BSC
Open positions
Data Engineer, Senior
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…
Data Engineer, Principal
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…
Sr. Manager, Internal Controls Consulting
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…
Appeals and Grievances - RN, Senior
Your Role The Medi-Cal Member 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 Medi-Cal…
Clinical Coding Analyst RN, Consultant
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.…
Sr. Director, Provider Partnerships
Your Role The Provider Partnerships team is responsible for creating high integrity relationships with medical providers to enable Blue Shield of California (BSC) to be the health plan of choice. The Sr. Director,…
Information Security Engineer, Principal
Your Role The Product Security team builds and operates engineering-driven security capabilities embedded directly into the software and platform lifecycle. The Product Security Engineer will report to the Senior…
Sales Executive Stellarus, Health Plan Technology Sales
Your Role The Business Development and Strategic Partnerships team advances Stellarus’ growth by bringing differentiated healthcare solutions to market and building trusted relationships with health plans and strategic…
Information Security Risk and Governance Specialist, Consultant
Your Role The Information Security Team is seeking an Information Security Risk and Governance Specialist. In this role, you will be supporting Stellarus by helping translate regulatory, contractual, policy, and…
Operations Specialist, Associate
Your Role The Operations Specialist supports claims operational teams by performing end-to-end testing to identify defects of new code being introduced to the production environment. Creating test cases that will…
Director, Technology Transformation
Your Role The Technology team is responsible for the delivery, operation, and governance of secure, compliant, and scalable platforms that support critical healthcare services and enable the successful separation and…
Brand Visual & Video Design, Consultant
Your Role Blue Shield of California is seeking a strategic and influential Brand Visual & Video Design Consultant to help shape and evolve the enterprise brand through visual storytelling, motion design, and multimedia…
Program Manager, Consultant - Pharmacy Strategy & Operations
Your Role The Pharmacy Strategy and Operations team provides pharmacy benefit management services and strategies to support Blue Shield of California affordability and membership goals. The Program Manager, Consultant…
Sr. Manager, Provider Contracting
Your Role The Model Contracts team is responsible for the development and management of provider contract templates and related language that support the Blue Shield of California and Blue Shield of California Promise…
Sr. Manager, Health Plan Product Strategy
Your Role The Health Plan Product Development team is responsible for developing and implementing new products and strategies that support short- and long-term financial and membership growth across all of BSC’s lines…
Pharmacist, Principal
Your Role The Cost of Health Care (COHC) & Specialty Drug Management Pharmacy team is responsible for managing the Specialty Drug strategies across the pharmacy and medical benefit and leading and implementing cost of…