Your Role The Network Performance Analysis and Contracts is part of the Provider Partnerships & Network Management Division and focuses on provider network performance analysis, reporting, and consulting. The Data Analyst Health, Experienced will report to the Manager, Data Analysis. In this role you will provide analytical support through the analysis and interpretation

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities in collaboration with members and those involved with members' care including registered nurse case managers, social workers, dietitians, health coaches, pharmacists, and physicians. The FEP Health Coach will report to the FEP Department Manage

Your Role The Social Services Representative, Advanced will report to the Supervisor, Social Services. In this role you will provide telephonic social services support and resource referrals for high acuity Blue Shield Promise members, in addition to administrative support to the Social Services Management Team. The Social Services Representative regularly reaches out to

Your Role The Provider Education team develops learning resources for contracted providers to help them work more effectively with Blue Shield and promote member satisfaction. The Learning Systems Administrator, Experienced will report to the Sr. Program Manager, Provider Education. In this role, you will manage and execute implementation and delivery of internal and exte

$20,000 Sign on Bonus or $40,000 Student Loan Repayment

Your Role The Data Engineering development team Is responsible for design, development, test and deployment of large enterprise data warehouse/BI data solutions using both on prem and cloud technologies. The Data Engineer, Consultant will report to the Manager, Data Engineering Development. In this role you will be responsible for design, development, and implementation o

Your Role The Innovation Analyst, Principal is responsible for providing thought leadership to business leaders across the enterprise to address ambiguous problems and opportunities through internal strategy and/or innovation consulting engagements. This role will serve as a change agent, leveraging a consistent and disciplined approach to strategy and innovation to desig

Your Role The Information Security team is responsible for governance over the exchange of protected health information (PHI) and sensitive data with external entities. The Information Security Data Exchange Expert, Principal will report to the Senior Manager, Information Security Data Exchange. In this role you will be responsible for the privacy and security frameworks

Your Role The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment, billing and payments process for their groups and members. The Experienced Business Analyst will report to the Manager of Programs and Projects. In this role you will drive the facilitation, management and analysis of incidents related to enrollment, billing, and in

Your Role The Physical Platform Engineer, Consultant will report to the Productivity Engineering Manager. In this role you will manage development, automation, and engineering delivery of the Windows platform end to end, from OS engineering, configuration down to application management and drive to an endpoint modern management vision. Your Work In this role, you will Ope

Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Senior Manager, Procurement Contracting role will report to the Director, Contracting. In this role you will be responsible for the management, prioritization and execution o

Your Role The Information Security team is responsible for governance over the exchange of protected health information (PHI) and sensitive data with external entities. The Information Security Data Exchange Expert, Principal will report to the Senior Manager, Information Security Data Exchange. In this role you will be responsible for the privacy and security frameworks

Your Role The B2B Customer Experience team is responsible for supporting Blue Shield of California Providers through their servicing needs building strong relationships and ensuring ongoing loyalty to the Blue Shield brand. The Sr. Manager, Service Strategy and Operations of B2B Services will report to the Senior Director of Broker, Employer & Provider Services. In this r

Your Role The Medi Cal Program Support (MPS) team ensures sufficient and complete Medi Cal operational documentation by reviewing and supporting development of business process documentation; development of regulatory data and files process documentation; and development of employee trainings. The Business Analyst will report to the Senior Manager of the Business Process

Your Role The Special Investigations Unit team is responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse . The Special Investigations Investigator, Consultant will report to the SIU Manager. In this role you will represent a high level of professionalism both internally and externally. Conduct investigations in accordance w