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 Health
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 with
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 of Care
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 Management will
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 will report
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 having individual
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 of
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
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 Shield of
Tax Accountant, Senior We are currently seeking a Tax Accountant, Senior. This position will report to the Tax Director and will be responsible for assisting in the preparation of financial statement quarterly tax provision, tax projections,
Senior Internal IT Auditor The Senior Internal IT Auditor leads and executes audit engagements, serving as a subject matter resource and ensuring high-quality audit delivery across technology and cybersecurity domains. Responsibilities In this role, you will:
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,
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
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 business,
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 serve
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
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 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