Company · 172 open roles
Careers at BSC
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172 positions at BSC
Social Worker, Senior
BSC·Woodland Hills, CA, United States
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 report to th…
Manager, Behavioral Health Utilization Management
BSC·El Dorado Hills, CA, United States
The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health U…
AI Auditor, Consultant
BSC·Oakland, CA, United States
The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Principal will serve as a manager-level leader respo…
Full Stack Engineer, Senior (Azure)
BSC·Oakland, CA, United States
The Application Services team plays a critical role in enhancing customer and technical collaboration while delivering all application development through a Platform and Technology Product Operation Model. The Full Stack Engineer will report to the Senior Manager, Product Line Ma…
AI Auditor, Senior
BSC·Oakland, CA, United States
Your Role The Internal Audit Services team provides independent, objective assurance and advisory services to help Blue Shield of California manage risk, strengthen internal controls, and improve business processes. The AI Internal Audit Consultant will support audit, compliance…
Manager, Operations
BSC·Rancho Cordova, CA, United States
Your Role The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing(NSB) process. The team also partners with an offshore vendor to complete provider d…
Director, Strategic Planning and Performance
BSC·San Diego, CA, United States
The Health Plan Operations (HPO) team provides operational support to Blue Shield of California. The Director, Health Plan Operations Optimization leader will report to the Vice President, Health Plan Operations. In this role you will work across all the Health Plan Operations te…
Product Manager, Consultant - Clinical Strategy
BSC·Long Beach, CA, United States
Your Role The Product Manager, Consultant will be part of the Digital Member Engagement and Experience team, reporting to the Senior Manager, Product Management. In this role, you will use your Product Management expertise to connect clinical and product strategies, creating valu…
Product Manager, Senior
BSC·El Dorado Hills, CA, United States
Your Role: The Health Plan Correspondence (HPC) Vendor Management team is accountable for all components of vendor management for BSC’s strategic/transactional print vendor relationships. The Product Manager, Senior will report to the Sr Manager of Vendor Management. In this role…
Risk Adjustment Compliance Specialist, Principal
BSC·Oakland, CA, United States
Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medicaid and Medicare Advantage lines of business. This role involves auditing, monitoring, and …
Data Engineer, Principal
BSC·Oakland, CA, United States
Your Role The Data Services team is responsible for technical design and end-to-end delivery of complex data-driven solutions and data products for the enterprise. The Data Engineer,Principal will report to the Sr Manager, Data Solutions / Director. In this role you will be part…
Director, Platform Engineering and Tools
BSC·Oakland, CA, United States
Your Role The Stellarus Commercial team builds the products to power Healthcare Payors through modern technology and AI. The Director of Platform Engineering and Tools will report to the VP, Platform Operations. In this role you will partner closely with our Application, Data, …
Data Engineer, Senior
BSC·Oakland, CA, United States
Your Role The Data Services team is responsible for technical design and end-to-end delivery of complex data-driven solutions and data products for the enterprise. The Data Engineer,Senior will report to the Sr Manager, Data Solutions / Manager. This role is responsible for inde…
Government Programs Compliance Specialist, Senior
BSC·Oakland, CA, United States
Your Role The Medicare Compliance team is responsible for providing oversight of Blue Shield’s Medicare Advantage and Part D plan operations to help ensure compliance with CMS regulations, contractual requirements, and internal policies. The Government Programs Compliance Specia…
Duals Administrative Support - Sales Coordination, Intermediate
BSC·Woodland Hills, CA, United States
Your Role The Duals Outreach team is primarily responsible for planning, organizing, and executing community-based events for the dual’s population in the Los Angeles and San Diego Counties. The Duals Administrative Support - Sales Coordination, Intermediate will report to the Se…
Product Implementation Analyst, Senior
BSC·Rancho Cordova, CA, United States
Your Role The Product Lifecycle team focus is on the production of legally binding documents for Group Medicare Advantage. The Product Implementation Analyst, Senior will report to the Director. In this role you will implement new or revised products; Identify issues and devel…
Data Engineer, Senior
BSC·Oakland, CA, United States
The Data Services team is responsible for technical design and end-to-end delivery of complex data-driven solutions and data products for the enterprise. The Data Engineer,Senior will report to the Sr Manager, Data Solutions / Manager. This role is responsible for independent des…
Associate General Counsel, Distinguished - Stellarus (Short-Term Employment)
BSC·Oakland, CA, United States
This is a Short-Term Employment (Temporary) position which has a specified period of no more than three years of employment. The Associate General Counsel role primarily supports Stellarus Product, Pharmacy, Development and Partnership functions and may advise on related matters …
Appeals and Grievances - RN, Consultant (MediCare)
BSC·Rancho Cordova, CA, United States
The Medicare 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 Medicare Appeals and Grievances RN Lead will report to the Appeals and Grievances Manger. I…
Clinical Services Coordinator, Advanced (Bilingual)
BSC·Long Beach, CA, United States
The Behavioral Health Utilization Management team provides utilization management and support for members seeking behavioral health treatment. The BHT Clinical Services Coordinator will report to the Supervisor of Behavioral Health Utilization Management. In this role you will as…
Information Security Risk and Governance Specialist, Consultant
BSC·El Dorado Hills, CA, United States
The Technology and Data Trust Assurance Services team drives BSC technology and information security adherence to regulatory standards, as well as policies, standards, and controls development, with the goal of evaluating, directing and monitoring IT vendor performance, while saf…
Full Stack Engineer, Experienced
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 liv…
PC Technician Support, Intermediate
BSC·Lodi, CA, United States
The Technology Services and Operations team supporting all end point systems and technology. The Technical Support Specialist will report to the Supervisor of End Point Field Services. In this role you will be assisting our customers with computer issues either on-site or remotel…
Project Manager, Principal - Stellarus (Short Term Employment)
BSC·Oakland, CA, United States
This is a Short-Term Employment (Temporary) position which has a specified period of no more than three years of employment. Your Role The Pharmacy Benefits, Claims, and Network Operations team is responsible for the end-to-end operational oversight of the pharmacy benefit, ensu…