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...

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...

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...

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...

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...

Financial Analyst, Consultant
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financi...

Financial Analyst, Experienced
Oakland, CA; Long Beach, CA
Your Role The Managed Care Finance team administers the financial terms and conditions of our capitated contracts with IPA/Medical Groups, Hospitals, and Vendors. The Financial Analyst,...

Clinical Services Coordinator, Intermediate (Bilingual)
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, 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...

Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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...

Actuarial Analyst, Associate
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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....

Clinical Services Coordinator, Advanced (Bilingual)
Long Beach, CA; Oakland, CA; Lodi, CA; Los Angeles, CA; San Diego, CA; Woodland Hills, CA
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 electronica...

Corporate Citizenship, Principal- Sustainability
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (in...

Clinical Quality Analytics, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care...

Systems Analyst, Consultant
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; San Diego, CA
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...