Blue Shield of CA

 
Displaying 1 - 15 of 102 Jobs.
 
Supervisor, Operations
Rancho Cordova, CA; El Dorado Hills, CA; Lodi, CA
Your Role The Installation and Billing team is responsible for reviewing applications and processing member enrollments, changes, and terminations for individual or family plan coverage....

Scrum Master, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role This role resides within the IT Applications' Transformation, Operations & Customer Experience team. The candidate will report to the IT Director, Solution & Delivery Lead in t...

IT Data Analyst, Consultant
Oakland, CA; El Dorado Hills, CA
Your Role The Data & Analytics team is responsible for performing detailed data analysis, source to target designs, data profiling, and metadata management in support of new development/...

Data Modeler, Consultant
Oakland, CA; El Dorado Hills, CA
Your Role The Data and Analytics (D&A) organization focuses enterprise wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data...

Product Owner, Consultant
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Population Health Management team responsible for implementing whole person integrated healthcare by engaging members, reducing disparities and gaps in care, improving qual...

Social Services Representative, Advanced
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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 refer...

Appeals and Grievances Representative, Intermediate
El Dorado Hills, CA; Oakland, CA
Your Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints . The Appeals and Grievances Coordinator will repo...

Risk Adjustment Consulting, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical...

Delegation Operations Nurse Auditor - LVN, Experienced
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Delegation Oversight Utilization Management team is responsible for the organization, tracking and data entry of IPA Utilization Management audits, issues, complaints and m...

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...

Director, Information Security
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; San Diego, CA
Your Role The Information Security team is responsible for providing cyber security services to Blue Shield of California that enable secure product development and operations. The Direc...

Sr. Director, Strategic Planning and Performance
Oakland, CA
Blue Shield of California's mission is to ensure all Californians have access to high quality health care at a sustainably affordable price. We are transforming health care in a way that...

Executive Assistant, Experienced
Oakland, CA
Your Work In this role, you will Carry out administrative, analytical or procedural tasks with high degree of autonomy Handle administrative matters, in the absence of, or on behalf of,...

Appeals and Grievances Representative, Intermediate
El Dorado Hills, CA; Oakland, CA; Rancho Cordova, CA; Redding, CA
Your Role The Appeals and Grievances Pharmacy team researches and resolves member/subscriber grievances, appeals and complaints, and interprets and explains health plan benefits, policie...

Marketing Campaign Specialist, Senior - Member Acquisition
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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...