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
Senior LVN, Care Manager The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior LVN,
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
Case Management Nurse, Senior The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case
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
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
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
Project Manager The Nexus Platform team is looking for a Project Manager to provide oversight and planning for various size initiatives that require development and delivery from the Platform. The Project Manager, Consultant will report to
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
Job Description 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 Senior
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
Business Analyst, Consultant The Clinical Coding team seeks an experienced Business Analyst, Consultant with strong analytical, business, and technical expertise to support complex, cross functional initiatives. This role is responsible for analyzing data, defining business requirements,
Program Manager, Consultant The Program Manager, Consultant 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,
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
Director Of Strategic Planning And Performance The Director of Strategic Planning and Performance leads the development, evolution, and alignment of the enterprise strategy. This role ensures strategic coherence across all business lines while accounting for market-specific