Your Role. As a Summer Intern, you will support the Healthcare Quality & Affordability (HQA) and Medical Care Solutions (MCS) teams in strengthening and modernizing prior authorization processes. You will contribute to high-impact projects that advance analytical decision-making, document and streamline workflows, and help the organization track, document, and meet national industry commitments for prior authorization improvement. Your Knowledge ...
Your Role. The End-to-End Member Experience Transformation and Health Plan Correspondence Output Management team is positioned to radically improve how we communicate with customers, aligning with our mission to make complex healthcare simple. The Strategic Planning & Performance Principal will report to the Senior Director and lead stakeholder engagement internally and with vendors, driving quality interactions, transparency, and performance ove...
Your Role. The Application Services team plays a critical role in enhancing customer and technical collaboration while delivering all application development through a Platform and Technology Product Operation Model. The Full Stack Engineer will report to the Senior Manager, Product Line Manager. In this role you will be deeply involved in the design, development, adn deployement of secure, high-quality software solutions. Your role will focus on...
Your Role. The Value-Based Platform team oversees and executes operations and implementations for the Pay for Value program. The program is housed under Network Strategy & Provider Partnerships and involves applying value-based payment models to care delivery with the goal of lowering health care costs while improving outcomes via the use of incentives tied to performance within the model. The value-based platform intern will report to the Senior...
Your Role. The Information Resource Center (IRC) Manager is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC). The center connects members from both Blue Shield Promise and the San Diego community to resources and personalized services that foster community connections, address social needs, and keep people active, healthy and informed. The IRC Manager will report to the Senior Manager of Operations. I...
Your Role. The Sr. Director of Product Management for Core Health Plan is responsible for owning the strategy, outcomes, and technology enablement for core health plan offerings. This includes claims processing, network management, product benefit design, and eligibility and enrollment. The role ensures competitive, compliant, and customer-focused products that deliver measurable business results. This leader will own product outcomes end-to-end,...
Your Role. The Appeals and Grievances team. receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Clerical Support, Entry position will report to the Operations, Supervisor. In this role, the office clerk will be responsible for performing a variety of administrative tasks for the team such as filing documents and managing correspondence to ensure the smooth operation of the office. They also support s...
Your Role. The Risk Adjustment Prospective Program team focused on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment. In this role you will provides essential support to the Prospective Programs (In-Home Visit) within the Risk Adjustment Prospective Program (aka ProsPr) team. This includes interaction within the Risk A...
Your Role. The Product Strategy Insights Analytics team supports the Product Strategy and marketing team with analytical and financial modeling for product development activities for Blue Shield of California. The Senior Principal analyst will report to the Senior manager, Insights. The team provides valuable insights to strategists to devises strategies and supports work to make healthcare affordable through data analysis, cost of healthcare mod...
Your Role. The Advanced Analytics team for delivering Predictive and Prescriptive 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 effectively secure and deploy cloud-based workloads. Design infrastructure and...
Your Role. The Internal Controls Advisory Services team provides objective consulting and advisory services designed to add value and assist management with establishing and maintaining an effective system of internal controls. The team helps Blue Shield of California accomplish its objectives by implementing a systematic, disciplined approach to the evaluation and improvement of risk management and control processes. The Internal Controls Consul...
