Lodi, California
Your Role The Information Security, Risk, and ISM team is undergoing a transformative shift-from traditional, manual operations to a fully autonomous, agentic AI-driven model. As an AI Developer, you will report to the Sr. Director of Infor...
4h
| Job Type | Full Time |
Case Management - Nurse, Senior
Rancho Cordova, California
Work Schedule M-F 8-5 with late shift of 10:30-7pm about 3x/mo and 1 Saturday per qtr 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 ...
4h
| Job Type | Full Time |
Business Systems Analyst, Senior
El Dorado Hills, California
Your Role In the Mandates & Corporate Services team-The Business Systems Analyst, Senior, works to solve for business needs that meet mandate compliance through enterprise-wide cross-functional collaboration. Responsible for eliciting, docu...
4h
| Job Type | Full Time |
Woodland Hills, California
Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Ch...
4h
| Job Type | Full Time |
Redding, California
Your Role The Actuarial Provider Strategies team is responsible for partnering with the Blue Shield Health Solutions teams on developing, scaling and executing provider-focused strategies that promote high quality, affordable health care. T...
4h
| Job Type | Full Time |
Business Systems Analyst, Senior
Lodi, California
Your Role In the Mandates & Corporate Services team-The Business Systems Analyst, Senior, works to solve for business needs that meet mandate compliance through enterprise-wide cross-functional collaboration. Responsible for eliciting, docu...
4h
| Job Type | Full Time |
Technolgy Contracting Specialist, Senior
Oakland, California
Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Technology Contracting Specialist, Senio...
4h
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
Long Beach, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
4h
| Job Type | Full Time |
Long Beach, California
Your Role The Actuarial Provider Strategies team is responsible for partnering with the Blue Shield Health Solutions teams on developing, scaling and executing provider-focused strategies that promote high quality, affordable health care. T...
4h
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
Long Beach, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
4h
| Job Type | Full Time |