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Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The enterprise wide Data & Analytics (D&A) team is seeking to hire a Strategic Planning & Chief of Staff, Principal. This role reports directly to VP of Data & Analytics and is expected to work team wide, IT wide, and enterprise wide as a critical part of Blue Shield's data driven and mission driven journey of transforming the world of healthcare. The D&A team p
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The IT Development Center Of Excellence team at Blue Shield is tasked with establishing best practices and standards as we rapidly transform ourselves to be a digital first company. The DevSecOps Engineer, Principal will report to the Sr Manager, IT Development Centers Of Excellence. As a DevSecOps Engineer, you will play a critical role in assessing our current
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Third Party Application Solutions personnel within the Software Development Centers Of Excellence team perform hardware and software system administration as well as set quality expectations. The Senior Application Developer & System Administrator will report to the Centers Of Excellence Senior Manager. In this role you will execute hands on patching and upg
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. The Pharmacy Care Reimagined goal is to enable every person with safe, equitable access to sustainably affordable prescription drugs. To enable our vision, we
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 1 more...
Your Role The Cloud Engineering team is a cross functional group responsible for the advancement and support of the Blue Shield multi cloud presence. The Cloud Engineer Principal will report to the Sr. Director Hybrid Cloud Engineering. In this role you will have a broad and deep impact on how Blue Shield achieves its business and technical goals by leveraging cloud techn
Posted 1 day ago
Blue Shield of CA
- Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 4 more...
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the f
Posted 1 day ago
Blue Shield of CA
- Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the f
Posted 1 day ago
Blue Shield of CA
- El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Medical Director, Commercial is a key member of the Medical Management and Operations staff within Health Care Services. This is a front line utilization management position that has core responsibilities in the areas of pre and post service utilization review, and collaboration with RN Case and disease managers.This director position will report to the Medi
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Pharmacy Technician, Intermediate, will report to the Operations Supervisor. In this role you will resolve outpatien
Posted 1 day ago
Your Role The Administrative Assistant, Specialist will report to the Director of Marketing Center of Excellence. In this role you will be responsible for providing overall administrative support to two or more Marketing department directors and their teams. This includes providing office and calendar support, onboarding assistance, meeting and event planning, inquiry res
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA
Your Role The Advanced Analytics team for delivering Predictive and Perscription Analytics, GenAI applications, and Advanced Statistical models to our business users. The Cloud Engineer will report to the Director of Advanced Analytics. In this role you will Design, build and maintain continuous integration/continuous delivery (CI/CD) pipelines with embedded testing to ef
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role Join Blue Shield's dynamic Enterprise Learning organization, which develops learning solutions to ensure employees can perform their jobs effectively to further our mission. As a IT Learning Developer, Senior you will serve as a strategic partner to talent mobility through innovative learning strategies and solutions. The IT Learning Developer, Senior will repor
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Compensation team is an in house center of expertise and consulting team and provides leadership and guidance in the development and delivery of effective compensation strategies and policies that support BSC's goals, and are in alignment with enterprise values, philosophy and strategic direction.. The Senior Compensation Analyst will report to the Senior Ma
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Actuarial Provider Strategies team helps design and implement value based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior manager of Actuarial P
Posted 1 day ago
Blue Shield of CA
- Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Corporate Communications team supports Blue Shield of California's reputation with both internal and external audiences through employee engagement, media and executive visibility. The Senior Communications Manager will report to the Senior Director of Corporate Communications. In this role you will lead a team supporting the Chief Human Resources Officer an
Posted 1 day ago
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