Your Role The Corporate Communications team drives internal and external communications to build, promote and protect Blue Shield of California's reputation inside and outside of our organization through our influence, storytelling and being a good corporate citizen. The Corporate Communications Specialist, Principal will report to the Senior Manager, Corporate Communicat

Your Role The Promise Health Plan Medical Director provides clinical leadership within the Blue Shield Promise Office of the CMO. The Medical Director's duties include oversight and management of the clinical processes in support of member health initiatives, utilization management, care and case management, and clinically related functions. These functions include perfor

Your Role Blue Shield of California is seeking a Lead Financial Analyst in California. The Lead Financial Analyst reports directly to the Finance Manager within the Corporate Services Finance organization. The Corporate Services Finance organization is a trusted advisor to our business partners and is known for its service and financial acumen. Corporate Services organiza

Your Role The Sourcing Specialist is responsible for the management and execution of the enterprise sourcing process including supporting the business in making effective sourcing decisions. This person executes and delivers value through strategic, operational and transactional sourcing initiatives working in partnership with the assigned Blue Shield Business Unit(s). Yo

Your Role The Medicare Performance Optimization team is critical in achieving increased operational performance, membership growth, and retention goals for consumer product lines. The Program Manager, Consultant Retention Performance in Senior Markets will report to the Director, Performance Improvement Sales Operations and Analysis. In this role you will develop, execute

Participates cross functionally in business planning to support business unit strategy May be responsible for assembling a project team, assigning and monitoring work of team members and providing guidance and leadership. Provide strategic advice and support to the CMO on matters relating to Healthcare Services, initiatives and structure Supports SVP in management and imp

Your Role The Utilization Management team manages all aspects of prior authorization and concurrent review clinical operations. The Administrative Assistant will report to the Senior Director, Utilization Management. In this role you will support all departmental administrative needs, as well as support the administration of the two Utilization Management Committees and U

Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and cost effectiveness standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role you will be an individual with advan

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 of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination

Your Role The Principal is responsible for providing thought leadership to business leaders across the enterprise to address ambiguous problems and opportunities through internal strategy and/or innovation consulting engagements. This role will serve as a change agent, leveraging a consistent and disciplined approach to strategy and innovation to design dynamic yet enduri

Your Role The Office of the CIO team responsible for managing the business of IT in support of Blue Shield's Chief Information Officer. The Strategic Planning and Performance Principal will report to the Senior Director. In this role you will oversee the financial management of the IT budget, annual and quarterly planning process and be instrumental in both the tactics an

Your Role The Principal Pharmacist, Formulary Strategy & Management participates in the strategy development and maintenance of multiple formularies and utilization management programs to support competitive health plan products, manage cost of healthcare, and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group,

Your Role The Clinical Compliance Consultant, Medical Care Solutions is responsible for developing and maintaining the team's audit playbook for all lines of business for all regulatory and mock audits. Clinical Compliance Consultant is also responsible for managing changing UM requirements driven by contractual changes or All Plan Letter requirements. The successful cand

Your Role Reporting to the Senior Director of Communications, Meetings & Events, this role supports our Chief Executive Officer (CEO) communication platforms across all audiences. The Corporate Communications Senior Manager will partner with executive leadership and key stakeholders to design and implement strategic communication programs that create clarity, confidence a

Your Work In this role, you will Drive continuous improvement for quality, delivery, and flow. Ensure team is fully functional and productive Enable close cooperation across all roles and functions. Own JIRA reporting, dashboard management and tracking. Facilitate and schedules Iteration ceremonies meetings, issue management, deep dives, etc. Ensure clear communication an