JOB DESCRIPTION. “In this role, you will be required to work full-time in our office located in Redding, CA. This position is not remote or hybrid. it is 100% in-office.”. Your Role. Blue Shield is embarking on an exciting new collaborative partnership with a fellow health plan. We will play a supporting role in their day-to-day contact center operations by supporting inbound call inquiries from their members and providing a high quality experien...
Your Role. The Pricing Analytics and Contract Configuration team is responsible for configuring systems to pay per negotiated provider contracts. The Configuration Analyst, Associate will report to the Pricing Analytics Contract Configuration Manager. In this role you will conduct build activity, run test claims to ensure future claims will be paying correctly based on the contractual terms. Validate that the negotiated provider contracts were bu...
Your Role. With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. The Pharmacy Care Reimagined goal is to enable every person with safe, equitable access to sustainably affordable prescription drugs. To enable our vision, we believe pharmacy benefits need to be simpler, more transparent, and more a...
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 ongoing loyalty to the Blue Shield brand. The Sr. Manager, Service Strategy and Operations of B2B Services will report to the Senior Director of Broker, Employer & Provider Services. In this role you will be responsible for ensuring the success of our operational per...
JOB DESCRIPTION. Your Role. The Pharmacy Infrastructure Team acts as the support staff for Pharmacy Services and is responsible for the development and maintenance of operational processes. The Business Process Analyst, Experienced reports to the Sr. Manager of the Pharmacy Infrastructure Team and will work closely with multiple team members and subject matter experts across the organization to produce and maintain high-quality documentation and ...
The Provider Operations team Data and Analytics team provides analytical support to the operations department. We track operational performance, provider data management, dashboard reporting, and provider data quality tracking. The Business Analyst, Experienced will report to the Data and Analytics Manager. In this role you will intake report requests, facilitate meetings, gather reporting needs, document requirements, and test the reports create...
JOB DESCRIPTION. Your Role. The Director of Employee Productivity within Infrastructure & Cloud Services will lead teams responsible for the strategy, delivery, and support of Blue Shield of California’s enterprise end user computing and collaboration solutions. Key focus areas include endpoint client standards, software distribution, mobile device management, content management, email and calendaring, group collaboration, enterprise search, and ...
Your Role. IT Service Technician Support - Responsible for support to users with technical problems and information technology issues involving personal computers and network services in an advanced network environment. Provides support (via telephone, chat, and in-person), diagnostics and troubleshooting of computers, network services and related peripherals to local and remote access users. Provides end-user support and general training in the ...
Your Role. The Technology Business Management team is focused on optimizing spend for IT services by driving Technology Business Management and FinOps practices and aligning IT costs to services for total cost of ownership. The team provides IT financial data and analysis that empowers leaders to make informed business decisions as Blue Shield of California leverages cloud capabilities to advance our mission. The Technology Business Management, S...
Your Role. The Centers of Excellence Systems Analyst team defines and deliver solutions that meet business objectives. facilitates between business and IT business needs. lead eliciting, analyzing, validating, and managing requirements, processes, and high-level solution designs. is a proactive member of an Agile product team. The System Analyst, Senior will report to the Software Engineering & Service Delivery Manager. In this role you will supp...
Your Role. The Formulary Management team leads the development and maintenance of multiple formularies 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, Individual/Family plan, and Medicare. The Operations Specialist, Experienced will report to the Operations, Supervisor. In this role you will be a subject mat...
Your Role. Blue Shield of California is looking for an experienced (consultant-level) Application Developer to join our IT Application Services team. The candidate will be the lead salesforce & integration developer on one of our Operations Portfolio's service teams needed to transform our Employer will be the lead Salesforce & integration developer on one of our Operations Portfolio's service teams needed to transform our Employer Enrollment & C...
