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 Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and care management

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

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

Create communications through the eyes of healthcare provider organizations and practitioners developing positive and informative experiences and meaningful touch points Develop strategic, comprehensive communication plans that incorporate a full spectrum of tools and tactics (letters, digital content, etc.) Present and project manage implementation of comprehensive commu

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 Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will provide analy

Your Role The Operations Portfolio team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from claims processing to benefit enrollment. IT Product Manager, Consultant will report to the Senior Manager, Applications Services Lead in the Operations Portfolio. In this r

Your Role The Medical Director provides clinical leadership within the Office of the CMO for Blue Shield Promise Health Plan, which includes management of the physician processes in support of utilization management and transactional functions. These functions include performance of preservice, concurrent, retrospective utilization review, Appeals and Grievances, and retr

Your Role This position is located in our Panorama City Community Resource Center Location & require employee to work 5 days per week in the Panorama City Community Resource Center The Community Programs team provides high touch engagement with members and community based organizations to remove barriers to healthcare access, enhance population health initiatives and adva

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