Blue Shield of California
Blue Shield of California, operating within the Hospitals and Health Care industry, is currently hiring. With 41 open positions available, there are diverse opportunities for professionals seeking a career in healthcare. As of January 2025, Blue Shield of California became a subsidiary of Ascendiun, a nonprofit corporate entity. Blue Shield of California is actively seeking qualified individuals for a variety of roles. Ten of the 41 open positions include: * **Product Manager, Consultant - Digital Portfolio:** This hybrid role requires an individual to support Digital Product Managers and the digital leadership team in managing web, mobile, and digital experiences. * **Actuarial Analyst, Consultant:** This hybrid position focuses on financial analyses and modeling to support provider contracting. * **Platform Engineer, Sr. Principal:** This hybrid role involves driving the creation and maintenance of enterprise technology capabilities and technology patterns to enable teams to move to the Cloud. * **Application Developer, Experienced:** This hybrid role is involved in the design, development, and deployment of secure, high-quality software solutions. * **DevOps Analyst, Consultant:** This hybrid role requires a subject matter expert in the technology products/platform feature space within an agile working model. * **Care Management - Nurse, Senior:** This on-site position involves case management activities demonstrating clinical judgment and independent analysis. * **Program Manager, Consultant:** This hybrid role involves managing Clinical Quality and Affordability. * **Case Management - Nurse, Senior:** This hybrid position focuses on performing case management activities. * **Sr. Manager, Program and Project Management (Pharmacy Benefits Management):** This hybrid role focuses on the management and ownership of the end-to-end activities needed to bring all pharmacy production stabilization issues to full resolution. * **Marketing Operations Specialist, Principal - Omnichannel Strategy:** This hybrid role involves owning the marketing strategy and roadmap for media and web experiences. The job postings highlight several technologies and skills that are essential for the roles. These include: Product Management, Digital Transformation, Agile Methodology, Cross-Functional Collaboration, Process Improvement, KPI Tracking, Data Analytics, Financial Analysis, Modeling, Cloud Migration, DevOps, Automation, Azure, CI/CD, Automated Testing, Cloud-Native Delivery, Secure Coding, Full Stack Development, Provider Contracting, and Marketing Strategy. Other important skills include leadership, communication, and problem-solving abilities. Blue Shield of California offers two primary work arrangements: * **Hybrid:** Employees work from a business unit-approved office at least two times per month (for roles below Director-level) or once per week (for Director-level roles and above). Member-facing and approved out-of-state roles remain remote. * **On-Site:** Employees work from a business unit-approved office an average of four or more days a week. Here are some frequently asked questions about working at Blue Shield of California: * **What is the mission of Blue Shield of California?** Blue Shield of California's mission is to create a healthcare system worthy of family and friends and sustainably affordable. * **What are Blue Shield of California's values?** Blue Shield of California's values include being Honest, Human, and Courageous. * **How does Blue Shield of California approach its workplace model?** Blue Shield of California believes in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. * **What is the physical requirement detail for working at Blue Shield of California?** Roles are generally in an Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click the link provided in the job description for further physical requirement details. * **What is the Equal Employment Opportunity policy?** All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. * **Is Blue Shield of California part of a larger organization?** As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions.
About the Company
Ascendiun is a nonprofit and ultimate parent company of Blue Shield of California, Blue Shield Promise Health Plan, Altais and Stellarus. The Ascendiun family of companies are dedicated to advancing better health outcomes, making care more affordable and addressing the unique needs of diverse communities.
Quick Facts
Open Positions
41Your Role The Pharmacy Production Stabilization team provides management and end-to-end oversight of all Pharmacy production stabilization issues, driving issues from identification to resolution with...
Your Role The Digital and Measurement team is responsible for elevating marketing strategies into omnichannel solutions that deliver measurable business outcomes for the Markets Organization. The Omni...
Your Role The Digital and Measurement team is responsible for elevating marketing strategies into omnichannel solutions that deliver measurable business outcomes for the Markets Organization. The Omni...
Your Role The Member Experience Product Management team drives the strategy and delivery of digital solutions that empower members to make informed healthcare decisions. Your work will shape how milli...
Your Role We are seeking an experienced and visionary Product Manager to join our product manager leadership team. This role is pivotal in shaping the foundation of our product ecosystem and driving t...
Your Role The Digital and Measurement team is responsible for turning Brand and Marketing strategies into digital first experiences that improve customer engagement and deliver measurable business out...
