Company · 238 open roles
Careers at BSC
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238 positions at BSC
Clinical Quality Coordinator, Intermediate
BSC·Woodland Hills, CA, United States
Your Role The Clinical Quality Review (CQR) team investigates and reviews potential quality of care issue(s) (PQI) or concerns arising from member grievances and internal referrals. PQI reviews may confirm a quality problem that resulted in, or had the potential for harm, to th…
Program Manager, Senior, Virtual Care
BSC·El Dorado Hills, CA, United States
Your Role The Health Plan Product Development team is responsible for supporting Blue Shield of California’s portfolio of virtual care solutions designed to improve member access, experience, and health outcomes. The Program Manager, Senior, Virtual Care Programs will report to t…
Sr. Director, Pharmacy - Prior Authorization & Call Center
BSC·Oakland, CA, United States
Your Role The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Di…
Clinical Services Coordinator, Advanced
BSC·El Dorado Hills, CA, United States
Your Role The Care Management team is a member-facing team that provides care coordination to our most vulnerable members to help them overcome barriers, access appropriate services and resources, and improve their overall health and quality of life. The CSC will connect member…
Internal Controls Consulting, Experienced
BSC·Oakland, CA, United States
Your Role The Internal Controls Advisory Services team provides objective consulting and advisory services designed to add value and assist management with establishing and maintaining an effective system of internal controls. The team helps Blue Shield of California accomplish…
Product Manager - Principal, Stellarus
BSC·Oakland, CA, United States
Your Role The Product Management team drives the strategy and delivery of digital solutions that empower members to make informed healthcare decisions. Your work will shape how millions of members access and understand their healthcare benefits. The Product Manager, Principal wi…
Product Manager, Associate, Stellarus
BSC·Oakland, CA, United States
Your Role The Product Management team drives the strategy and delivery of digital solutions that empower members to make informed healthcare decisions. Your work will shape how millions of members access and understand their healthcare benefits. The Product Manager, Associate wi…
Project Manager, Principal (Enterprise Mandates Delivery)
BSC·Long Beach, CA, United States
Your Role The Enterprise Mandates Delivery team is a group of project managers and business analysts dedicated to implementing large, cross-functional mandates with significant technology impacts arising from federal, state, county, and BCBSA requirements. The Project Manager, P…
Sr. Director, Compliance and Ethics
BSC·Oakland, CA, United States
Your Role As Senior Director, Compliance & Ethics at Ascendiun you will lead the enterprise-wide compliance and ethics program across all affiliates, business units, products, services and activities. You will oversee preventive, detective and remedial controls; policies and pro…
Privacy Program Specialist, Consultant
BSC·Oakland, CA, United States
Your Role The Privacy Office develops and oversees Blue Shield’s Privacy Program. The Privacy Program ensures that Blue Shield and its affiliated covered entities, including Blue Shield of California Promise Health Plan, are in compliance with state and federal privacy laws and …
Director, Community & Local Government Engagement - Medi-Cal
BSC·Long Beach, CA, United States
The Blue Shield Promise Community and Local Government Engagement Team is responsible for developing and managing relationships with a wide range of external stakeholders including local elected officials, county government agencies, community-based organizations, advocacy groups…
Medical Informatics Analyst, Principal - Population Health
BSC·Long Beach, CA, United States
Your Role The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and contain the rising cost of healthcare. The Medical In…
Associate General Counsel, Sr Principal - Appeals and Grievances
BSC·Oakland, CA, United States
Your Role The Medical Care Solutions team is responsible for various client support within Blue Shield of California, including the Appeals and Grievances Department and Customer Service Team, Behavioral Health, Medical Policy, Utilization Management, Pharmacy and Regulatory Fi…
Full Stack Engineer, Principal
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…
Regulatory Complaint Coordinator, Intermediate
BSC·El Dorado Hills, CA, United States
Your Role The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulatory Complaint Supervisor. In this role yo…
Claims Processor, Specialist
BSC·Redding, CA, United States
Your Role The Claims operational teams are responsible for ensuring claims are processed accurately and timely. The Claims Processor, Specialist will report to the Operations Manager. In this role you will be responsible for interfacing with other departments and vendors involve…
Sr. Manager, Internal Controls Consulting
BSC·Oakland, CA, United States
You Role The Internal Controls team is responsible for designing, testing, and maintaining Blue Shield of California’s enterprise internal control framework — covering 700+ controls across financial, operational, and compliance processes — and for partnering with business leader…
Business Analyst, Senior
BSC·Long Beach, CA, United States
Your Role The Provider Data and Analytics team delivers reporting, dashboards, data extracts, and data quality solutions that support Provider Operations and business partners across the organization. The Business Analyst, Senior will report to the Manager, Performance Analytics …
Provider Relations Representative, Experienced
BSC·El Dorado Hills, CA, United States
Your Role The Provider Services team is responsible for building and maintaining effective provider relationships with IPA/Medical groups, Providers and Hospitals. The Provider Relations Representative, Experienced will report to the Director, Provider Services – Relations. In t…
Business Analyst, Consultant
BSC·Long Beach, CA, United States
Your Role The Provider Data and Analytics team delivers reporting, analytics, dashboards, and data quality solutions that support Provider Operations and enterprise business partners. The Business Analyst Consultant will report to the Manager, Provider Data and Analytics. In this…
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…
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…
Utilization Management Nurse, Senior
BSC·El Dorado Hills, CA, United States
Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporti…
Care Management - Nurse, Senior
BSC·El Dorado Hills, CA, United States
Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements…
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