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...

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...

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...

Business Analyst, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Population Health Management (PHM) Governance team, under the state mandate of the California Advancing and Innovating Medi Cal (CalAIM) program, is designed to proactively...

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...

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...

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...

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...

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...

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...

Correspondence Phone Support, Intermediate
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Lodi, CA; Los Angeles, CA; San Diego, CA
Our Customer Experience Teams receive incoming telephone calls from our members. Our Call Centers are open 7 days a week. If hired, you will be required to attend and complete a paid, ma...

Product Manager, Principal
El Dorado Hills, CA; Long Beach, CA; Lodi, CA; Rancho Cordova, CA
Your Role The Transformation team is responsible for improving the lives of those we serve by making the extremely complex, absurdly simple. The Product Manager, Principal will report to...

Account Manager - Federal Employee Program, Senior - Central Valley
Woodland Hills, CA; Lodi, CA; Palmdale, CA
Your Role The Federal Employee Program team is responsible for Federal Employee Health Benefits and serves all federal employee is the state of California. The Account Manager Federal Em...

Outreach Manager - Provider Engagement, Experienced
Los Angeles, CA; Long Beach, CA
Your Role The Provider Engagement team drives partnerships with providers that support membership growth and retention goals for the Blue Shield of California Promise Health Plan (BSCPHP...

HR Specialist, Advanced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Lodi, CA; Los Angeles, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The People & Engagement HR Connect team is a critical part of Human Resources service delivery for all of Blue Shield of California (BSC) The team provides first level support...