Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on...

Actuarial Analyst, Associate
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for hospitals and ambulatory surgery centers....

Clinical Services Coordinator, Advanced (Bilingual)
Long Beach, CA; Oakland, CA; Lodi, CA; Los Angeles, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Corporate Citizenship, Principal- Sustainability
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (in...

Clinical Quality Analytics, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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...

Systems Analyst, Consultant
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; San Diego, CA
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...

Case Management - Nurse, Senior
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis...

Correspondence Phone Support, Intermediate
Redding, CA
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 supportin...

Case Management - Nurse, Consultant
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and inde...

Clinical Services Coordinator, Intermediate
Long Beach, CA; Oakland, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Children's Health Program (CHP) team provides identification, referrals, and care management for all Medi Cal members under 21 years old and collaborates within Promise Cli...

Clinical Services Coordinator, Intermediate
Long Beach, CA; Oakland, CA; Los Angeles, CA; Sacramento, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Licensed Clinician, Senior- Board Certified Behavior Analyst (BCBA)
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels...

Strategic Planning & Chief of Staff, Principal - Data & Analytics
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA
Your Role The enterprise wide Data & Analytics (D&A) team is seeking to hire a Strategic Planning & Chief of Staff, Principal. This role reports directly to VP of Data & Analytics and is...

IT Learning Developer, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role Join Blue Shield's dynamic Enterprise Learning organization, which develops learning solutions to ensure employees can perform their jobs effectively to further our mission. As...

Product Owner, Consultant
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Lodi, CA; Rancho Cordova, CA
Your Role The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment and billing and payments process for their groups and members. This role, Produ...