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
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
Job Title Operational Quality Services Specialist, Associate Job Description The Medi-Cal Operations team is responsible for ensuring claims are processed accurately and in a timely manner. In this role you will be responsible for performing audits
Job Description Your Role 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
Internal Audit Principal 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
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
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
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
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,
Director, Corporate Platform - Engineering & AI Enablement The Corporate Platform team delivers scalable, secure enterprise technology across Corporate Services (HR, Finance, and Global Business Services). In this role, you will lead the end-to-end engineering delivery
Digital Personalization Product Manager The Platform Strategy & Operations team, within Blue Shield of Californias Intelligent Automation & AI organization, owns BSCs member intelligence and orchestration layerunifying member data, generating predictive insights, and activating personalized experiences
Senior Manager of Care Management The Care Management team is looking for a leader who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. In this role you
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 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
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,
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