Displaying 1 - 15 of 107 Jobs.
Business Analyst, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Blue Shield of California Promise Health Plan Clinical Access Programs department is responsible for regulatory oversight and audits of providers to ensure the quality of c...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Blue Shield of California Promise Health Plan Clinical Access Programs department is responsible for regulatory oversight and audits of providers to ensure the quality of c...
Business Analyst, Experienced
El Dorado Hills, CA; Lodi, CA; Rancho Cordova, CA
Your Role The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment, billing and payments process for their groups and members. The Experienced Bus...
El Dorado Hills, CA; Lodi, CA; Rancho Cordova, CA
Your Role The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment, billing and payments process for their groups and members. The Experienced Bus...
Sr. Manager, Contracting
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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 Ca...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
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 Ca...
Information Security Risk and Governance Specialist, Principal
El Dorado Hills, CA; Oakland, CA; Long Beach, CA
Your Role The Information Security team is responsible for governance over the exchange of protected health information (PHI) and sensitive data with external entities. The Information S...
El Dorado Hills, CA; Oakland, CA; Long Beach, CA
Your Role The Information Security team is responsible for governance over the exchange of protected health information (PHI) and sensitive data with external entities. The Information S...
Sr. Manager, Service Strategy and Operations
El Dorado Hills, CA; Oakland, CA
Your Role The B2B Customer Experience team is responsible for supporting Blue Shield of California Providers through their servicing needs building strong relationships and ensuring ongo...
El Dorado Hills, CA; Oakland, CA
Your Role The B2B Customer Experience team is responsible for supporting Blue Shield of California Providers through their servicing needs building strong relationships and ensuring ongo...
Case Management - Nurse, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Redding, CA; San Diego, CA; Woodland Hills, CA
Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved wi...
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Redding, CA; San Diego, CA; Woodland Hills, CA
Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved wi...
Special Investigations Investigator, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Special Investigations Unit team is responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse . The Special Investigations Inv...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Special Investigations Unit team is responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse . The Special Investigations Inv...
Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Work In this role, you will Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at t...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Work In this role, you will Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at t...
Actuarial Analyst, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Work In this role, you will Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Work In this role, you will Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that...
Program Manager, Principal
Woodland Hills, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA
Your Role The Network Management and Provider Partnerships team is responsible for supporting Enterprise led mandates and managing all Business led mandates. The Program Manager, Princip...
Woodland Hills, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA
Your Role The Network Management and Provider Partnerships team is responsible for supporting Enterprise led mandates and managing all Business led mandates. The Program Manager, Princip...
Supervisor, Operations
Lodi, CA
The Medicare team is responsible for servicing Medicare members including Med Supp). Total Duals / D SNP (Dual Special Need Plans. The Supervisor will report to the department Manager. I...
Lodi, CA
The Medicare team is responsible for servicing Medicare members including Med Supp). Total Duals / D SNP (Dual Special Need Plans. The Supervisor will report to the department Manager. I...
Business Systems Analyst, Experienced
Redding, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA
Your Role The Claims Shared Support Services team actively engages in providing and eliciting business requirements for system enhancements, by identifying a desired future state that ad...
Redding, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA
Your Role The Claims Shared Support Services team actively engages in providing and eliciting business requirements for system enhancements, by identifying a desired future state that ad...
Financial Analyst, Senior
Oakland, CA; El Dorado Hills, CA
Your Role The Enterprise Finance Consolidations and Business System team is responsible for the Company's consolidated financial statements, forecasting and reporting activities, busines...
Oakland, CA; El Dorado Hills, CA
Your Role The Enterprise Finance Consolidations and Business System team is responsible for the Company's consolidated financial statements, forecasting and reporting activities, busines...
Clinical Services Coordinator, Advanced
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator wil...
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Medical Care Solutions Clinical Service Intake team responsible for timely and accurate processing of Treatment Authorization Request. The Clinical Services Coordinator wil...
Risk Adjustment Consulting, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical...
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical...