Blue Shield Of California Jobs in Emeryville, CA

Your Role With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. The Pharmacy Care Reimagined goal is to enable every... Read More

Your Role The Application Developer, Consultant falls under the Applications Dev Support Continuous Integration team. The Application Developer, Consultant will report to the Manager, IT Development. In this role you will follow best software development practices in... Read More

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... Read More

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... Read More

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... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Platform Strategy and Operations Team is focused on optimizing Salesforce solutions and maximizing value across the enterprise. Salesforce is an enterprise platform targeted to help accelerate our transformation program, enable innovation, and help realize... Read More

Your Role The Cloud Engineering team is a cross functional group responsible for the advancement and support of the Blue Shield multi cloud presence. The Cloud Engineer - Principal will report to the Sr. Director Hybrid Cloud Engineering. In this role you will have a... Read More

Your Role Blue Shield of California is looking for a principal-level Application Developer to join our IT Application Services team. The candidate will be the subject matter expert for the Operations portfolio responsible for the definition ownership of our real-time... Read More

Your Role The ?IT Development Center Of Excellence? team ?at Blue Shield is tasked with establishing best practices and standards as we rapidly transform ourselves to be a digital first company?. The ?DevSecOps Engineer, Principal? will report to the ?Sr Manager, IT... Read More

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... Read More

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care... Read More

Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company s operating and... Read More

Your Role The Customer Experience, Digital, and Operations Analytics team is responsible for accelerating data driven value-based solutions that drive out expense, generate growth while elevating experience for members, providers and brokers. The Senior Manager of... Read More

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by... Read More

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS... Read More

Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that... Read More

Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager... Read More

Your Role The Cost of Healthcare Trendsetters Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of... Read More