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Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The People and Engagement (P&E) Enterprise Planning, Principal will report to the Director, P&E Strategy and Planning. In this role you will support the creation, ongoing execution and reporting of P&E's enterprise impacting plans and initiatives, and maintain alignment with our people strategy and P&E annual planning efforts. This will include Blue Shield's hum
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical methods so that they may be su
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield's Law Department and will be a leader in the company. The Law Department partners with the company's business leaders to embrace legal and ethical behavior in the achievement of the company's mission. This team is highly regarded within the company and respected by management. It is comprised of top
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (including greenhouse gas inventory and climate related risk/resilience), and oversees mitigation, adaptation and climate leadership work along Blue Shield's value chain. The Corporate Citize
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
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 reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting, Operations, IT, and other
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
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. The Associate Actuarial Analyst will report to the Senior Manager. In this role you will be applying your analytical toolset to project future unit cost trends and drive the development o
Posted 15 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Centers of Excellence (COE) Systems Analyst team defines and deliver solutions that meet business objectives and will serve as a facilitator between the business and IT in understanding the business needs; leads eliciting, analyzing, validating, and managing requirements, processes, and high level solution designs; is a proactive member of an Agile product t
Posted 16 days ago
Blue Shield of CA
- El Dorado Hills, CA / Long Beach, CA / Oakland, CA / 3 more...
Your Role The Workforce Management team partners with operations to ensure the contact centers are staffed appropriately to meet KPI's while looking for opportunities to gain efficiency. The Workforce Optimization Analyst will report to the Sr. Manager of WFM. In this role you will analyze contact center trends, including call volumes, offline inventory, and call patterns
Posted 17 days ago
Blue Shield of CA
- Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
The Commercial Member Acquisition marketing team is looking for a dynamic marketing professional to join us as the Marketing Campaign Specialist, Senior Member Acquisition. The team are passionate marketers at heart driven to create the most compelling member experience so that Blue Shield is the health plan carrier of choice during open enrollment. The Marketing Campaign
Posted 19 days ago
Blue Shield of CA
- El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 1 more...
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 the Senior Manager, IT Product Management. In this role you will analyze data at a team and portfolio level, in a manner to tell stories to leadership. Your Work In this role, you will For
Posted 23 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 25 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 25 days ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Platform Strategy and Operations Team is focused on optimizing Salesforce solutions and maximizing value across the enterprise. Salesforce is an enterprise platform targeted to help accelerate our transformation program, enable innovation, and help realize our vision for a reimagined healthcare system. Our team works cross functionally to link our key busine
Posted 1 month ago
Blue Shield of CA
- Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 3 more...
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
Posted 1 month ago
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