeliness of Potential Quality Issues (PQIs) and other quality related regulatory turnaround times (for in-house and/or external specifications and standards) Reviews cross departmental systems and applications and recommends edits/changes to ensure streamlined processes Revises policies and procedures to ensure compliance with new / updated regulatory changes Develops and leads training opportunities for staff related to above requirements Responsible for timely escalation of issues and subsequent coordination of Corrective Action Plans (CAPs) Qualifications:Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 10 years of prior relevant experience Excellent presentation/design, speaking, analytic and problem-solving skills Requires deep knowledge of quality related activities for healthcare environment - typically obtained through advanced education combined with experience Must have broad knowledge/experience in project management and be comfortable managing large multi-departmental projects with limited oversight Must be a team player, must build relationships with business partners internal and external to department, and be persuasive/influencing in order to achieve aims Our Values Honest. Your Role The Quality Governance team ensures Blue Shield's ongoing compliance with regulatory requirements for the Clinical Quality Department, through oversight quality committees, collection of documentation that shows monitoring and tracking of key metrics and their related functions and ensuring that new requirements are rolled out and tracked. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego.

Senior Manager, Social Services Management

Location: San Diego, CA

Posted Nov 22, 2023

Courageous . Human. The Senior Manager, Social Services will report to the Director, Social Programs and Services . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes. In this role you will be providing leadership, direction, and oversight of social programs and social services. 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. At Blue Shield, we operate from a model that is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. Your Work In this role, you will: Provides leadership to ensure best utilization of resources in achieving the organization's goals, maintaining compliance with regulatory and corporate policies, and ensuring the needs of the individuals served by the department's staff are met Provides direct supervision, guidance and support to department managers Identifies and negotiates contractual relationships and partnerships with organizations/providers/agencies focused on providing services and programs to increase the quality of life and health of all members, with a specific focus on seniors and persons with disabilities (SPDs) and dual eligible beneficiaries Works with Healthcare Informatics and Quality to explore new technologies to deliver innovative, user-friendly, integrative interface design solutions across multiple platforms to integrate social programs into the medical model to accomplish business objectives Develops and maintains collaborative relationships with policymakers, community organizations, government agencies, researchers, and other stakeholders to support projects, and initiative development and implementation Contributes to, supports, and leads the conceptualization, design, planning, implementation, and development of innovative programs and projects focused on integrating social programs into the medical model of care Oversees accurate data collection and reporting to meet regulatory requirements and measure the department's performance Serves as resource for social programs, social needs care, and social services Recognizes and analyzes the implication of new business needs and develops actionable solutions to maintain effective service delivery to members Mentors, guides and coaches direct reports in order to expand their capabilities and build management depth in the organization Supports the Social Services manager with organizing the department workload and establishing work standards to promote efficiency and productivity. Qualifications: Your Knowledge and Experience Requires a master's degree in Social Work or equivalent field Requires a current LCSW, LMFT, or LPCC Licensure Requires at least 10 years of prior relevant experience including 4 years of management experience Knowledge of Medi-Cal and Medicare benefits and applicable resources Knowledge of a wide range of psychosocial challenges, social determinants, and social needs that adversely impact positive health outcomes and quality of life Knowledge of health disparities in diverse communities Excellent analytical, time management and organizational skills Excellent written and verbal communication skills Our Values Honest. Working in close partnership with the Director, Social Programs and Services, this role will ensure all elements of the department's operations are in compliance with health plan and regulatory requirements.

