Blue Shield of California Jobs

Your Role The Group Medicare Account Management team provides strategic oversight, consultative support, and superior service to our employer groups (State of California, Public Agencies, and School Districts, Union/Labor groups) participating in their health benefits program. The Manager, Group Medicare Accounts - Non Sales will report to the Director, Group Medicare Account Management. You will be a strategic advisor and provide consultative client management through developing internal and...

Your Role The Medicare team serves members across the state of California, including a Group Medicare offering for clients looking to provide a Medicare solution to their retiring employees and dependents. The Program Manager, Consultant will report to the Director of Group Medicare. In this role you will lead matrix relationships within Blue Shield related to Group Medicare accounts to build infrastructure around the PPO product, including capabilities around member engagement, operations, a...

Your Role The Special Populations Unit (SPU) ensures effective oversight and monitoring of vulnerable groups identified by CalAIM, advancing equitable access to care and improving health outcomes. Through cross-functional collaboration and data-driven strategies, we advocate for inclusive, person-centered solutions that promote the well-being of those we serve. The Program Manager Clinical, Principal will report to the Director of Special Populations Unit, Office of the Chief Medical Officer....

Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and competitive Medicare products. This leader will develop the programs and take accountability by partnering with C-suite executive and cross functional senior leaders across multiple health plans (national) for better encounter data and member quality outcomes (in...

Your Role The Enterprise Architecture Innovation team helps manage and align Blue Shield of California's technology infrastructure with its business goals, ensuring that independently conceived and deployed solutions do not lead to unnecessarily complicated and expensive siloed systems. It defines the enterprise business technology capabilities and their relationships to run, grow, and transform the business. The Enterprise Architect, Principal will report to the Sr. Director Enterprise Archi...

Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Principal Sourcing Specialist (Supplier Procurement/Contracting) is responsible for the management and execution of the enterprise sourcing process including supporting the business in making effective sourcing decisions. This person executes and delivers value through strategic, operational, and...