Blue Shield of California jobs

Your Role The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company's compliance and ethics program across the enterprise, including all business units, products, services and activities. This includes the implementation and maintenance of proper preventive, detective and remedial programs and controls; the execution of relevant policies and procedures; training and educating the workforce; implementing an effective communications program; ensuring effective testing, auditing, monitoring, tracking and reporting; and remediate control deficiencies. This Senior Level Compliance and Ethics Specialist is a critical individual contributor and program lead who will report to the Senior Manager, Compliance and Ethics. In this role you will work closely with the Senior Manager and department to drive and lead the department's strategic priorities and projects, including advancing the compliance training program, developing and implementing compliance policies such as the Conflict of Interest, Gifts and Entertainment, Anti-Corruption, etc., and serve as a subject matter expert on compliance issues, providing guidance and support to various departments within the organization. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a Bachelor's degree; Masters in relevant field or Juris Doctor preferred Requires a minimum of 5 years of prior relevant experience (experience in a health plan or related health care organization preferred) Certification in Healthcare Compliance (CHC) or Certified Ethics and Compliance Professional (CCEP) preferred Exceptional written and verbal communication skills, including the ability to explain complex regulatory requirements to diverse audiences Experience with project management preferred. Excellent execution skills required Working knowledge of healthcare regulations and compliance requirements, including the DOJ Federal Sentencing Guidelines, OIG Compliance Plan, Privacy Rules, Stark Law, Anti-kickback statute, and Fraud and Abuse Experience collecting and analyzing data and developing sophisticated reports on compliance and ethics data and metrics Advanced presentation skills, including PowerPoint, Excel, Word Experience and success in program/project management and driving change Key necessary competencies include critical thinking, business acumen, collaboration, ability to influence others, strong written and verbal communication, efficient time management, and excellent organizational & problem-solving skills Your Work In this role, you will: Provide guidance, quality review and execution of compliance and ethics case management and compliance activities Responds to inquiries and provides advice and guidance regarding BSC's Code of Conduct, Corporate Compliance owned policies, and C&E Program operations. Triage and refer cases or inquiries to other BSC compliance resources (e.g., Privacy Office, SIU, Employee Relations) Support the coordination and management of the Corporate Compliance & Ethics communication portals including email boxes, web applications, and Navex EthicsPoint hotlines Designs and develops presentations and resources, implements and promotes awareness of the organization's compliance and ethics policies and the Code of Conduct. Review and analyze compliance metrics, performance data, and monitoring results to identify trends and areas requiring improvement Proactively supports Conflict of Interest (COI) disclosure and assessment activities, including reviewing and responding to guidance requests pertaining to COIs and handling of disclosures Serve as a subject matter expert on compliance issues, providing guidance and support to various departments within the organization. This includes staying current with industry trends and regulatory changes, proactively and continuously improving the compliance program to address new challenges and requirements. Coordinate and respond to requests for Compliance Program documentation and records including surveys, assessments, compliance certifications, attestations, and audit related requests for C&E records Collaborate with colleagues and stakeholders across the BSC enterprise to drive compliance and ethics workplans and projects and exercise independent drive and judgment to suggest and move forward program improvements and priorities Collaborate, as necessary, with other compliance resources (e.g., Privacy, IT Security, Human Resources, operational management) with respect to identified compliance issues Develops and delivers compliance training curricula that are focused on the essential elements of the compliance program Collaborate with colleagues and stakeholders to draft and deliver presentations related to compliance and ethics program work and priorities, risks, and metrics May manage major/complex projects involving delegation of work and review of work products

We are currently looking for employees skilled in any of these area. Data Entry / Admin / Accounting Clerk Qualifications • Accounting experience or training is required. Quickbooks experience is preferred. • Knowledge of Microsoft applications. • Knowledge of principles and practices of basic office organization, Experience in a Construction/Contractor Setting is preferred. • Excellent written and verbal communications skills. • Strong attention to detail and exceptional organizational skills. Benefits : Health, Dental, Life and AD&D Insurance, Employee Wellness and 401k plans.Paid Time Off and Holidays with Generous Company Discounts. provide resume if interested.

HALLMARK - Because Connecting With Each Other Has Never Been More Important. This part-time opportunity is located at our Hallmark Corporate owned Gold Crown store #360 in Westfield Santa Anita located in Arcadia, CA. You'll add value to one of the world's most iconic consumer brands and be part of our company with a life-affirming purpose to inspire meaningful connections. Through our products, content and experiences we aim to create a more emotionally connected world by making a genuine difference in every life, every day. Our business believes in the value of diversity and creates a culture of inclusion through every brand, product and person we touch. The Hallmark Gold Crown store is the destination for all things caring. The place where all the magical things Hallmark has to offer - cards, gifts, ornaments, movies, and more -- come to life to inspire and support people in their desire to care and connect. We help with the perfect solution for all of life's relationships and occasions - to feel more deeply, to celebrate more uniquely, and to connect more often. Our store team is driven to reach store goals while delivering a memorable experience to each of our shoppers because we genuinely care and choose to make a difference in the world and in our communities. Our Part-Time Sales Leaders are key to providing a ‘caring team' atmosphere for our customers. The difference begins with YOU! WHAT YOU WILL DO: Our Part-Time Sales Leaders bring the Hallmark mission to life in the store. They are the face of the Hallmark brand to customers and vital to the success of Hallmark. THE PART-TIME SALES LEADER DUTIES TO INCLUDE: Delivering an exceptional consumer shopping experience that leaves guests feeling inspired, ready to connect, and eager to return. Modeling and coaching service and selling skills while, helping customers find the perfect card and gift solutions. Leading store associates when the Store Manager is not available, providing feedback along the way. Communicating daily priorities, goals, and business information, while maintaining fun and supportive team environment. Executing store operations -- product replenishment & merchandising, ringing sales, processing shipments, managing inventory, point-of-sale audits, seamless retail, etc. YOUR AREAS OF KNOWLEDGE AND EXPERTISE: Basic Qualifications At least 18 years of age. One or more years of experience in retail, sales, or customer service; OR at least 6 months experience in a Hallmark Corporate Store. Ability to work a flexible schedule that meets the needs of the business, including, events, holidays, evenings, and weekends. Availability to open and close the store 3+ times per week and 2+ weekend shifts per month. Ability to continuously stand/walk; frequently push/pull; occasionally bend/stoop/crawl/reach above shoulders/kneel; climb a ladder, and carry up to 40 pounds, e.g., fixture parts and cartons. Preferred Qualifications High school diploma or equivalent. Two or more years of previous experience in (specialty) retail, sales, or customer service. Strong customer-focused engagement and consultative selling skills. Ability to communicate effectively with customers and employees. Proficiency and comfort using a computer and other technology. WHY YOU'LL LOVE WORKING AT HALLMARK: We want to help you be your best - at work and at home, now and in the future. It's why providing benefits to support you and your family's well-being is one of the most important investments Hallmark makes. Hallmark employees in our Gold Crown stores play a direct role in helping our consumers connect, celebrate, and commemorate life's special occasions. Take care of you and yours Savings/401(K) plan with 3% company match. Retail Sales Leads and Store Associates are part of the RSG Savings Plan which offers a 60% company match on employee contributions up to 5%. The employee is eligible after completing 1000 hours of service in first anniversary year or in any calendar year thereafter. Investment assistance. Part-time employees with a work schedule in WorkWell of less than 30 hours are not eligible for Hallmark's group health and welfare benefits. These employees have access to a variety of other voluntary benefits through Voluntary Benefits; including dental, vision, critical illness, accident insurance, hospital indemnity and minimum essential coverage (preventive care). And more! Like a 40% shopping discount on merchandise purchased in a CSG store. As well as a variety of local and national discounts made available by PerkSpot. The hourly pay range for this position is between $16.50 and $17.50. Now's your chance to embrace a future with Hallmark-just follow the instructions below to apply. You must show how you meet the basic qualifications in a resume or document you upload, or by completing the work experience and education application fields. Accepted file types are DOCX and PDF. In compliance with the Immigration Reform and Control Act of 1986, Hallmark Cards, Inc. and its subsidiary companies will hire only individuals lawfully authorized to work in the United States. Hallmark does not generally provide sponsorship for employment. Employment by Hallmark is contingent upon the signing of the Employment Agreement, signing of an agreement to arbitrate in connection with the Hallmark Dispute Resolution Program, completing Form I-9 Employment Eligibility Verification, passing the urinalysis drug screen, education verification and satisfactory reference and background checks. Hallmark is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, age, pregnancy, national origin, physical or mental disability, genetics, sexual orientation, gender identity, veteran status, or any other legally-protected status. Principals only please.

Will support the Walnut Creek, CA market; person will need to live in the local area: Walnut Creek, Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the VP, Network Management. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES * Manages complex contracting and negotiations for fee for service, capitation, and other value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. * Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Creates and manages initiatives that improve total medical cost and quality. * Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. * Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. * Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. * Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. * Manages key provider relationships and is accountable for critical interface with providers and business staff. * Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. * May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS * Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. * 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required. * Experience in developing and managing key provider relationships * Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with hospital, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. * Customer centric and interpersonal skills are required. * Demonstrates an ability to maneuver effectively in a changing environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 106,400 - 177,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

To learn more about this role, watch our field merchandisers in action. As a Field Merchandiser, you'll have the opportunity to work independently to showcase your organization and time management skills, your ability to establish retailer relationships, while being the face of Hallmark. You will collaborate with local store teams to optimize product placement and maintain inventory levels as well as support fellow team members with seasonal resets and installations, when needed. On occasion you may have the opportunity to work with other products from other companies in the stores that you service. SALARY AND SCHEDULE DETAILS Your starting pay will be $16.50 to $17.00 depending on your skills and experience. This is a Part-Time position with a variable schedule during the work week. Average weekly hours for this position are between 13 - 15 hours per week. Availability the week before and after major holidays, which may include weekends is . YOUR ROLE AND RESPONSIBILITIES WILL INCLUDE You'll perform service work in the Hallmark department of various retail stores such as grocery stores, drug stores, department stores, and mass retailers. The retail merchandiser position consists of three major components: Day-to-day engagement: Utilizing a mobile device provided by Hallmark, you'll restock, organize, and monitor the inventory of Hallmark products within and outside the Hallmark department. The use of technology is critical in this role, for the day-to-day work as well as communication with your supervisor, reporting time, providing feedback, and answering surveys for required merchandising activities. Professional and courteous interaction with store employees, management, and customers is also vital for success in this role. You are responsible for the entire Hallmark product display at your assigned stores. Holiday support: Hallmark's operations revolve around seasonal demand. Leading up to and following holidays such as Valentine's Day, Easter, Mother's Day, Father's Day, Halloween, Thanksgiving, and Christmas, you can expect additional days and extended hours during the work week. On occasions like Valentine's Day, Mother's Day, and Father's Day, you may be required to work on the actual holiday itself, which may include the weekend. Department Resets: At times, you may be part of a team responsible for installations and various tasks like building and installing Hallmark fixtures, relocating card departments and products, as well as resetting card sections. Typically, you will be notified two weeks in advance for remodel assignments. This could include evenings or weekend. One Team Vision: As part of Hallmark's field organization, you are part of a network of merchandisers professionals that often times will support other team members as needed in their territories. PHYSICAL REQUIREMENTS This is a physically demanding job that requires a high level of energy and a sense of urgency. You will be working on the selling floor as well as in back stockrooms. You must be able to consistently push, pull, lift, and carry cartons, merchandise, and display fixtures up to 30 pounds throughout the workday and up to 50 pounds on occasion. You will also be required to kneel, squat, walk, and stand throughout your workday, and you may be required to climb stairs and step ladders. BASIC QUALIFICATIONS You're at least 18 years of age. You're able to read, write and understand English. You have the ability to grasp, pull, lift, and carry products up to 30 pounds frequently and 50 pounds occasionally. Able to operate a digital hand-held device to open and read documents and interpret information. You have access to a Wi-Fi network and the internet. You have access to consistent transportation to travel to and between assigned stores as scheduled. Part-time employees with a work schedule less than 30 hours have access to a variety of voluntary benefits through Voluntary Benefits including dental, vision, critical illness, accident insurance, hospital indemnity and minimum essential coverage (preventive care). Prior to applying, watch our field merchandisers in action. Now's your chance to Make Your Mark-just follow the instructions below to apply. You must show how you meet the basic qualifications in a resume or document you upload, or by completing the work experience and education application fields. Accepted file types are DOCX and PDF. Part-time employees with a work schedule less than 30 hours have access to a variety of voluntary benefits through Voluntary Benefits including dental, vision, critical illness, accident insurance, hospital indemnity and minimum essential coverage (preventive care). In compliance with the Immigration Reform and Control Act of 1986, Hallmark Cards, Inc. and its subsidiary companies will hire only individuals lawfully authorized to work in the United States. Hallmark does not generally provide sponsorship for employment. Employment by Hallmark is contingent upon the signing of the Employment Agreement, signing of an agreement to arbitrate in connection with the Hallmark Dispute Resolution Program, completing Form I-9 Employment Eligibility Verification, and successfully pass pre-employment (post offer) background check. Hallmark is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, age, pregnancy, national origin, physical or mental disability, genetics, sexual orientation, gender identity, veteran status, or any other legally-protected status. Principals only please. HALLMARK - Because Connecting With Each Other Has Never Been More Important For over 100 years, Hallmark has helped people connect and strengthen the relationships that matter most. Today, we're building the next century of connection- blending the warmth of in-store experiences with the ease of digital innovation. We're looking for empathetic learners, strategic thinkers, and enthusiastic visionaries from all backgrounds to help shape what's next. If you're ready to bring fresh ideas and energy, we'd love to have you on the team! At Hallmark, you'll feel welcomed from day one- whether you're remote, hybrid, or in-office. We'll tap into your strengths, offer leadership opportunities, and support your growth every step of the way. Our culture is rooted in care and inclusion. We celebrate diverse perspectives and actively seek out new voices- like yours- to help us grow and evolve. Let's imagine the future of Hallmark together!

The Engagement Consultant works with employers and brokers to develop and execute health engagement strategies based on client-specific needs. The Engagement Consultant coordinates awareness and education activities geared towards helping clients and customers become better consumers of healthcare and maximize the value of the solutions they purchase from Cigna Healthcare. Essential Functions & Scope of Role: • Partner with Client Manager or Client Service Consultant to understand client needs and objectives and deliver on client strategy. • Consult with Client on effective wellness program framework- virtually or in-person based on client needs/preferences. • Maintain in-depth knowledge of Cigna products/solutions/services across all product lines (including but not limited to Medical, Pharmacy, Dental, Behavioral, Clinical, inclusive of Well-being incentives). • Advise on Client Wellness Funds utilization for assigned book of business and facilitate payments through the funds. • Participate in finalist, midyear, cross-sell, broker and analytics opportunities to provide insights on Cigna's health and well-being capabilities. • Supports Healthy Workforce Designation opportunities for clients. • Present Cigna employee benefits for new or renewing clients. • Effectively leverages Expert Advisors (e.g. Client Service Consultants, Platinum or Gold Service team, Implementation Managers, Well-Being Strategists, and others) to deliver on client expectations. Qualifications • Bachelor's degree (preferred) or equivalent experience in health-related industry • Experience in corporate health promotion program design is preferred • Excellent oral and written communication skills • Experience in developing and managing key relationships (internally and externally) • Team player with proven ability to prioritize and manage multiple tasks simultaneously and meet timelines within a fast-paced environment • Strong skills in Outlook, Webex, CRM (Salesforce), and other Microsoft 365 suite of programs. • Must be willing to travel to local and remote clients/customers and trainings/meetings as needed (30-35%); overnight travel may be required; markets may vary • Must reside in local market with ability to commute to local Cigna office and meet in-person commitments 2-3 days per week (either in-office or in-market with clients/customers) • If working in WVA, FL, TX: Ability to obtain Health & Life Insurance license If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 68,400 - 114,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

EXPECTATIONS: This role partners with the sales team and requires travel to client offices based on location. GENERAL PURPOSE: Cigna's mission is to improve the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple health care, is dedicated to achievement of our Enterprise goals improving affordability and customer health outcomes, client growth and retention, and network performance. OVERVIEW: The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and Advocate, is closely aligned with Clients, Brokers, and other Key Stakeholders to promote improved healthcare quality and affordability for clients, members and communities we serve. This role executes on strategic priorities to meet enterprise targets related to Cigna Healthcare U.S. Sales Growth, Persistency and Total Medical Cost. RESPONSIBILITIES Stay current with healthcare industry trends and maintain a working knowledge of Cigna business segment strategies, clinical programs, services, and operational processes necessary to educate and provide consultative clinical insights to Sales, Clients, Brokers, and other key stakeholders. Foster deep collaborative relationships with Sales, Sales Operations, Clients, and Brokers, championing Cigna's differentiated clinical value proposition. Support achievement of business growth targets, including prospective review, request for proposal, finalist meetings, and new client onboarding. Support achievement of business persistence targets, including medical cost driver analysis and action, complex case review, referral and engagement, account renewal consultation, and recommendations to positively impact medical cost trend, healthcare quality, and outcomes. Collaborate and align across business units, working closely with Sales, clinical product and program teams, Marketing, Data and Analytics, Clinical Operations, Health Engagement, Evernorth Workplace Care, and others to design and deliver innovative client and market-specific solutions. Participate in cross-functional projects at the local or national level, implementing actions that improve organizational or enterprise effectiveness and affordability. In conjunction with Sales, Health Engagement, and others, facilitate Client and/or Broker external engagements (health forums, community and worksite events, educational presentations, corporate tours, etc.), promoting Cigna's integrated value proposition. Respond to and facilitate resolution of escalated case inquiries, benefit and coverage explanations, and non-standard client benefit requests. Ideal candidate must reside in one of the following locations: Glendale, CA; Irvine, CA; San Francisco Bay Area; Walnut Creek, CA; Seattle, WA; or Portland, OR. QUALIFICATIONS Active and unrestricted nursing license in your state of residence (required). BSN is required Advanced degree (preferred). Minimum of three (3) years of clinical practice experience. Proven industry experience in a health sector-related field (Health Insurance; Healthcare Professional and/or Delivery System Entities; Allied Health Industry; Pharmaceutical Sales; Medical Sales a plus). Strong leadership, organizational, critical thinking, and execution skills. Broad-based thinker with a solid understanding of overall approach to population health for employers. Ability to work effectively in a matrixed environment. Proven ability to foster, influence, and maintain collaborative, successful relationships with internal and external stakeholders. Excellent oral and written communication skills. Proficient in multiple forum presentations internally and externally. Skilled in using Microsoft and technology/software applications. Requires intermittent travel up to 50% of the time. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 116,200 - 193,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Your Role The Law Department Intern will work with the attorneys in the Law (Corporate Law, Litigation, Health Law, Privacy, and Compliance) and Government Affairs teams to support clients across the Company. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Must be a current 1st or 2nd year Law School Student Must reside in the state of California Requires strong research, analytical, writing skills and strong interpersonal and communication skills Requires at least 1 year of related professional experience, project, or coursework Requires strong communication skills, particularly writing for publication Experience analyzing and presenting sets of data and reports preferred Interest in health care preferred Proactive, solution focused mindset with demonstrated creative, problem-solving skills Pay: $25.00 per hour for Undergraduate $30.00 per hour for Graduate About Our Internships Our paid internship program is thoughtfully curated to provide students experience and exposure to the health professional industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationship and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program, check out this video. Our Summer 2026 Internship is June 8th or June 15th through August 14th, 2026. Application Process and Timeline: Now: Actively accepting applications November: If you meet the requirements, you will receive an invitation to complete Pre-Recorded Video Interview November - January: 2nd round interviews & offers extended As an intern at Blue Shield of California, you will: Participate in impactful projects during a 10-week internship program Undertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and more Be invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more Your Work In this role, you will: Review and draft pleadings, contracts, board minutes, and legal memos Attend client meetings Conduct legal and policy research Perform other special assignments

Your Role The Global Business Services team sources for all vendors and goods needed for Blue Shield of California and other entities under the Ascendiun holding company umbrella. This role oversees Stellarus procurement and sourcing for the Product division of Stellarus. The Director, Sourcing for Stellarus will report to the Sr. Director, IT Enterprise Sourcing. In this role, you will be responsible for contracting for new products for Stellarus to commercialize in the marketplace and contracting with potential health plan customers. This role is also to develop this contracting and sourcing muscle, as we build our product strategy. Working closely with the VP, Product and Chief Technology Officer, this role will be responsible for supporting the commercialization contracting. As new partnerships and health plan customers come on board, this role will be responsible for the sourcing, contract and procurement needs. Your Knowledge and Experience Requires at least 10 years of prior relevant experience, including 4 years of prior management experience with direct reports Requires prior experience in negotiating mulit-year service agreements with single contract values greater than $5M per year Requires prior supplier relationship management, business process outsourcing strategy and managing complex operations that are distributed globally Requires experience with IT sourcing on a global scale Requires one to be comfortable with sourcing for different financial entities Prior product sourcing/contracting for revenue generation preferred Your Work In this role, you will: Create and develop a program that will secure contracts and services for our Product Development team within Stellarus Maintain alignment with the corporate objectives and strategy to optimize business value through strategic, operational and transactional sourcing relationships Provide business sourcing strategic advice, consultation & business case development expertise Foster cooperation, communication and partnership to increase competition throughout the vendor supply chain including placing greater emphasis on relationship-building to facilitate and ensure collaboration. Maximize vendor relationships to deliver value to our stakeholders and be managed to the same high-quality standards as those within Stellarus Product division Assess critical vendors' performance outcomes with stakeholders through quarterly business reviews. Leverage semi-annual balance scorecards that measure business performance, security posture, financial viability and compliance and report out to Operating Committee/Audit Committee as requested/annually Operate as a trusted advisor to deliver on culture of affordability initiatives and furthering the supplier relationship management operating model and practice Support the company performance acceleration and transformation plan leveraging traditional procurement levers and strategies to develop, lead and execute multiple Tier 1 procurement initiatives including bolder North Star savings initiatives to deliver financial value creation of at least $5M-$10M in cost savings annually Manage the contracting enterprise Procurement sourcing initiatives, negotiations & deliverables management processes Execute any new corrective plan development and remediation timely. Self-assess, document process and controls, and engage with Internal Control Advisory Program quarterly to design any new internal control structure to have zero repeat audit findings Deliver a proactive schedule of sources and needed contracts for all IT services in a 1-3-year plan working with Executive leadership for Stellarus - IT division

Behavioral Health Counselor- LMFT LCSW LPC- Evernorth- San Diego, CA The Onsite Behavioral Health Counselor is responsible for counseling individuals to diagnose and treat mental health disorders. The responsibilities also include referring clients to specialists, monitoring progress during treatment and creating a comfortable environment where clients can be treated. This BH professional will treat clients with emotional, behavioral and mental disorders. They may work in conjunction with psychologists and psychiatrists, and refer patients to these specialists as they see fit. Responsibilities and Essential Functions * Conduct regular appointments with clients who wish to converse with a mental health professional * Establish positive and trusting relationships with clients * Screen and assess patients for common mental health and substance use disorders, leveraging evidence based tools * Provide patient education about common mental health and substance use disorders, as well as available evidenced based treatments. * Implement various treatments and protocols to provide guidance and appropriately address client situations using evidenced based techniques * Continually assess client situations and provide the proper ongoing treatments * Educate and involve family members or other loved ones in the treatment process when necessary * When required, partner with plan and community resources to make referrals to outside sources or agencies that can augment or better address their specific needs * Coordinate care after an acute event including emergency department presentation or inpatient admission in collaboration with the patient's provider and population health team * Coordinate with patient's care plan team in order to ensure holistic care * Maintain the strictest confidentiality of each and every client situation * Maintain all required licenses and the appropriate insurance * Participate in clinical team meetings as assigned * Ability to work in the office in San Diego, CA Minimum Qualifications * LCSW, LPC or LMFT * Current, unrestricted license(s) in California; additional state licenses a plus * Must have an Independent License * Must have at least 2 years of therapy experience * Experience with population management The position is based in the office in San Diego, CA and the anticipated salary is 100-115,000 If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Your Role 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 role you will be deeply involved in the design, development, and deployment of secure, high-quality software solutions. Your role will focus on integrating security and automation throughout the software development lifecycle (SDLC), with an emphasis on writing clean, maintainable code and building infrastructure that supports CI/CD pipelines, automated testing, and cloud-native delivery. You'll implement and enforce DevSecOps best practices tailored for Azure, contribute to infrastructure as code, and work closely with developers, testers, and cloud engineers to ensure code is secure, scalable, and production-ready from day one. This role requires a hands-on engineer who thrives in a collaborative environment and is passionate about code quality, automation, and secure cloud development. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Bachelor's degree in computer science, Information Technology, Management Information Systems, or a related field (or equivalent experience), with a minimum of 7 years of relevant experience in enterprise application support and cloud-based solution delivery. Proven hands-on experience in the design, coding, integration, and deployment of applications on Microsoft Windows and/or Linux Server platforms, including strong knowledge of N & N-1 operating systems, Remote Desktop Services, and server technologies. Skilled in modern front-end frameworks such as React and/or Vue, with proven experience in component-based architecture and state management (e.g., Redux, Pinia). Solid experience with JavaScript, along with CSS responsive design practices Strong scripting and automation skills using tools such as PowerShell, ANT, Jython, Python, InstallShield, and SCCM, with experience in automating builds, deployments, and configurations. Expertise in supporting applications built on COM+, DCOM, .NET (2.0+), and Java, hosted across Windows and Linux environments. Familiarity with networking and security protocols including TCP/IP, HTTP, SSL, DNS, LDAP, Active Directory, XML, IIS, authentication protocols, SSH, and SFTP. Solid SQL/PL-SQL knowledge and experience with API integrations using Java and other tools. Proficiency in Unix command-line operations, including directory navigation, file manipulation, and shell scripting, along with utilities like awk, sed, and Perl. Hands-on experience with CI/CD pipelines (e.g. Bitbucket Pipelines, GitHub Actions) and Infrastructure as Code tools like Ansible to automate cloud deployments. Working knowledge of deploying and managing applications using containerization (Docker) in cloud environments like Azure, AWS, or GCP. Familiarity with Agile methodologies, service-oriented architecture, and enterprise cloud integration, preferably with experience in Microsoft Azure and virtualization platforms such as Citrix. Excellent ability to influence and collaborate with stakeholders, vendors, and cross-functional teams, with excellent verbal and written communication skills to translate and execute technical deliverable Preferred Experience with Sales Force Health Cloud and Data Cloud solutions and integrations implementation and support Preferred experience in the healthcare industry and working knowledge of Epic software. Strong process orientation with the ability to follow and improve procedures for critical maintenance and operational tasks. #LI-EB1 Your Work In this role, you will: Design and develop user interfaces and application programs using technical specifications and design documents, with a focus on cloud-native solutions and modern frameworks. Develop the most efficient and cost-effective implementation, leveraging reusable features where possible Drive operational excellence, including but not limited to Incident Management, process automation leveraging AI, and ensuring smooth deployments for your technology products/platform features. Recommend and implement improvements to departmental processes to enhance agility and efficiency. Enhance the reliability, scalability, and utilization of systems and applications through continuous integration and continuous deployment (CI/CD) practices. Monitor and manage software configuration changes to anticipate and address data reliability and customer satisfaction issues, leveraging cloud monitoring tools and practices. Coordinate sustaining support for multiple application platforms or business processes, ensuring seamless integration and operation in a cloud environment. Be self-directed, work with limited management direction and exercise considerable latitude in determining the technical objectives of the assignment. Apply significant knowledge of IT and healthcare industry trends.

Your Role The Platforms team is focused on optimizing solutions and maximizing value across the enterprise through our strategic platforms, Pega and Salesforce. We are a team of Product Managers, Business Analysts, Platform System Administrators, and strategic shared services who build and maintain technology solutions that run critical business operations including Marketing, Sales, Customer Experience, Care Management, and Operations. Our team drives vendor relationships, product strategy, solution design, and backlog execution in collaboration with IT and business stakeholders. The Platforms team intern will report to the Program Manager Shared Services and Sr. Manager Shared Services. In this role you will learn how to solve business needs through technology and gain key skills to prepare you for your career. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Currently pursuing an undergraduate or graduate degree in Business Administration, Computer Science, Information Systems, or a related field Must reside in the state of California for the duration of the internship Excellent verbal and written communication skills Ability to work in a hybrid environment Ability to manage multiple priorities effectively Strong Microsoft Suite knowledge (Teams, Word, PowerPoint, Excel) Knowledge of project management, agile methodologies, SDLC Experience with data analysis A passion for using technology to achieve business outcomes Interest in Product Management, Business Analysis, Agile methodology a plus CRM, SaaS, Pega, and/or Salesforce experience is a plus Pay $25.00 per hour for Undergraduate $30.00 per hour for Graduate About Our Internships Our paid internship program is thoughtfully curated to provide students experience and exposure to the health professional industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationship and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program, check out this video. Our Summer 2026 Internship is June 8th or June 15th through August 14th, 2026. Application Process and Timeline: Now: Actively accepting applications November: If you meet the requirements, you will receive an invitation to complete Pre-Recorded Video Interview November - January: 2nd round interviews & offers extended As an intern at Blue Shield of California, you will: Participate in impactful projects during a 10-week internship program Undertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and more Be invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more Your Work In this role, you will: Drive a project from concept to completion over the 10-week program. Prior internship projects included: Collaborated with IT to develop a department-wide intake and prioritization ticketing system Researched AI tools and developed department training program for creating Copilot agents Project managed department-wide product management process improvement program Collect and rationalize business requirements, complex data analysis, future state designs, writing user stories, and more Document business outcomes and investment value for platform capabilities Collaborate with business stakeholders, IT, and leadership to maintain product roadmap alignment Draft communications (slides, memos, emails, blogs) for department and team activities Support Shared Services team with ad hoc assignments

Village Fertility Pharmacy Group (“VFP”) which is part of Freedom Fertility Pharmacy supports patients on their journey to parenthood through efficient, compassionate customer service and expert clinical support. As a Pharmacy Technician Representative, you will primarily support the Pharmacists and Patient Care Team by processing prescriptions and handling operations tasks and requests. Responsibilities: Manage inbound and outbound phone communications. Document insurance claim rejections accurately. Process prescription orders, including insurance billing and discount applications. Facilitate prescription transfers between pharmacies. Respond to calls routed through the operations queue. Communicate with insurance providers, patients, and clinics as needed. Address operations-related requests via email and chat platforms. Process card payments securely and efficiently. Collaborate with various departments to fulfill operational requests. Support new hire onboarding and training initiatives. Requirements: Ability to work daily onsite at: 10840 National Blvd Los Angeles, CA 90064. Ability to work Monday through Friday - 9 AM to 5:30 PM (alternating Saturday, 2 Saturdays per month, 9 AM - 1:30PM.) Active State of CA Pharmacy Technician License. CPhT License a plus. Minimum of one year of pharmacy or healthcare experience. Comfortable talking with patients, insurance companies, and clinics. Ability to work independently, meet deadlines, and be flexible. Excellent data entry skills. Strong organizational skills, attention to detail, and problem-solving skills. Solid computer skills and ability to learn new systems. What we offer: Day 1 medical insurance 401(k) plan with employer match Paid Time Off Competitive Benefit package Growth and Advancement opportunities If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.88 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Your Role The Promise Medi-Cal Compliance team oversees and coordinates Blue Shield Promise Health Plan's (BSCPHP) compliance program. The Government Programs Compliance Analyst, Consultant will report to the Senior Director, Government Programs Compliance. In this role you will provide assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements. Your Knowledge and Experience Requires a college degree or equivalent experience Requires a minimum of 7 years of prior relevant experience Requires extensive experience in the compliance department for a managed care health plan Extensive and expert knowledge of Knox-Keene Act, California Code of Regulations Titles 22 and 28, and Code of Federal Regulations Title 42 regulatory compliance standards and processes Strong analytical and investigative skills including risk assessment, mitigation and corrective actions plans Experience working directly with the California Department of Health Care Services and the California Department of Managed Health Care Competent in Excel, PowerPoint, and SharePoint Professional certifications and additional degrees a plus Your Work In this role, you will: Provides assistance with driving and managing the identification and scoping of impacts across cross-functional business areas due to ongoing, newly enacted, or federal and state regulatory requirements Work collaboratively and advises diverse business areas across the enterprise on the development of legally compliant solutions for newly enacted or revised Medi-Cal requirements Support the implementation of quality, repeatable, and documented CMS, DMHC and DHCS regulatory compliance processes Conduct decision-making guided by resource availability and functional objectives Conduct audits of complex issues independently Conducts calibration of risk and controls with business units supporting the Medi-Cal line of business Escalates and proposes resolution for low to moderately complex CMS, DMHC and DHCS regulatory and process issues Develops, prepares, and presents low to complex analyses, reports, and recommendations on Medi-Cal requirements to department management Supports day-to-day operations of the Medi-Cal Compliance department Supports other Medi-Cal Compliance department initiatives and projects

Your Role The AI and Analytics team oversees the artificial intelligence platform and analytical functions. In this role, you will be providing critical analytics support to our healthcare insurance clients (BlueShield of California and other health plans). This role is responsible for driving data-informed strategies and delivering actionable insights to optimize marketing campaigns and improve business outcomes. The ideal candidate is a strategic thinker with a strong analytical mindset and a passion for using data to solve complex Marketing business problems. They would be leading projects end-to-end, independently presenting insights to senior leadership, and mentoring junior analysts. Your Knowledge and Experience Bachelor's degree in Statistics, Mathematics, Economics, Computer Science, Marketing, Business Analytics, or related quantitative field Master's degree in Data Science, Statistics or Business Analytics (preferred) Requires 10+ years of experience in a marketing analytics role Proven experience in providing analytics support to clients or internal stakeholders in a consultative capacity. Experience with meeting with senior stakeholders within or external to the company Demonstrated ability to communicate complex ideas clearly, with strong presentation skills and a proven track record of delivering impactful insight to diverse stakeholders. Strong proficiency in SQL for data extraction, manipulation, and analysis. Expertise in Python for statistical analysis, predictive modeling, and data automation. Advanced skills in Tableau for creating interactive dashboards and data visualizations. Demonstrable experience in building and deploying marketing mix models, acquisition and retention models and brand effectiveness models for marketing teams. Solid understanding of web analytics and customer journey analytics. Proven experience with experimentation methodologies (A/B, MAB, MVT) Requires five years of experience in Health Care (managed care, academic, or gov't payer) Experience with Generative AI (GenAI) and Large Language Models (LLMs) in a marketing or analytics context (preferred) Hands-on experience with the Databricks platform for large-scale data processing and analytics (preferred) Experience with CRM platforms (e.g., Salesforce) (preferred) Cloud Platforms: AWS, Azure, or Google Cloud experience (preferred) Certifications in analytics tools like Adobe Analytics and Databricks (preferred) #LI-EB1 Your Work In this role, you will: Design, execute, and analyze marketing campaigns across various channels to measure their effectiveness and provide recommendations for optimization. Develop and maintain dashboards and reports to track key performance indicators (KPIs) and communicate campaign performance to stakeholders. Utilize advanced analytical techniques to segment customer data, identify target audiences, and personalize marketing messages. Develop and refine customer personas to enhance campaign relevance and drive engagement. Build and deploy predictive models to forecast marketing outcomes, identify at-risk customers, and uncover new growth opportunities. Generate actionable insights from Marketing datasets to inform strategic decision-making and drive business growth. Develop marketing mix, brand effectiveness, and acquisition/retention models • Design and implement A/B and multivariate tests to optimize website performance, user experience, and conversion rates. Analyze test results and provide data-driven recommendations for continuous improvement. Create and maintain interactive dashboards and data visualizations using Tableau to provide real-time insights into marketing performance. Communicate complex data stories in a clear and compelling manner to both technical and non-technical audiences. Provide detailed specifications for the marketing Datamart to IT developers and ensure it is built in alignment with the analytics team's requirements. This DataMart will support key functions such as insights generation, dashboarding, model development, and facilitate self-serve Adhoc requests via agentic solutions. Independently lead and execute complex marketing analytics projects from start to finish, delivering insights and strategic recommendations to senior leadership with a sharp focus on uncovering opportunities that drive business growth. Serve as a trusted advisor to Stellarus clients, providing expert analytics support and strategic guidance. Collaborate with client teams to understand their business objectives and translate them into analytical requirements. Apply strong critical thinking and presentation skills to effectively communicate insights to stakeholders. You will also manage stakeholder relationships with professionalism, demonstrating the ability to navigate conflicts and foster collaboration. Mentor and guide junior analysts on the team.

