Blue Shield of California Jobs

Your Role The Specialty Care Programs team within the Clinical Strategy and Programs department is responsible for managing programs focused on providing high-quality care and services to members when and where they need them. The Program Manager, Principal will report to the Director, Specialty Care Programs. In this role you will provide vendor oversight for multiple behavioral health related programs. Your Work In this role, you will: Communicate with vendors and providers to support deliv...

Your Role The Developer and Employee Experience team is responsible for creation of the standard and automation pipelines that enable our partnering IT teams to build, release, and manage their systems. We are setting the path for how we’ll migrate to the Cloud and ensure that we are guiding the movement to a more modern DevOps operating model. The Sr. Principal Enterprise Cloud Engineer will report to the Vice President of Developer Employee Experience. In this role you will drive the creati...

Your Role The Program Manager, Clinical, Consultant will report to the Director, Product Launch, Health Transformation. In this role you will work with various pilot leads and other members of the Health Transformation team to deliver cross-functional implementations required to scale and rapidly deploy Health Reimagined Initiatives into operational areas within Blue Shield of California, and across external stakeholders including provider partners, employer groups, and vendors. As a result, ...

Your Role The BSC/BSC Promise Health Plan (BSCPHP) Medical Management department is focused on ensuring our members get the right level of care, at the right time, and at the right cost. We do this by developing and deploying medical management capabilities that are aligned with industry best practices. This minimizes the impact of cost of healthcare and improved operational efficiency. Consistent with Blue Shield's values, the Medical Management department will deliver best-in-class health c...

Your Role The Medical Care Programs team is responsible for managing programs that support members with their health care, drive cost of healthcare savings, and improve quality. The Clinical Program Manager, Consultant will report to the Senior Manager, Medical Care Programs. In this role you will manage a critical, cross-functional cost of healthcare taskforce, focused on a specific employer client. You will be responsible for impacting the cost of healthcare trend by direct intervention and...

Your Role The Group Medicare team oversees all aspects pertaining to the strategy, enrollment growth, day-to-day management, retention, compliance, and financial performance of Blue Shield of California’s Group Medicare membership. The Director, Group Medicare will report to the Senior Director, Medicare Growth. In this role you will be responsible for developing and executing on the strategic growth plan for our Group Medicare product, representing a critical and growing membership base. Acc...

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 Senior Manager, Procurement Contracting role will report to the Director, Contracting. In this role you will be responsible for the management, prioritization and execution of the enterprise contracting initiatives and process including supporting the business in making effective sourcing decisio...

Your Role The Payment Innovation team leads the design, development, and implementation of value-based payment models. The Program Manager, Principal - Payment Innovation will report to the Senior Manager of Payment Innovation. In this role you will be responsible for leading the end-to-end design of new value-based payment models that support Blue Shield’s strategic goals. He/she/they will manage program(s) from initiation through delivery, perform operational responsibilities, and monitor f...

Your Role The Medi-Cal Policy and Procedure Management team implements and oversees the policy and procedure management and governance processes for the organization, ensuring sufficient and complete Medi-Cal policies and procedures that adhere to regulatory standards, contractual obligations, and business objectives. The Program Manager, Senior will report to the Director of Medi-Cal Policy and Procedure Management. In this role you will, conduct reviews of policies and procedures to ensure ...

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...