This is more than just a daycare job. It’s a journey, where you learn, grow, thrive—and play—every day. Being a teacher at a child care center is something special. We’re hiring and we want difference makers
Customer Care Team Member The Customer Care team is responsible to service our members to experience the upmost of care and compassion by conveying empathy and resolving all issues and helping them get back to enjoying
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
Behavioral Health Business Analyst, Principal The Behavioral Health Services (BHS) team is responsible for developing and executing a best-in-class behavioral health insurance product for Blue Shield. The Behavioral Health Business Analyst, Principal will report to the
Behavioral Health Therapy Clinical Services Coordinator The Behavioral Health Utilization Management team provides utilization management and support for members seeking behavioral health treatment. The BHT Clinical Services Coordinator will report to the Supervisor of Behavioral Health
Job Title QC Configuration Analyst Associate Job Description Your Role The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst Associate will
Marketing Communications Specialist, Consultant The Pharmacy Market Experience team is responsible for the development, management and oversight of Blue Shields pharmacy-related member marketing and operational communications materials and digital experience. In this role you will be
Job Description The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Principal will serve
Internal Auditor Consultant 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,
Job Description The Internal Audit Services team performs internal audits and advisory services to provide assurance on specific internal control objectives and emerging risk areas. The Internal Audit Principal will report to the Internal Audit Senior
Job Description The Corporate Financial Accounting and Reporting team is responsible for the accurate recording, analysis, and reporting of financial information for Blue Shield of California. The Accountant Consultant will report to the Accounting Manager and
Care Management Manager The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) Medi-Cal Care Management line of business. The Manager, Care
Job Description The Medi-Cal Actuarial and Finance Analytics team is responsible for rate development, financial oversight, regulatory compliance, and strategic financial analysis. The Program Manager, Principal will report to the Senior Director of Medicare and Medi-Cal
AI Internal Audit Consultant The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Consultant
Manager, Behavioral Health Utilization Management The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business.
Provider Dispute Resolution Operations Manager The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing(NSB) process. The team also partners
Product Line Manager, Consultant The Vendor Management and Special Projects team supports multiple vendors and programs including both operational and strategic oversight. In this role you will manage oversight and contract compliance with third-party entities while
Product Strategist, Consultant The Product Strategy team drives product strategy development and execution for the Small Business market. The role reports to the Senior Manager, Product Strategy. The Product Strategist, Consultant supports the assigned lines of
Behavior Interventionist Empowerment Specialist You may have come here curious about a job but if you stay, youll see its so much more than that. At 360 Behavioral Health, we give you the opportunity to unite
Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance