Senior Director, Associate General Counsel - Health Law Group
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Senior Director, Associate General 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 compan...

Supervisor, Operations
Lodi, CA; Oakland, CA
Your Role The Medicare team is responsible for servicing Medicare members including Med Supp an). Total Duals / D SNP (Dual Special Need Plans. The Supervisor will report to the departme...

AI Program and Product Manager, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The wave of Large Language Models and Generative AI has burst onto the scene, requiring companies to quickly adapt to harnessing the power of these new technologies, while main...

Appeals and Grievances - RN, Senior
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial....

Enrollment Processor, Intermediate
Rancho Cordova, CA; El Dorado Hills, CA; Lodi, CA
Your Role The IFP Install and CEC team supports our consumer line of business by managing the eligibility and reconciliation of our IFP membership for both on and off exchange membership...

Program Manager, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role Pharmacy Readiness and Incident Management (PRIM) is a governance process and team within Pharmacy Services that logs, manages, and communicates the impact and resolution of al...

Director, Corporate Communications
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Communications and Corporate Citizenship team is responsible for the reputation of Blue Shield of California with all audiences internal and external. The Corporate Communi...

Financial Analyst, Consultant
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Services Finance team ensures financial stewardship of the Corporate Services administrative budget and serves as the trusted financial advisor to executive leade...

Program Manager, Senior
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Quality Improvement Team is accountable for quality ratings of the organization and the development and execution of targeted, quality improvement initiatives in support of...

Clinical Services Coordinator, Intermediate
San Diego, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; Woodland Hills, CA
Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers a...

Program Manager, Consultant
Woodland Hills, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA
Your Role The Rapid Quality Improvement team is responsible for the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, ho...

Provider Contracting Specialist, Principal
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Provider Network Management team consists of Provider Relations and Contracting in Northern California. The Provider Contracting Specialist, Principal will report to the Di...

Application Developer, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Application Developer, Consultant falls under the Applications Dev Support & Continuous Integration team. The Application Developer, Consultant will report to the Manager,...

Utilization Management Nurse, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of either a preservice or claim denial. The Commercial Post Service R...

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