Blue Shield of California Jobs

Your RoleThe Principal Information Security Engineer, Principal – Network Protection is a strategic technical leader within the Information Asset Protection team, responsible for designing, implementing, and evolving enterprise-wide network security solutions. This role ensures the confidentiality, integrity, and availability of corporate and personal data by leading the development of advanced network protection strategies, integrating artificial intelligence, and leveraging strategic techno...

Your Role The Clinical Quality [Commercial Populations] team is accountable for the quality ratings achieved for the organization’s Commercial populations, as well as the preventive care strategy and outcomes for Blue Shield of California’s Commercial members. Clinical Quality also manages financial, multi-site, system, and transitions of care risks associated with Quality performance. The Program Manager, Principal (Behavioral Health Preventive Care Outcomes) will report to the Sr. Manager/D...

Your RoleThe Strategic Partnerships team is responsible for building and implementing stakeholder engagement strategies for Blue Shield Promise. The Outreach Manager, Senior, will report to the Director of Strategic Partnerships. In this role you will be responsible for supporting Blue Shield Promise’s growth and retention goals by: 1) building relationships and serving as a liaison for Blue Shield Promise with external stakeholders, 2) planning and executing community events, projects and pr...

Your Role This role supports Stellarus within the Ascendiun Family of Companies. The Risk Management Controls Assurance team delivers actional insights by quantifying IT and business risk to increase resilience while driving a security culture. We are seeking an Information Security Risk Governance Specialist who will report to the Senior Manager. The successful candidate will be a highly experienced and proactive professional to lead regulatory compliance initiatives across the organization,...

Your Role This role supports Stellarus within the Ascendiun Family of Companies. The Risk Management Controls Assurance team delivers actionable insights by quantifying IT and business risk to increase resilience while driving a security culture. We are seeking an Information Security Risk Governance Specialist who will report to the Senior Manager. The successful candidate will be a seasoned and strategic professional who will lead the development, implementation, and oversight of our Third-...

Your Role This role supports Stellarus within the Ascendiun Family of Companies. The Risk Management Controls Assurance team delivers actionable insights by quantifying IT and business risk to increase resilience while driving a security culture. Reporting to the Senior Manager, in this role, we are seeking a highly experienced and strategic individual contributor to lead the development, implementation, and governance of our enterprise-wide Business Continuity and Disaster Recovery (BC/DR) p...

Your Role The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company’s compliance and ethics program across the enterprise, including all business units, products, services, and activities. This includes the implementation and maintenance of proper preventive, detective and remedial programs and controls; the execution of relevant policies and procedures; training and educating the workforce; implementing an effective communications progra...

Your RoleThe Senior Manager, Program Development and Operations, Provider Performance Enablement provides oversight and direction for the strategy, design, development, and implementation of solutions to support provider and health systems performance enablement. The Senior Manager reports to the Director, Program Development and Operations, Provider Performance Enablement. In this role, you will work with the Director and other Blue Shield of California (BSC) business leaders to identify iss...

Your RoleThe Product Strategy Insights Analytics team supports the Product Strategy and marketing team with analytical and financial modeling for product development activities for Blue Shield of California. The Senior Principal analyst will report to the Senior manager, Insights. The team provides valuable insights to strategists to devises strategies and supports work to make healthcare affordable through data analysis, cost of healthcare modeling and forecasting in a healthcare environment...

Your Role The Enterprise Architecture Innovation team helps manage and align Health Plans’ 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 Application Archite...

Your RoleThe MediCal and Medicare Pricing and Finance team is responsible and accountable to the General Managers of both lines and oversees a team that drives pricing, rate filings, strategic planning, compliance, and performance optimization. The combined lines represent approximately $6B in annual revenue and 985,000 members.The Sr. Director, Financial Analytics, Medi-Cal and Medicare leads the actuarial and financial analytics team responsible for managing the financial performance of Blu...

Your RoleThe Pharmacy Analytics Finance team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Senior Principal will report to the Senior Director, Actuarial Management and support the Pharmacy Team’s strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes, product development, and initiative evaluation.Your Knowle...

Your RoleThe Clinical Program Manager, Principal in collaboration with the Regional Medical Director and the CMO Team for Commercial Business will be responsible for collaborating with all internal stakeholders and externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on...

Your RoleThe Clinical Program Manager, Principal in collaboration with the Regional Medical Director and the CMO Team for Commercial Business will be responsible for collaborating with all internal stakeholders and externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on...

Your RoleThe AI and Analytics team oversees the artificial intelligence platform and analytical functions. In this role, you will be providing critical analytics support to our healthcare insurance clients (BlueShield of California and other health plans). This role is responsible for driving data-informed strategies and delivering actionable insights to optimize marketing campaigns and improve business outcomes. The ideal candidate is a strategic thinker with a strong analytical mindset and ...

Your RoleThe Quality Improvement Team is accountable for quality ratings and the organization, development, and execution of targeted, quality improvement initiatives in support of commercial medical groups, hospitals, affiliated providers, and our Covered California and CalPERS membership. The Program Manager, Senior will report to the Senior Manager, Quality Improvement. In this role you will be responsible in the commercial line of business for the development and execution of targeted, qu...