Blue Shield Of California Jobs in Elk Grove, CA 95624

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 utilization management position that has core responsibilities in the areas of... Read More

Your Role The Care Management Clinical Social Work team helps Blue Shield members with complex social determinants of health by conducting psychosocial assessments, developing care plans, and providing intensive interventions. The Care Management Social Worker will... Read More

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... Read More

Your Role The Clinical Pharmacy Operations team supports the development, implementation, coordination, and assessment of pharmacy initiatives with the goal of providing high quality and affordable care to Blue Shield of California s members. The Business Analyst,... Read More

Your Role The Provider Operations Solution Support team is accountable for provider operational governance and provider data monitoring, provider data steward activities and complex configuration of provider applications and tools. The Configuration Analyst, Principal... Read More

Your Role The Installation and Billing (I B) team within Blue Shield of California oversees the enrollment, billing and payments process for their groups and members. The Experienced Business Analyst will report to the Manager of Programs and Projects. In this role you... Read More

Your Role The Transformation team is responsible for improving the lives of those we serve by making the extremely complex, absurdly simple. The Product Manager, Principal will report to the Senior Manager of End-to-End Provider Experience Transformation. In this role... Read More

Your Role The Command Control Center (BSOC) team is responsible for executing and monitoring batch operations and Network Operations Center (NOC) events to assure successful execution and completion within required timelines. The IT NOC/Batch Operator, Experienced will... Read More