Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on...

Business Data Analyst, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Back Office Analytics team supports back office operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider expe...

Case Management - Nurse, Senior (CA Children's Health)
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Children's Health Program (CHP) team provides identification, referrals, and care management for all Medi Cal members under 21 years old and collaborates within Promise Cli...

Actuarial Analyst, Associate
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for hospitals and ambulatory surgery centers....

Clinical Services Coordinator, Intermediate
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Clinical Services Coordinator, Advanced (Bilingual)
Long Beach, CA; Oakland, CA; Lodi, CA; Los Angeles, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Clinical Quality Coordinator, Entry
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the...

Corporate Citizenship, Principal- Sustainability
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (in...

Clinical Quality Analytics, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care...

Systems Analyst, Consultant
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; San Diego, CA
Your Role The IT Business Operations team plays a critical role in enhancing business and IT collaboration through a Portfolio based model. The System Analyst, Consultant will report to...

Case Management - Nurse, Senior
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis...

Correspondence Phone Support, Intermediate
Redding, CA
Blue Shield is embarking on an exciting new collaborative partnership with a fellow health plan. We will play a supporting role in their day to day contact center operations by supportin...

Product Manager, Principal - Member Experience
Oakland, CA; Long Beach, CA; Phoenix, AZ; Denver, CO; Hartford, CT; Miami, FL; Atlanta, GA; Baltimore, MD; Minneapolis, MN; Las Vegas, NV; El Dorado Hills, CA; Huntington Park, CA; Lodi, CA; Palmda...
Your Role TheDigital Member Experienceteamis driving better access to healthcare for our members by reimagining our digital customer experience. The Principal Product Manager will report...

Product Manager, Consultant - Member Experience
Oakland, CA; Long Beach, CA; Phoenix, AZ; Denver, CO; Hartford, CT; Miami, FL; Atlanta, GA; Baltimore, MD; Minneapolis, MN; Las Vegas, NV; El Dorado Hills, CA; Huntington Park, CA; Lodi, CA; Palmda...
Your Role The Digital Member Experience team is reimagining our digital customer experience and leading the transformation of the healthcare industry. The Product Manager, Consultant wil...

Case Management - Nurse, Senior
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role 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 setti...