Blue Shield of California
Your Role The Payroll Operations team ensures that all employees receive accurate wages and adheres to Federal and State regulatory requirements. The Payroll Support, Advanced, will report to the Manager, Payroll Operations. In this role you will be responsible for…
Job Description: Your Role The Program Manager, Consultant, will report to the Senior Manager of Population Health Management (PHM), Governance. In this role you will spearhead initiatives aimed at achieving and maintaining year round compliance and regulatory readiness, partner with…
Your Role The FEP Post Service (PS CR) department is BSC Federal Employee Program(FEP) retrospective clinical review program that entails detailed claims review of billed physician services and related outpatient facility services against FEP medical benefit and/or payment policy. .…
Your Role The Pharmacy Market Experience team is responsible for the development and management of pharmacy related marketing materials and related digital experience for all lines of business, and multiple audiences. The Business Analyst, Principal will report to the Senior…
Your Role The Population Health Management (PHM) team promotes a vision and strategy to drive differentiation in member experience and engagement, improvement in the overall health of Blue Shield of California members, and affordability and efficiency in the healthcare system.…
Your Role The Corporate Actuarial and Provider Strategies team oversees all things related to cost of healthcare for the Actuarial organization, including Reserves, Trend Forecasting, Pay for Value models, and Provider Contract Analysis. The Senior Director of Network Contract Trend…
Your Role The Senior Medical Director, Medicare Programs is accountable for providing medical oversight, expertise and leadership to ensure the delivery of affordable, quality healthcare services across all Medicare Advantage product lines (Individual, Group, PPO). The role requires strong partnerships…
Your Role The People and Engagement Technology team oversees and supports all business processes, systems, and technology planning and delivery for the People and Engagement team. The People and Engagement Technology, Consultant will report to the Manager of People and…
Your Role The Privacy Office team is responsible for the development, implementation, and oversight of Blue Shield\xe2\x80\x99s Privacy Program. An effective Privacy Program ensures that Blue Shield and its affiliated covered entities, including Blue Shield of California Promise Health Plan,…
Your Role The Risk Adjustment Provider Relations team provides essential support to all functions within the risk adjustment program, which includes interaction with various cross functional teams within Blue Shield and Provider Groups. The Risk Adjustment Provider Partnership Manager will…
Role: The Identity and Access Management team (IAM) team is responsible for the governance and operations of the access management capabilities with the IAM department. The IAM Analyst, Consultant will report to the Access Management Sr. Manager. In this role…
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 setting. The Senior Care Manager will report to the Manager…
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 setting. The Senior Care Manager will report to the Manager…
JOB DESCRIPTION Your Role The Cost of Healthcare Trend team measures medical and pharmacy cost of healthcare trends \xe2\x80\x93 both retrospective and prospective \xe2\x80\x93 for all lines of business. The Actuarial Analyst, Experienced, Cost of Healthcare Trend will report to…