Your RoleReporting to the Sr. Director, the Planning, Performance, and Enablement Customer Service plays a pivotal role in advancing the goals of Blue Shield of California and the Customer Experience ...
Your Role The Developer & Employee Experience Team serves at the direction of the Sr. Director of Technical Engineering, enabling BSC’s journey to the cloud. The Platform Engineer, Consultant, will re...
Your Role The Office of the Chief Medical Officers is responsible for the clinical performance of the respective lines-of-businesses. The Executive Assistant will report to the VP, CMO, Commercial Mar...
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior...
Your RoleThe Application Services team plays a critical role in enhancing customer satisfaction and technical collaboration while delivering all application development through a Platform and Technolo...
Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members car...
Your Role The HQA team is responsible for managing Clinical Quality and Affordability for Blue Shield of California. The Program Manager, Consultant will report to the Director of Program and Project ...
Your Role The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care i...
Your Role The Office of the Chief Medical Officers is responsible for the clinical performance of the respective lines-of-businesses. The Executive Assistant will report to the VP, CMO, Commercial Mar...
Your Role The Senior Manager will lead the development, operation, and continuous improvement of Procurement Operations and the Procurement Center of Excellence (CoE), with a strong emphasis on digita...
Your RoleThe Administrative Assistant, Specialist will provide comprehensive administrative and operational support to the Senior Director of Clinical Quality, as well as both the Medicare Quality tea...
Your Role The Quality Review team completes audits of front-line staff to ensure alignment with department processes and regulatory compliance. The Quality Review team also provides coaching and works...
Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their families. The FEP Utilization Management Nurse will re...
Your RoleThe Health Plan Operations (HPO) team provides operational support to Blue Shield of California. The Director, Health Plan Operations Optimization leader will report to the Senior Vice ...
Your Role The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, retirees, and their families. The FEP Utilization Management Nurse Consult...
Your RoleThe Digital Transformation Portfolio team supports Digital Product Managers and the digital leadership team in all aspects of reporting, tracking, prioritizing and management of web, mobile a...
Your Role The Enterprise Prior Authorization Accountability Program Manager will serve as the Accountable Business Driver for all enterprise-wide prior authorization initiatives. This role ensures com...
Your Role The Enterprise Prior Authorization Accountability Program Manager will serve as the Accountable Business Driver for all enterprise-wide prior authorization initiatives. This role ensures com...
Your Role The Network and Trend Analytics team drives the development of an affordable provider network through data analytics and expertise. The Actuarial Analyst, Consultant will report to the Senio...
Your Role The Sr. Director of GRC and Customer Trust is a strategic security leader responsible for governing technical controls, managing external and regulatory security assessments, overseeing thir...
Your RoleThe Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, polici...
Your Role As an Accounting Operations Intermediate in Accounts Payable, you will be responsible for daily operational tasks such as processing manual check and reissue requests, validating that requir...
Your Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints for our Commercial line of business. The Appeals and Grievances,...
Your Role The Stellarus Business Development & Partnerships team recruits new customers and partners that contribute technology leadership, market reach, and revenue to Stellarus. The Program Manager,...
The IT Health Solutions Portfolio team delivers and supports new solutions and enhancements to multiple systems and applications. The Full Stack Engineer will report to the Senior Manager. In this rol...
Your Role 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 O...
Your RoleThe Individual & Family Plans team manages the sales, distribution and performance for one of Blue Shield’s largest lines of business – providing health insurance for individuals who do not g...
Your Role The Associate General Counsel, Dispute Resolution (“AGC”) will provide strategic advice and counsel, as well as legal representation on a broad range of health care disputes and issues, with...
Your RoleThe 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...
Your Role The Population Health Management (PHM) team promotes a vision and strategy to drive differentiation in member experience and engagement, improvement in the overall health of Blue Shield of C...
Your Role The Talent Acquisition team supports Stellarus’ mission to power a healthcare system that is worthy of our family, friends, and neighbors and is sustainably affordable. The Senior Manager, T...
Your Role The MCS Clinical Service Intake team is responsible for timely and accurate processing of Treatment Authorization Requests. The Clinical Services Coordinator (CSC), Intermediate will report ...
Your Role The Developer and Employee Experience team is responsible for the creation of the standards and automation pipelines that enable our partnering IT teams to build, release, and manage their s...
Your RoleThe clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an initial point of contact for providers and members in...
Your Role The Integrated Output Solutions team is responsible for the product management and production of transactional output management. In this role you will be a transactional print vendor owner ...