Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and care management

Do you want to build B2B relationships and upsell services to existing clients while earning back former clients? You can do that. Ready to outline beneficial combinations of technology products to meet client needs? As an Enterprise Account Manager at Spectrum Enterprise, you can do that. provides modern enterprise technology solutions that meet the unique needs of some

Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and care management

Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas IT Wide The following are the duties of this position at the full working level. Leading the implementation of security programs designed to anticipate, assess, and minimize system vulnerabilities, coordinat

Your Role The Career and Leadership Development team provides opportunities for career growth at all levels of the organization through building a culture of learning, galvanizing career ownership and offering leadership development programs that prepare leaders to excel and advance in their careers. As an Organization Development and Learning Specialist, Principal, you w

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes through the assessment

Your Role Join Blue Shield's dynamic Enterprise Learning organization, which develops learning solutions to ensure employees can perform their jobs effectively to further our mission. As a IT Learning Developer, Senior you will serve as a strategic partner to talent mobility through innovative learning strategies and solutions. The IT Learning Developer, Senior will repor

Your Role The 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 Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of member initiated ap

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to th

Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical methods so that they may be su

Your Role The Community Programs team provides high touch engagement with member and community based organizations to remove barriers to health care access, enhance population health initiatives and advance health equity. The Community Health Advocate Coordinated Entry System (CES) Liaison will report to the Community Programs Manager, Operations. In this role you will be

Compensation range for the role is listed above. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses. For more information regarding VSP Vision benefits, please. Are you an experienced professional

Your Role The Creative Studio team is responsible for the creative execution of both mid and lower funnel marketing campaigns across various channels in support of multiple lines of business at Blue Shield of California. The Senior Manager, Creative Studio will report to the Senior Director of Brand Strategy, Member Marketing & Creative. In this role you will be responsib

Your Role The Regulatory Law team supports Blue Shield's Healthcare Solutions business team . The Associate General Counsel is a Senior Director position within the Regulatory Law Department and will report to the Managing Associate General Counsel. In this role you will primarily be supporting the Pharmacy business of Blue Shield of California with its regulatory and con

Your Role The Director of Facilities will report to the VP Internal Audit Services. In this role you will manage the real estate, security, and facility operations for Blue Shield of California for multiple locations of over 1.2M and 7,500 employees. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow pers