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Digital Strategic Planning, Delivery & Performance Consultant The Digital Strategic Planning, Delivery & Performance team is responsible for digital planning, project management and delivery for key initiatives, vendor support/partnership, and digital operations. The Strategic Planning &
Marketing Insights & Reporting Analyst, Consultant The Digital & Measurement team is responsible for turning Brand and Marketing strategies into digital-first experiences that deliver measurable business outcomes. The Marketing Insights & Reporting Analyst, Consultant reports to
Utilization Management Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization
Utilization Management Genetic Counselor The Commercial Utilization Management team manages accurate and timely authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Genetic Counselor will report to
Program Manager, Principal The Program Manager, Principal provides leadership and operational support to advance quality performance across clinical programs and contracted provider groups. This role drives the implementation, oversight, and continuous improvement of quality structures, processes,
Project Manager Consultant The Enterprise Mandates Delivery team is responsible for transforming new laws into audit-ready projects with defined ownership, scope, timelines, and funding, and oversees implementation through the full project lifecycle, including transition to operational
Population Health Senior Manager The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our
Product Marketing Strategist, Digital GTM, Principal Your Role The Product Marketing team oversees the Go-to-Market (GTM) strategy and delivery of multiple Blue Shield products enabling Marketing, Product (e.g., Digital Experience, Product Strategy, Healthcare Quality & Affordability),
Product Manager, Consultant - Automation & AI Business Delivery The Product Manager, Consultant - Automation & AI Business Delivery reports to the Transformation Sr. Director. They will lead design and delivery of automation and AI-driven solutions
Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a
Program Manager, Consultant The Behavioral Health Network Management, Healthcare Quality and Affordability (HQA) team is responsible for the development and maintenance of all Behavioral Health provider networks, including vendor relationships necessary to provide our members and
Pharmacist Clinical Program Manager, Provider Partnership Team The Pharmacist Clinical Program Manager, Provider Partnership team supports the development, implementation, coordination, and assessment of pharmacy initiatives with the goal of providing high quality and affordable care to
Job Description The IT Contracting Global Business Services team supports the acquisition of technology products and services across the enterprise including the software and services the IT organization requires in order to support the business of
Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The
Health Plan Strategy Sr. Director The Health Plan Strategy is a new team that will define and drive Blue Shields strategic position in the market. It ensures strategic recommendations translate into actionable plans aligned with our
Sr Manager Application Services The Application Services 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 Sr Manager will report
Marketing Communications Principal The Communication Governance team is responsible for developing and deploying member-facing and B2B communications that are regulated and/or operational. This team also works cross-functionally to ensure all member-facing communications are compliant, on-brand, and
Senior Principal, Strategic Account Manager The Customer Experience organization is responsible for ensuring Stellarus most critical customers achieve measurable, sustained value from the platform and maintain long-term trust and partnership with the company. The Senior Principal,
Product Marketing Strategist, Consultant The Product Marketing team oversees the Go-to-Market (GTM) strategy and delivery of multiple Blue Shield of California products, enabling Marketing, Product (e.g., Product Strategy, Healthcare Quality & Affordability, Digital Experience), and Sales