Your Role This position is located in our Lincoln Heights Community Resource Center Location & require employee to work 5 days per week in the Lincoln Heights Community Resource Center The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles

Your Role The wave of Large Language Models and Generative AI has burst onto the scene, requiring companies to quickly adapt to harnessing the power of these new technologies, while maintaining a secure and compliant environment and simultaneously continue using more traditional AI / machine learning techniques. The enterprise wide Data & Analytics team at Blue Shield of

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of member initiated ap

Your Role The IFP Install and CEC team supports our consumer line of business by managing the eligibility and reconciliation of our IFP membership for both on and off exchange membership. The Enrollment Processor, Intermediate will report to the Operations Supervisor, IFP Install. In this role you will review and reconcile eligibility data, support our vendor team with cl

Your Role Pharmacy Readiness and Incident Management (PRIM) is a governance process and team within Pharmacy Services that logs, manages, and communicates the impact and resolution of all pharmacy impacting issues. PRIM proactively monitors and communicates Pharmacy Operational Readiness activities, milestones, and risk mitigations for both Blue Shield of California (BSC)

Your Role As a DevSecOps Engineer in IT Quality Engineering Organization, you will play a crucial role in ensuring the security and quality of software products. As part of a Center of Excellence, your primary responsibility will be to establish best practices and standards for DevSecOps methodologies, ensuring a secure and seamless transition to the cloud environment. Yo

Your Role The Senior level Developer of the Client Personalization team is responsible for application service level achievement and customer satisfaction of Blue Shield of California's Salesforce Health Cloud capabilities. This developer creates, configures, and manages Salesforce applications and related components and will be accountable for delivering BSC's desired bu

Your Role Clinical Quality Analytics team is looking for a Clinical Quality Analytics, Senior who has hands on experience on data analysis, research and programming using SAS from various data sources (flat files, relational databases, other SAS datasets etc.) using Base SAS. TheClinical Quality Analytics, Senior will report to the Manager, Clinical Quality Analytics. In

Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes. Your Work In t

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 b

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 Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst Consultant would report to the Manager of Medical Informatics and woul

Your Work In this role, you will Complete a broad variety of administrative tasks including managing an active calendar; composing and preparing correspondence; arranging meeting agendas; scheduling and calendaring meetings Be responsible for providing analytical and specialized administrative support Use automated office equipment and business applications as needed such

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 driven solutions to accelerate business outcomes. The Data Services & Solutions team is part of the centralized D&A organization and oversees the design and implementation of data solution

Your Role The Communications and Corporate Citizenship team is responsible for the reputation of Blue Shield of California with all audiences internal and external. The Corporate Communications Director will report to the Senior Director of Corporate Communications. In this role you will lead a team that supports internal and external communications for People & Engagemen

Your Role The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager. In this role, you will work closely and collaborate with other stakeholders (actuarial, accounting,