Company · 172 open roles
Careers at BSC
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172 positions at BSC
Behavioral Health Utilization Mgmt Clinician, Senior
BSC·El Dorado Hills, CA, United States
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of busines…
Government Programs Compliance Specialist, Experienced
BSC·Oakland, CA, United States
Your Role The Blue Shield of California Promise Health Plan Compliance team is responsible for the administration and oversight of an effective compliance program. The Government Programs Compliance Medi-Cal Specialist, Experienced will report to the Government Programs Complia…
Financial Analyst, Principal
BSC·El Dorado Hills, CA, United States
Your Role The Operations Finance team is responsible for financial analysis, budget preparation, financial control, forecasting, reporting and for evaluating alternate financial plans. The Principal finance analyst will report to the Director of Operations Finance. In this role …
Accounting Operations, Intermediate
BSC·El Dorado Hills, CA, United States
Your Role The Accounting Operations team oversees the end-to-end invoice and expense payment process, including cash disbursements, stop payments, and vendor registration. The team is responsible for ensuring timely payments, regulatory and policy compliance, strong internal con…
Sr. Director, Clinical Quality - Medicare Stars
BSC·Long Beach, CA, United States
Your Role Reporting to the Vice President, Quality, the Senior Director, Quality - Medicare STARs is a senior leader with expertise in developing STARs strategy, short- and long-term STARs initiatives, and oversight of STARs performance. The position will have responsibility for…
Employee Listening and Experience Specialist, Senior
BSC·Oakland, CA, United States
Your Role This role supports Ascendiun and related activities within the Ascendiun Family of Companies, as appropriate. The Employee Listening & Experience team is responsible for delivering the Employee Listening program for the Ascendiun Family of Companies. The Employee Liste…
Operations App Developer, Senior
BSC·Rancho Cordova, CA, United States
Your Role The Business Configuration Automation team creates innovative automated solutions that support both Business Configuration teams and their customers. The Senior Application Developer reports to the Senior Manager of the Business Configuration Shared Services team and …
Full Stack Engineer, Senior
BSC·Oakland, CA, United States
Your Role As a Full Stack Engineer in the healthcare space, you’ll architect seamless, mission‑critical applications that clinicians and patients depend on. From polished interfaces to high‑performance backends, you’ll shape technology that improves care delivery and enhances li…
Internal Auditor, Principal
BSC·Long Beach, CA, United States
Your Role The Internal Audit Services team performs internal audits and advisory services to provide assurance on specific internal control objectives and emerging risk areas. The Internal Audit Principal will report to the Internal Audit Senior Director. In this role, you will b…
Operations Specialist, Senior
BSC·Oakland, CA, United States
Your Role The Formulary Management team leads the maintenance of multiple formularies to support competitive health plan products and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group, Individual/Family plan, and Medi…
Operations Specialist, Experienced
BSC·Oakland, CA, United States
Your Role The Formulary Management team leads the maintenance of multiple formularies to support competitive health plan products and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group, Individual/Family plan, and Medi…
Enrollment Processor, Intermediate
BSC·Lodi, CA, United States
Your Role The IFP Install and CEC team support 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…
Program Manager, Consultant
BSC·El Dorado Hills, CA, United States
Your Role The Program Manager Consultant, Custom Product Implementation Triage, reports to the Principal Program Manager and supports complex group requests, strategic initiatives, and product implementation issue resolution. This role serves as the primary intake point of cont…
Physical Client Platform Engineer, Senior
BSC·Oakland, CA, United States
Your Role The Digital Employee Experience team responsible for all engineering all aspects of client devices. The Physical Platform Engineer, Senior will report to the Sr Manager of productivity engineering. In this role you will manage all aspects of the MacOS workstations a…
Director, Provider Network Operations
BSC·Long Beach, CA, United States
Your Role The Network Operations team sets the strategic direction for operational processes, network compliance, contract operations, and provider relations for Blue Shield and Blue Shield Promise Health Plan. This work ensures provider contract alignment, supports financial st…
Full Stack Engineer, Consultant
BSC·Oakland, CA, United States
Your Role As a Full Stack Engineer in the healthcare space, you’ll architect seamless, mission‑critical applications that clinicians and patients depend on. From polished interfaces to high‑performance backends, you’ll shape technology that improves care delivery and enhances li…
IT Product Manager, Consultant
BSC·Oakland, CA, United States
Your Role The Operations Portfolio team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from claims processing to benefit enrollment. IT Product Manager Consultant will r…
Information Security Engineer, Principal
BSC·Oakland, CA, United States
Your Role The Application Security team reports to the Director of Information Security and is responsible for driving continual risk reduction across application services. This role partners closely with development teams, providing security oversight at each stage of the Softw…
Systems Analysis, Senior
BSC·Oakland, CA, United States
Your Role The Pharmacy Care Management Platform team delivers all IT Pharmacy solutions to support Pharmacy Operations and Pharmacy Transformation. The Systems Analyst, Senior will report to the Pharmacy Development Senior Manager. In this role you will be the comprehensive subj…
Systems Analysis, Consultant
BSC·Oakland, CA, United States
Your Role The Pharmacy Care Management Platform team delivers all IT Pharmacy solutions to support Pharmacy Operations and Pharmacy Transformation. The Systems Analyst-Consultant will report to the Pharmacy Development Senior Manager. In this role you will be the comprehensive …
Claims Processor, Intermediate (ITS Host & Home)
BSC·Redding, CA, United States
Your Role The ITS Host and Home Claims teams process claims and adjustments for out of state Blue Cross Blue Shield members that receive services in California and for our Blue Shield of California members that receive services performed outside of California. The Claims Process…
Risk Adjustment Consulting, Experienced
BSC·Oakland, CA, United States
Your Role The Enterprise Retrospective Chart Review team oversees end to end retrospective coding operations, ensuring the accuracy, completeness, and compliance of medical record review across all risk adjusted lines of business. The team manages enterprise workflows, vendor per…
Group Underwriter - Large, Senior
BSC·Long Beach, CA, United States
Your Role The Mid Market Accounts Underwriting team serves group health care for mid-sized employers from 250 to 3,000 employees. Partnering with our large group sales organization, we work with California's and the nation's largest and most sophisticated employers and benefits…
Corporate Security Operations Center, Principal
BSC·Oakland, CA, United States
Your Role The Corporate Security team is seeking an experienced Corporate Security Operations Center, Principal to enhance our security operations and threat intelligence capabilities. The Corporate Security Operations Center Principal will report to the Sr. Director, Fraud Dete…