The State Pre-K Lead Teacher is responsible for all aspects of planning, assessing and instructing based on the needs of each child, and the requirements of the program. We want change makers who never stop being
Case Management Nurse, Senior The Childrens Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will
Product Marketing Strategist, Digital Gtm, Principal 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), and Sales
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 Description 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. The Manager, Behavioral
Product Marketing Strategist, Digital GTM, Principal 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), and Sales
Pharmacist Clinical Program Manager, Provider Partnership 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 Blue
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
Email Development Specialist, Senior The Digital and Measurement team is responsible for elevating marketing strategies into omnichannel solutions that deliver measurable business outcomes for the Markets Organization. We strive to move at the speed of retail,
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
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
Pharmacy Market Experience Team 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. The Marketing Communications Specialist, Senior will
Senior Director, Tax Accounting The Senior Director, Tax Accounting leads enterprise tax strategy, compliance, and specialty accounting across the family of companies, ensuring accurate execution, regulatory compliance, and disciplined risk management. This role reports to the
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
Product Implementation Analyst, Senior The Product Lifecycle team focus is on the production of legally binding documents for Group Medicare Advantage. The Product Implementation Analyst, Senior will report to the Director. In this role you will
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
Health Plan Correspondence Product Manager Consultant The Health Plan Correspondence (HPC) Content & Composition team, part of Member Experience Transformation, manages controls, requirements, features, prioritization, and sequencing to enhance Blue Shields transactional communications, including ID cards,
Director, Pharmacy Operations The Pharmacy Operations team provides management and end-to-end oversight of Pharmacy operations, incident management, and driving resolution from identification to resolution within a matrixed environment. The Director, Pharmacy Operations will report to the
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