Your Role. The Federal Employee Program (FEP) Care Management team. performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member’s treating physicians. The Registered Nurse Case Management Lead will report to the FEP Department Manager. In this role you will be...
Your Role. The Innovation Analyst, Consultant is responsible for supporting the improvement and maintenance of our integrated enterprise strategy to execution process and supporting initiatives designed to provide strategic thought leadership to business leaders across the enterprise to address ambiguous problems and opportunities. This role will serve as a change agent, leveraging a consistent and disciplined approach to strategy and innovation ...
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 Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are provided based on standardized procedures including coordination of care with specialists an...
Your Role. This position is located in our Panorama City Community Resource Center Location & require employee to work 5 days per week in the Panorama City Community Resource Center. The Community Programs team provides high-touch engagement with members and community-based organizations to remove barriers to healthcare access, enhance population health initiatives and advance health equity. The Community Health Advocate, Experienced will report ...
Your Role. The Operations Portfolio team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from claims processing to benefit enrollment. IT Product Manager, Consultant will report to the Senior Manager, Applications Services Lead in the Operations Portfolio. In this role you will be responsible for the development and support of complex tech...
Your Role. . The Strategic Planning and Performance team responsible for issue and risk management for operational contact center teams (both tactical and proactive), and for Business Continuity planning and management. The Program Manager, Principal for Risk Management and Business Continuity will report to the Strategic Planning and Performance Director. In this role you will conduct proactive planning around IT releases and scheduled downtimes...
Your Role. The Communication Governance Provider Directory team is responsible for delivering Provider Directories to Blue Shield of California members in a timely and accurate manner. The Marketing Operations Principal, Communication Governance will report to the Senior Manager Implementation and Quality. In this role you will oversee and maintain the end-to-end development and delivery of Provider Directories ensuring 100% compliance, high-qua...
Your Role. This position is located in our El Monte Community Resource Center Location & require employee to work 5 days per week in the El Monte Community Resource Center. The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles County with L.A. Care. The IRC and CRCs connect members from both Blue Shield Promise an...
Your Role. . . The People and Engagement (P&E) Enterprise Planning, Principal will report to the Director, P&E Strategy and Planning. In this role you will support the creation, ongoing execution and reporting of P&E’s enterprise-impacting plans and initiatives, and maintain alignment with our people strategy and P&E annual planning efforts. This will include Blue Shield’s human capital and strategic workforce planning processes, select high-...
Your Role. The Foundation is an independent licensee of the Blue Shield Association. Our mission is to build lasting and equitable solutions that make California the healthiest state and end domestic violence. The Accountant Specialty, experienced role will report to the Finance and Operations Manager. In this role you will perform accounts payable related duties, process and execute contracts, and provide scheduling support. Your Work. In this r...
Your Role. The Finance Cost of Healthcare team analyzes healthcare cost and utilization patterns and identifies opportunities to reduce cost. The Principal Financial Analyst - Healthcare Data will report to the Senior Manager Finance Analytics. In this role you will collect, prepare, analyze, and present healthcare utilization data, identify utilization patterns and trends, and collaborate with cross-functional teams on cost-saving initiatives. Y...
Your Role. . The People and Engagement Strategy & Planning team is responsible for (1) researching, defining and implementing our Blue Shield people strategy and how we continue to be a great place to do meaningful work, and (2) defining plans, managing execution and measuring success around People & Engagement operational / human capital / financial / technology goals. . The People Strategy, Planning and Performance, Consultant will report to th...
