Program Manager, Consultant
Woodland Hills, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA
Your Role The Rapid Quality Improvement team is responsible for the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, ho...

Provider Contracting Specialist, Principal
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Provider Network Management team consists of Provider Relations and Contracting in Northern California. The Provider Contracting Specialist, Principal will report to the Di...

Application Developer, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Application Developer, Consultant falls under the Applications Dev Support & Continuous Integration team. The Application Developer, Consultant will report to the Manager,...

Clinical Services Coordinator, Intermediate (Bilingual)
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers a...

Utilization Management Nurse, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of either a preservice or claim denial. The Commercial Post Service R...

Case Management - Nurse, Senior
Woodland Hills, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA
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 setti...

Senior Manager, Digital and Marketing Analytics
Oakland, CA; Long Beach, CA; Phoenix, AZ; Denver, CO; Hartford, CT; Miami, FL; Atlanta, GA; Baltimore, MD; Minneapolis, MN; Las Vegas, NV; El Dorado Hills, CA; San Diego, CA
Your Role The Customer Experience, Digital, and Operations Analytics team is responsible for accelerating data driven value based solutions that drive out expense, generate growth while...

Senior Manager, Market Insights & Experience Analytics
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA
Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Di...

Medical Informatics Analyst, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA
Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Di...

Clinical Services Coordinator, Intermediate
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers a...

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

Market Researcher, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; Redding, CA; San Diego, CA; Woodland Hills, CA
Your Role The Strategic Partnerships and Pilot Programs unit seeks a Market Researcher, Principal to join the Design Studio, a user experience focused team central to piloting innovative...

Enterprise Business Architect, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Business Architecture team, within the Enterprise Architecture organization, is responsible for developing strategies and multi year integrated roadmaps that bridge our bus...

Actuarial Analyst, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting...

Actuarial Analyst, Associate
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...