Blue Shield of California Community Outreach Specialist

Your RoleAs a Community Resource Center Representative with Blue Shield of California, you will play a vital role in connecting members from our health plans to classes and personalized services that foster community connections, address social needs, and keep people active, healthy, and informed.The Community Resource Center (CRC) team is responsible for...

We are seeking a skilled and dedicated individual to join our team as a Healthcare Navigator, Community Outreach Specialist at Blue Shield of California.**About the Role**This position is located in Wilmington, California, and requires employees to work 5 days a week. As a member of our Community Resource Center (CRC) team, you will play a critical role in...

Job SummaryWe are seeking a skilled and compassionate Blue Shield Promise Community Resource Center Representative to provide exceptional support to our members and the Los Angeles community. In this role, you will be responsible for connecting members with classes and personalized services that foster community connections, address social needs, and keep...

About Blue Shield of CaliforniaAt Blue Shield of California, we're dedicated to providing exceptional healthcare services to our members. As a Community Health Advocate, you'll play a vital role in helping us achieve this goal.Salary and BenefitsThe salary for this position ranges from $26.20 to $36.68 per hour, depending on experience and qualifications. In...

ASO and Specialty Actuary JobWe are seeking an experienced Actuary to join our team as a Senior Manager, Actuary of ASO and Specialty.This role supports rate filing, discount submission, and financial analysis for Blue Shield of California's ASO and Specialty space, reporting to the Senior Director Actuarial Pricing for Select &...

Your RoleThe Senior Community Health Professional will report to the Director of Social Services. In this capacity, you will conduct outreach to Blue Shield of California Promise Health Plan members and perform comprehensive assessments for health-related social needs.Your WorkIn this role, you will:Conduct psychosocial and social drivers of health needs...

About the RoleThe Community Health Advocate, Experienced will report to the Manager, Social Services Management. This role requires outreach to Blue Shield of California Promise Health Plan members and conducting assessments for social drivers of health needs.Key ResponsibilitiesAssess psychosocial and social drivers of health needs for moderate-risk members...

Job SummaryWe are seeking a highly skilled Healthcare Coordinator Specialist to join our team at Blue Shield of California. In this role, you will oversee patient care coordination to promote health and wellness in outpatient settings.About the RoleDevelop individualized care plans to ensure the appropriate management of patient needs.Collaborate with...

About Blue Shield of CaliforniaAt Blue Shield of California, we strive to deliver best-in-class clinical quality analytics and informatics to enable high-quality, affordable member-centered care. Our team uses data, intelligence, and actionable insights to drive quality strategy, performance improvement, and regulatory reporting.Job SummaryWe are seeking a...

Care Management Specialist**Overview of Role**The Blue Shield of California team is seeking a dedicated Clinical Services Coordinator to play a vital role in outreach and engagement efforts with our members. The successful candidate will interact telephonically with members to assist with simple care coordination needs and facilitate connections between...

About the RoleWe are seeking a highly skilled and experienced Pharmacy Operations Management Specialist to join our team at Blue Shield of California.

At Blue Shield of California, we're seeking a highly skilled Healthcare Compliance Specialist to join our Facility Compliance Review team. As a key member of this team, you will play a vital role in reviewing post-service prepayment facility claims for contract compliance, industry billing standards, medical necessity, and hospital-acquired conditions/never...

Clinical Services CoordinatorAs a Clinical Services Coordinator, you will play a crucial role in managing outreach, engagement, and care coordination for Medi-Cal members at Blue Shield of California. This position involves providing telephonic and electronic support to both members and providers, ensuring effective care management processes while working...

Blue Shield of California seeks a skilled Clinical Services Coordinator to join our team. As an integral part of our care management process, this role will serve as the initial point of contact for providers and members by telephone or correspondence.About the RoleThis position involves interacting telephonically with members according to established...

Job SummaryWe are seeking a highly skilled Clinical Services Coordinator, Intermediate to join our team at Blue Shield of California. As a Clinical Services Coordinator, you will play a vital role in the medical management process, serving as an initial point of contact for providers and members.About the RoleIn this role, you will:Conduct telephonic...

About Blue Shield of California">Blue Shield of California is a not-for-profit health plan committed to providing access to high-quality healthcare at an affordable cost. We aim to improve the lives of our members by offering innovative products and services that promote healthy living, prevention, and treatment.">Job Summary">We are seeking a skilled...

About the RoleBlue Shield of California is seeking an experienced Implementation Specialist to join our team. As a Senior Implementation Specialist, you will be responsible for managing complex renewals and ensuring the successful onboarding of groups with Shared Advantage and Fully Insured funding types.Key ResponsibilitiesManage delivery of internal...

Company Overview:">Blue Shield of California is a leading health insurance company that provides comprehensive coverage to its members. We are committed to delivering high-quality healthcare services and improving the lives of our members.">About the Role:">We are seeking an experienced Clinical Services Coordinator to join our team. In this role, you will...

At Blue Shield of California, we are seeking a highly skilled Clinical Services Coordinator, AdvancedYour Role:Contact healthcare providers and members through telephone or correspondence to facilitate the medical management process.Interact with members telephonically to ensure effective and efficient management through the medical/disease management...

About Blue Shield of CaliforniaBlue Shield of California is a health plan company dedicated to providing high-quality healthcare services to its members. Our team works tirelessly to ensure that our members receive the best possible care.