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Blue Shield of CA
- Woodland Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our team. In this role, the candidate will provide comprehensive support and collaborate effectively with stakeholders across various departments. The ideal candidate must posses
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / Phoenix, AZ / 17 more...
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 to the Sr. Manager, Product Management Digital Member Experience. In this role you willleverage your expertise in product management and consumer experiences to help drive member satisfac
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / Phoenix, AZ / 17 more...
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 will report to the Sr. Manager, Product Management Digital Member Experience. In this role you will leverage your expertise in Product Management and consumer experiences to help us define th
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Customer Experience Insights team is responsible for all Operational Key Performance Indicator Reporting and Analysis for the Customer Experience Call Center teams. The Business Analyst, Senior will report to the Senior Manager, Insights Team. In this role you will support the Customer Experience (Member/Broker/Provider) Insights team with their performance
Posted 1 day ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
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 setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Finance Cost of Healthcare team analyzes healthcare cost and utilization patterns and identifies opportunities to reduce cost. The Principal Financial Analyst Healthcare Data will report to the Senior Manager Finance Analytics. In this role you will collect, prepare, analyze, and present healthcare utilization data, identify utilization patterns and trends,
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
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 Sourcing Specialist, Consultant will report to the Senior Manager, Sourcing. In this role you will focus on supporting the Blue Shield of California Pharmacy Services Busines
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
Your Role The Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer groups over 3,000 subscribers and all size Labor and Trust groups. The Premier UW Consultant will report to the Senior Manager of Premier, Northern California. In this role you will be assigned and responsible for a renewal book of at least $100M in annua
Posted 2 days ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
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 Clinical Team. The Case Management, Senior will report to the CHP Manager. In this role you will be Perform clinical review, assessment, evaluation of medical services for the organization us
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
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 Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes. Your Work In t
Posted 2 days ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role Clinical Quality Analytics team is looking for a Clinical Quality Analytics, Senior who has hands on experience on data analysis, research and programming using SAS from various data sources (flat files, relational databases, other SAS datasets etc.) using Base SAS. TheClinical Quality Analytics, Senior will report to the Manager, Clinical Quality Analytics. In
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Cloud Engineering team is a cross functional group responsible for the advancement and support of the Blue Shield multi cloud presence. The Cloud Engineer Principal will report to the Sr. Director Hybrid Cloud Engineering. In this role you will have a broad and deep impact on how Blue Shield achieves its business and technical goals by leveraging cloud techn
Posted 2 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
Your Role This Compensation team provides leadership and guidance in the development and delivery of effective compensation strategies and policies that support BSC's goals and are in alignment with enterprise values, philosophy, and strategic direction. The Sales Compensation Analyst, Consultant will report to the Senior Director, Compensation. In this role, you will foc
Posted 3 days ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / Rancho Cordova, CA / 2 more...
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 Clinical Team. The Clinical Services Coordinator Intermediate will report to the CHP Manager. In this role you will work with clinical staff to support member needs using the established and
Posted 6 days ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / Los Angeles, CA / 3 more...
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
Posted 6 days ago
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