Lead Cloud Infrastructure Engineer

Location: Baton Rouge, LA

Posted Nov 22, 2023

The ability to comprehend, document, calculate, visualize, and analyze are required. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. Cloud computing, business systems implementation and change management, database administration, data management, application design or development, networks, client servers, infrastructure security, business and/or operational support systems, telecommunications, computer operations and/or data center. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Skills and Abilities Requires knowledge of advanced technology, business applications, and the development process and systems design in such areas as multi-processing and multi-programming, terminal-oriented and communication-based systems, languages, etc Must have experience in a minimum of three of the following technical competencies: Active Directory (AD), Office365, Microsoft Azure, Workflow Automation, Platform as a Service (PaaS), Infrastructure as a Service (IaaS), Containers as a Service (CaaS), AWS, Direct Connect, Express Route, Networking, PowerShell Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Provide leadership for cloud infrastructure by integrating various technologies such as, information security, servers, cloud and premise networking, on-premise infrastructure, IaaS, PaaS, CaaS etc Manage and monitor all installed cloud systems and infrastructure Design the installation, configuration, and maintenance of cloud based operating systems, storage systems, backup systems, application software and system management tools Monitor and test system and application performance for potential bottlenecks, identify possible solutions Review and analyze current systems and processes to determine technical requirements for migration to the clou. Due to the high volume of applications we receive, only those most qualified will be contacted. Develop detailed systems documentation including functional specifications, design requirements, templates, layout, navigation, diagrams, maps, etc Provide high-level analysis and design reviews to solve technical problems and enhance current capabilities Work with vendors to integrate their technologies within organization's structure Evaluate new technologies and recommend extension, expansion, and update of technology standards, practices, and methodologies Ensure design, structure, and content meet performance guidelines May assist with creating test plans and performing tests and analysis Train employees and evaluate the effectiveness of implemented technologies Oversee the primary activities of individual contributors to ensure completion of tasks and attainment of departmental goals Evaluate and assess new projects based upon size, complexity, and time frame Participate in identification of available resources for projects and assign resources to meet those needs Serve as escalation point for issues beyond project team authority; resolve conflicts involving scheduling, resources, or technical issues May participate in budgeting of department's personnel, capital, and/or operations expenses Business Acumen: Has some ability to understand business requirements, pain points, and goals. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [email protected] for assistance.In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors.

Principal Software Engineer (React)

Company: Rewind AI

Location: Remote

Posted Nov 22, 2023

What will help you be successful 👏 Technical Proficiency: Strong skills in frontend technologies, particularly Typescript, React, Next.js, Tailwind, and a good base understanding of CSS, HTML, and JavaScript. Resourcefulness and Ownership: The ability to take initiative, solve complex problems, and take full ownership of your work. Performance and Scalability: Optimize web applications for maximum speed, scalability, and maintainability, ensuring a responsive and efficient user experience. Effective Communication: Strong communication skills to effectively collaborate with team members, share knowledge, and contribute to a positive development environment. Past retreats include Seattle, Breckenridge, Calistoga & Mexico. Cross-functional Collaboration: Work closely with designers to translate designs and wireframes into high-quality code, contribute to product strategy discussions, and work closely with other developers. Why we need you ✨ User Experience Champion: Utilize your expertise in React to elevate our codebase, ensuring robustness, efficiency, and scalability as we grow. Collaboration: Work seamlessly with frontend and backend engineers, playing a crucial role in implementing consistent and high-quality solutions. Attention to Detail: A keen eye for design aesthetics and user experience, ensuring that the final product is not only functional but also visually appealing. Product Innovation: Contribute to the development of innovative features and improvements, helping to shape the future of our product.

IT Support Engineer

Location: Baton Rouge, LA

Posted Nov 22, 2023

The ability to comprehend, document, calculate, visualize, and analyze are required. MCP, A+, etc.). As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Plans, researches, designs, analyzes, estimates, determines options, recommends, installs, tests, schedules, implements, administers, documents, monitors, tunes performance and maintains system applications, auxiliary and standalone technical architecture as related to assigned areas of specialty to ensure the integrity, security, availability, reliability and performance of corporate computerized systems to meet client needs and expectations Ensures the proper installation, labeling documentation and tracking of computerized systems Evaluates and recommends new system products in order to ensure that the IT Department acquires the most efficient, cost effective, and appropriate technology Gathers information by meeting with clients to gather requirements on assigned problems and consults with others in department, as needed Provides technical advice for assigned clients to meet client needs and expectations Develop, manages and builds positive relationships/partnership with clients, vendors, peers/other teams to ensure timely assistance and quality technical support to meet needs of clients and provide positive results with optimal impact to the organization Understands IT Departmental Goals and Objectives and delivers work products to contribute to those goals Additional Accountabilities and Essential FunctionsThe Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Due to the high volume of applications we receive, only those most qualified will be contacted. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [email protected] for assistance.In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. LI_DB1An Equal Opportunity EmployerAll BCBSLA EMPLOYEES please apply through Workday Careers.PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)Additional InformationPlease be sure to monitor your email frequently for communications you may receive during the recruiting process.

