Your Role The Community Programs team provides high touch engagement with member and community based organizations to remove barriers to health care access, enhance population health initiatives and advance health equity. The Community Health Advocate Coordinated Entry System (CES) Liaison will report to the Community Programs Manager, Operations. In this role you will be

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

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 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 Core Account Service Team is responsible for the retention of existing membership and the pursuit of new business within the medium to large business segment. The Senior Account Service Representative will report to the Senior Service Manager. In this role you will be responsible for the day to day relationships within your book of business. You will also be

Your Role The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health management (PHM) Medi Cal Care Management line of business. The Manager, Care Management will report to the Senior Manager of Care Management PHM. In this role you will act as the practice and operational leader for the care manager