Medical Director, Operations
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Medical Director, Commercial is a key member of the Medical Management and Operations staff within Health Care Services. This is a front line utilization management positio...

IT Data Analyst, Consultant
Oakland, CA; El Dorado Hills, CA
Your Role The Data & Analytics team is responsible for performing detailed data analysis, source to target designs, data profiling, and metadata management in support of new development/...

Data Modeler, Consultant
Oakland, CA; El Dorado Hills, CA
Your Role The Data and Analytics (D&A) organization focuses enterprise wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data...

Social Services Representative, Advanced
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Social Services Representative, Advanced will report to the Supervisor, Social Services. In this role you will provide telephonic social services support and resource refer...

Director, Information Security
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; San Diego, CA
Your Role The Information Security team is responsible for providing cyber security services to Blue Shield of California that enable secure product development and operations. The Direc...

Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on...

Corporate Citizenship, Principal- Sustainability
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (in...

Clinical Quality Analytics, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care...

Case Management - Nurse, Senior
El Dorado Hills, CA; Oakland, CA; Long Beach, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis...

Case Management - Nurse, Consultant
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and inde...

Business Systems Analyst, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA
Your Role The Platform Strategy and Operations Team is focused on optimizing Salesforce solutions and maximizing value across the enterprise. Salesforce is an enterprise platform targete...

Program Manager, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA
Your Role The Data and Analytics (D&A) organization focuses enterprise wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data...

Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Provider Strategies team helps design and implement value based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovativ...

Social Worker - field-based, Senior
Palmdale, CA
Your Role The Blue Shield Promise Health Clinics team is responsible for providing comprehensive, communicative, and collaborative healthcare to our members that is of the quality that w...

Manager, Case Management Nurse Management
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health management (PHM) Medi Cal Care Management li...