Social Services Representative, Advanced

Location: San Diego, CA

Posted Nov 22, 2023

Courageous. Human. Adult Protective Services, Child Protective Services, etc. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes. Prepares logs and reports as needed for meetings and audits Any other assigned duties Qualifications:Your Knowledge and Experience Requires a High School diploma or equivalent Bachelor's degree preferred Requires at least 5 or more years of prior relevant experience Requires at least 2 years of prior relevant experience with a Medi-Cal Managed Health Plan Medi-Cal (Medicaid)/Medicare Experience Required experience with managing electronic health records and documenting in clinical case management systems Required excellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, participating provider groups, and community-based organizations Required effective time management skills and ability to define and act on priorities efficiently Desired knowledge of governmental and private organizations, resources in the community, laws, regulations, and policies Experience working with or for a managed health care plan Our Values Honest. Coordinates services with State and community programs on behalf of the member, particularly when the member is unable to effectively do so independently. Your Role The Social Services Coordinator provides telephonic social services support and resource referrals to Blue Shield Promise members, in addition to administrative support to the social service team and Manager/Supervisor. Your Work In this role, you will: Be responsible for establishing trusting relationships with members while providing person-centered support and services Conduct telephonic social determinants of health needs assessment with moderate acuity members to address social barriers and care gaps Provide members and/or family members with care coordination, referrals and linkage to Health Plan resources and community agencies Document assessments, referrals and case notes in the electronic case management and tracking systems within the established department guidelines File and make necessary follow-up on mandated reporting, e.g. Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. The Social Services Coordinator is regularly reaching out to members and/or family members with the goal of assessing for social service needs, and coordinating support aimed towards improving member quality of care.

Manager, QA Automation and Partnerships (Remote)

Location: Baton Rouge, LA

Posted Nov 22, 2023

The ability to comprehend, document, calculate, visualize, and analyze are required. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Must have demonstrated capacity to successfully lead and direct a group of automation engineers, analysts, and/or programmers. Experience with writing automation requirements, design specs, test plans, implementation plans, and other similar artifacts. DECISION MAKING:Must have demonstrated ability working independently to help shape policy and to make complex data processing decisions involving new applications, systems studies, software purchase requirements analysis, business evaluations, cost effectiveness innovations, installation decisions, and business planning for systems that use advanced state-of-the-art technology.Must have demonstrated ability making decisions that require significant use of extensive technical, functional, leadership, and managerial skills to maximize benefits, while minimizing impacts on all external/internal information systems and headquarters/field personnel.ANALYTICAL & CREATIVE:Must have experience identifying, defining, quantifying and solving significant highly complex, technical and management issues on a regular basisMust have experience correlating requirements and information from multiple sources, anticipating both current and future processing and management information needs, analyzing their potential impacts, and creating new technical solutions for these needs. Implement test environment, test automation, and data management processes as a shared service Establish an environment , test automation, and test data request/scheduling service Identify and present key performance indicators Contribute toward the development of a data masking strategy Identify and lead the implementation of process improvement initiatives Work with the Director to establish offshore strategy Lead the planning, design, and generation of test data Collect/Lead test environment and test data requirements for project/initiatives Work with architects and technical leads to create, update, and review architecture designs Provides team leadership, technical/soft skill mentoring and knowledge transfer for large groups of professionals to meet client needs and expectations. High degree of competency with IT methodologies such as project management, software development lifecycle, and organizational development best practices. Due to the high volume of applications we receive, only those most qualified will be contacted.

