Company · 238 open roles
Careers at BSC
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238 positions at BSC
Director, Clinical Quality - HEDIS
BSC·Oakland, CA, United States
Your Role The Clinical Quality [Commercial Populations] team is accountable for the organization’s quality ratings, preventive and primary care outcomes for Blue Shield of California’s Commercial members, and financial risks associated with quality performance. The Director, Cli…
Pharmacist, Principal (Pharmacy Affordability Strategy)
BSC·Long Beach, CA, United States
Your Role The Pharmacy Cost of Health Care (COHC) Strategy and Drug Trend Management team develops and implements drug management and cost-of-care initiatives across medical and pharmacy benefits. The Principal Pharmacist, COHC Strategy and Drug Trend Management will report to t…
Sr. Manager, Pharmacist (Pharmacy Affordability Strategy)
BSC·Long Beach, CA, United States
Your Role The Pharmacy Cost of Health Care (COHC) Strategy and Drug Trend Management team develops and implements drug management and cost-of-care initiatives across medical and pharmacy benefits. The Sr. Manager, Pharmacy of COHC Strategy and Drug Trend Management will report t…
Supervisor, IT Service
BSC·El Dorado Hills, CA, United States
Your Role The Digital Employee Experience team ensures employees have the technology, devices, and support services needed to work efficiently and effectively. The Technology Services & Operational Endpoint Field Services Supervisor will report to the Senior Manager, Technology…
Manager, Pharmacy Business Analysis
BSC·Long Beach, CA, United States
Your Role The Pharmacy Operations and Stabilization team provides end-to-end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed …
Business Analyst, Experienced (Pharmacy Operations)
BSC·Long Beach, CA, United States
Your Role The Pharmacy Operations and Stabilization team provides end to end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed …
Strategic Planning and Performance, Principal
BSC·Rancho Cordova, CA, United States
Your Role The Provider Partnership and Network Management organization is responsible for advancing innovative healthcare delivery models that improve quality, affordability, provider performance, and member experience across Blue Shield's network. The Strategic Planning and Per…
Manager, Data Analysis - Provider Performance Analysis
BSC·Woodland Hills, CA, United States
Your Role The Provider Performance Analysis team provides support to the Provider Network Management and Provider Partnerships teams. The Manager, Data Analysis will report to the Senior Director of Network Performance Analysis & Contracts. In this role you will supervise a team …
Program Manager, Senior - Delegation Oversight
BSC·Long Beach, CA, United States
Your Role The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC), which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of contracted delegated entities. This includes auditing, corrective action…
Business Process Analyst, Consultant
BSC·El Dorado Hills, CA, United States
Your Role The Customer Experience Program Management Team is responsible for managing agent requirements and readiness for projects and programs that impact Customer Experience. The Business Process Analyst, Consultant will report to the CE Manager of Program and Project Manageme…
Director, Healthcare Delivery
BSC·Long Beach, CA, United States
Your Role The Network and Provider Partnerships organization is responsible for advancing innovative healthcare delivery models that improve quality, affordability, provider performance, and member experience across Blue Shield of California's network. The Director, Healthcare De…
Director, Market Enablement
BSC·Long Beach, CA, United States
Your Role The Network Strategy & Provider Partnerships team is responsible for developing and executing network strategies that support growth, market expansion, product innovation, affordability, and provider performance. The Director, Market Enablement will report to the Senior…
Executive Assistant, Experienced
BSC·El Dorado Hills, CA, United States
Your Role The Information Security, Risk & Operations (ISRO) department protects enterprise information and technology assets, strengthens regulatory and risk disciplines, and enables resilient business operations. ISRO partners across Stellarus, Ascendiun, Blue Shield of Califo…
Pharmacist, Principal - LOB/Product
BSC·El Dorado Hills, CA, United States
Your Role The Pharmacy team provides pharmacy benefit management services and strategies to support Blue Shield affordability and membership goals. The Pharmacist, Principal of Pharmacy Line of Business (LOB) Management will report to the Sr. Manager, Pharmacy LOB Management. In…
Sourcing Specialist, Principal
BSC·Oakland, CA, United States
Your Role This role supports Ascendiun and technology related sourcing activities within the Ascendiun Family of Companies, as appropriate. The IT Sourcing Team is a part of Global Business Services team supporting the acquisition of technology products and services across the e…
Manager, Software Configuration
BSC·Rancho Cordova, CA, United States
Your Role The Provider Operations team maintains, integrates, and governs provider data. Reporting to the Sr. Manager, Operations, the Manager, Software Configuration leads a team of configuration, solution design, and governance analysts who develop and maintain data solutions…
Program Manager, Consultant - Project Management
BSC·Long Beach, CA, United States
Your Role The Healthcare Quality and Affordability team responsible for ensuring appropriate strategic planning and oversight over Clinical Quality, including artificial intelligence deployment and vendor oversight and management. The Program Manager, Consultant will report to t…
Director, Tax Accounting
BSC·Oakland, CA, United States
Your Role The Director, Tax Accounting leads enterprise tax strategy, compliance, and specialty accounting across the family of companies, ensuring accurate execution, regulatory compliance, and disciplined risk management. This role reports to the Vice President, Controller for…
Delegation Oversight Clinical Nurse Auditor - LVN, Senior
BSC·Long Beach, CA, United States
Your Role The Delegation Oversight Compliance team is responsible for working with appropriate departments in the areas of compliance, process improvement, and member/provider satisfaction for all product lines. Reviews, research and responds to customer complaints relating to …
Digital Product Manager, Principal
BSC·Oakland, CA, United States
Your Role The Digital Access to Care team is responsible for partnering with various stakeholders to build, refine and execute for our web and mobile Find a Doctor and search experiences. The Digital Product Manager, Principal will report to the Sr. Manager, Digital Product Manag…
Data Analyst - Health, Consultant
BSC·Woodland Hills, CA, United States
Your Role The HCQA team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups. Our team (Network Perf…
Product Manager, Principal, Agile Lead
BSC·Long Beach, CA, United States
Your Role Reporting to the Senior Manager, the Product Manager, Principal, Agile Lead is the neutral execution and agile leader for the Member Engagement Model (MEM) Pod. The Member Engagement Model (MEM) team enables personalized member experiences by connecting business priorit…
Sr. Manager, Complex Programs & Mandates Delivery
BSC·Oakland, CA, United States
Your Role The Technical Delivery organization serves as the execution backbone for Stellarus’s strategic technology portfolio, spanning directly owned and executed strategic initiatives as well as cross-functional programs tracked and coordinated across the enterprise. The Sr Ma…
Program Manager, Senior, Medi-Cal QI
BSC·Long Beach, CA, United States
Your Role The Medi-Cal Quality Improvement (QI) team is responsible for developing and executing targeted quality improvement initiatives that support the Medi-Cal line of business and drive improved performance across quality rating systems, including but not limited to, Health…
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