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
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
Job Title Program Manager, Senior Middle Markets and Small Business Job Description The Strategic Planning and Performance team develops long-term strategies, annual plans, and supports tracking and reporting performance for Middle Markets and Small Business lines
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
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,
Care Management Team Member The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit
Health Plan Correspondence (HPC) Vendor Management Team Product Manager, Senior The Health Plan Correspondence (HPC) Vendor Management team is accountable for all components of vendor management for BSCs strategic/transactional print vendor relationships. The Product Manager, Senior
Senior Director, Pharmacy Prior Authorization and Call Center The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably
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
Senior Manager Of Care Management The Care Management team is looking for a leader with who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. The Senior Manager