Product Engineer

Company: Nightfall AI

Location: San Francisco, CA

Posted Nov 22, 2023

In doing so, we prevent data leakage, provide unprecedented data visibility & protection across the cloud, and enable compliance. We’re a technology startup founded in San Francisco, well-funded by leading institutional investors like Bain and Venrock, and a cadre of security & IT leaders from Okta, Salesforce, Atlassian, Splunk, FireEye, and more. Via machine learning, our product makes it easy for organizations to discover, classify, and protect this sensitive data across their cloud footprint - such as their corporate SaaS, data infrastructure, and even their own apps. Critical data in modern organizations is often sprayed across a broad set of cloud data silos, and it’s a herculean task for security & compliance teams to monitor, manage, and protect this highly sensitive data. Python, Go, Java, C++) and the eagerness to learn more. Experience with large-scale distributed storage and database systems (SQL or NoSQL, e.g. MySQL, Cassandra) Ability to decompose complex business problems and lead a team in solving them Data Processing - experience with building and maintaining large scale and/or real-time complex data processing pipelines using Kafka, Hadoop, Hive, Storm, or Zookeeper 3+ years of experience Tools We UseGo Node.js React Python Cassandra Redis Terraform Docker Kubernetes AWS Kafka Envoy About Nightfall: Nightfall is a cybersecurity startup dedicated to helping organizations secure and manage their sensitive data. As a leading enterprise technology company, our product affects the personal data that people entrust businesses to store & process with care every day. Experience with developing complex software systems scaling to substantial data volumes or millions of users with production quality deployment, monitoring and reliability. Learn more on our website www.nightfall.ai or by reaching out via email at [email protected].

Project Manager

Company: Atomic AI

Location: Peninsula

Posted Nov 22, 2023

Base salary is just one component of Atomic AI’s competitive total rewards strategy.Salary Range: $130,000/year to $150,000/year + equity + benefits Atomic AI is committed to equal employment opportunity regardless of race, color, ancestry, national origin, religion, sex, age, sexual orientation, gender identity and expression, marital status, disability, or veteran status. Knowledge of quality systems, including GMP, GLP etc.. Your level and salary will be based on your skills, knowledge and experience. Measure project performance using appropriate systems, tools and techniques. About you The ideal candidate would have extensive project management experience in a biotech/pharma setting, knowledge of drug discovery and development, working with CRO partners, and ability to work at the intersection of novel technology platform and drug discovery. 3+ years project management and problem-solving experience, preferably in a biotech setting 3+ years relevant experience in the healthcare/pharmaceutical/biotech industry, with experience in drug discovery and early clinical development Excellent stakeholder management and organizational skills, attention to detail and ability to multitask is essential. Strong working knowledge of project management software Pluses Bachelor's Degree in biological sciences and project management certification Experience leading cross-functional product development teams. Excellent client-facing and internal written and verbal communication skills. Define the resource requirement - people (internal vs external), time, budget, equipment and any additional resources required for the project. Primary Responsibilities: Working with the leadership team to define project scope, objectives, feasibility, budget and timelines with focus on deliverables.

Manager, Software Configuration

Location: Sacramento, CA

Posted Nov 22, 2023

We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes Courageous . 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. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen. Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Your Role The Provider Operations team is responsible for procurement, processing and enablement of consumption of provider and practitioner add, change or terminate requests data demographics and attributes. Your Work In this role, you will: Direct the activities of a software quality assurance function Develop quality standards for company products and oversee the development and execution of software test plans and analysis of test results Provide guidance in the preparation of technical appraisals of programming languages and systems, computational software, and related technology Provide day-to-day management of a team of Software Configuration Management Engineers Work with other Software Configuration Management managers to implement SCM strategies across the organization Manage Demographics update inventory according to timeliness and quality standards for both manual and automated processing Manage high volume of Provider Information & enrollment staff Maintain and develop ongoing operational controls to ensure compliance Qualifications: Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisor or project/program manager Requires experience in operational inventory management & control for large high volume operational team Requires strong issues & conflict resolution skills working across multiple functional areas to achieve common goal Requires strong industry knowledge of Health Plan operations and provider data utilization Requires strong skills is change & performance management Requires strong root cause diagnostic & process remediation skills Our Values Honest. In this role you will be accountable to manage the inventory end to end against regulatory and contractual timeliness and quality metrics inventory management techniques, protocols and operational controls. We hold ourselves to the highest ethical and integrity standards. Using a combination of automated capabilities and manual procedures, the Department supports all provider types and all Lines of Business organization wide.