Your Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Experienced will report to the Sr Manager of Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Northern California for all Blue Shield products. You will be responsible for compre

Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst Senior will report to the Cli

Your Role The IT Business Operations team plays a critical role in enhancing business and IT collaboration through a Portfolio based model. The System Analyst, Consultant will report to the Senior Manager, IT Product Management. In this role you will analyze data at a team and portfolio level, in a manner to tell stories to leadership. Your Work In this role, you will For

Your Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Senior will report to the Director, Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Southern California for all Blue Shield products. You will be responsible for comprehensive m

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M

Your Role The Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our team. In this role, the candidate will provide comprehensive support and collaborate effectively with stakeholders across various departments. The ideal candidate must posses

Blue Shield is embarking on an exciting new collaborative partnership with a fellow health plan. We will play a supporting role in their day to day contact center operations by supporting inbound call inquiries from their members and providing a high quality experience. This newly created team of contact center agents will report directly to the Operations Supervisor supp

Your Role TheDigital Member Experienceteamis driving better access to healthcare for our members by reimagining our digital customer experience. The Principal Product Manager will report to the Sr. Manager, Product Management Digital Member Experience. In this role you willleverage your expertise in product management and consumer experiences to help drive member satisfac

Your Role The Digital Member Experience team is reimagining our digital customer experience and leading the transformation of the healthcare industry. The Product Manager, Consultant will report to the Sr. Manager, Product Management Digital Member Experience. In this role you will leverage your expertise in Product Management and consumer experiences to help us define th

Your Role This position is located in our Lincoln Heights Community Resource Center Location & require employee to work 5 days per week in the Lincoln Heights Community Resource Center The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles

Your Role The Technology Business Management team is focused on optimizing spend for IT services by driving Technology Business Management and FinOps practices and aligning IT costs to services for total cost of ownership. The team provides IT financial data and analysis that empowers leaders to make informed business decisions as Blue Shield of California leverages cloud

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o

Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Principal Sourcing Specialist (Supplier Procurement/Contracting) is responsible for the management and execution of the enterprise sourcing process including supporting the b

Your Role The Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer groups over 3,000 subscribers and all size Labor and Trust groups. The Premier UW Consultant will report to the Senior Manager of Premier, Northern California. In this role you will be assigned and responsible for a renewal book of at least $100M in annua

Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes. Your Work In t