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
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
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
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,
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
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
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 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 will report to the Sr Manager of Vendor
Principal Internal Controls Advisory Services The Internal Controls Advisory Services (ICAS) team supports Blue Shield of California in strengthening enterprise-wide internal controls, risk management, and governance practices across business and technology functions. The Principal will report
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 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
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