Your Role As a Clinical Coding Analyst-Experienced, specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions. Your Knowledge and Experience Requires a minimum of an AA degree; Bachelors' degree preferred AHIMA Certified CCS Preferred certification as CSS-P Possess deep technical abilities Work history in one of more of the following: 2 to 3 years of Provider billing experience in a lead, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit capacity or; 1 to 2 years in a compliance or audit function within a health care system Requires broad theoretical job knowledge typically obtained through advanced education Intermittent proficiency in Microsoft Excel, Word and Powerpoint Your Work In this role, you will: Provide expert input to quarterly and annual industry standard code maintenance for multiple systems Research and prepare benefit files using industry standard codes that meet the intent of member benefit language and/or contracts, and regulatory mandates set forth by the state or federal agencies Develop payment policies based on industry or content expert-supported research Provide problem management recommendations on correct application of payment and benefits based on industry and internal research Conduct research and provide recommendations on industry standard editing for appropriate application in the current system in accordance with Blue Shield of CA payment policies and regulatory guidelines Collaborate with cross-functional departments to implement code governance framework

Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes. Your Knowledge and Experience Requires a bachelor's degree in accounting, business, or related field Requires a minimum of 7 years of prior relevant experience Requires at least 3 years of internal audit experience At least 2 years of healthcare experience preferred Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA) or Certified Public Accountant (CPA) preferred Other certifications are a plus Your Work In this role, you will: Independently execute end-to-end internal audits, including performing effective risk assessments, planning, assessing the design of controls, testing the effectiveness of controls and reporting results to management Conduct financial, operational and compliance audits and provide consulting services to the organization's management and staff Assist in identifying and evaluating the organization's risk areas and provide input to the development of the Annual Audit Plan Perform audit procedures, including identifying and defining issues, developing criteria, reviewing and analyzing evidence, and documenting client processes and procedures Identify, develop, and document audit issues and recommendations using independent judgement concerning areas being reviewed Communicate the results of audit and consulting projects via written reports and oral presentations to management and the Board of Directors Conduct interviews, review documents, develop and administer surveys, compose summary memos, and prepare working papers Develop and maintain productive client and staff relationships through individual contacts and group meeting Pursue professional development opportunities, including external and internal training and professional association memberships, and share information gained with co-workers Perform related work and other duties as assigned by audit management

Your Role Reporting to the VP, Network Operations, the Director, Provider Services - Relations, Blue Shield of California and Promise Health Plan (BSCPHP), is responsible for creating and maintaining high integrity relationships with risk-baring medical providers, hospitals and health systems in their assigned region to enable BSCPHP to become the health plan of choice. The outcome of being the ideal partner for our providers will be to materially improve cost, quality, maintain compliance, service and together grow membership in service to our communities across BSCPHP business. The Director will lead in a highly matrixed environment across multiple internal business teams to provide strategic alignment, business planning, and effective execution of the business plans for all providers in their region for BSCPHP business as well as partner with all lines of business as they impact our Provider Network. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a college degree or equivalent experience. Master's degree is preferred Requires 10 years prior relevant experience in Provider Relations or healthcare network contracting Requires 6 years of management experience and must be comfortable operating in a matrixed/collaborative environment Minimum 5 years of direct Medicare and Medi-Cal experience with a Managed Care Organization (MCO) preferred Previous experience in management of process analysis and improvement Experience in the development of policies and procedures pertaining to Network Management Strong experience and orientation to the quadruple aim coupled with knowledge of markets, sales, operations, product development, network management, clinical operations, finance, regulatory issues and compliance Able to collaborate and work strategically in a team setting with various professional, technical, and administrative staff, integrating resources in a timely and organized manner Comprehensive knowledge of managed care risk contracts and the operational requirements involved in managing a provider network Outstanding verbal and written communication abilities, with demonstrated effectiveness when engaging executive leadership Demonstrated ability to build enduring, trustworthy relationships and effectively interact across all organizational levels, both internally and externally Ability to lead and manage significant culture change. Demonstrated experience with change and organization management; possess a performance driven management style Strong leadership skills, including excellent interpersonal, communications, problem solving and negotiating skills Ability to think strategically while at the same time drive operational performance Proven project management experience applying industry methodologies and practices Technologically savvy and able to utilize information systems and Office software effectively Proven ability to mentor and coach leaders in their respective teams Your Work In this role, you will: Lead the Provider Relations team which serves as the primary liaison between BlueShield and Blue Shield Promise Health Plan and the contracted provider networks upholding transparency, integrity, and reliability in interactions with both internal and external stakeholders Oversee the management of provider concerns, including but not limited to contract interpretations, claims discrepancies, eligibility and capitation payment issues, credentialing challenges, service area changes, rate load corrections, retroactive member assignments, provider terminations, member moves and third-party disputes Develop and implement an operations engagement strategy that incorporates statewide Joint Operations Meetings, inclusive of Medi-Cal requirements, and includes interaction with provider leadership. The aim is to support provider satisfaction with Blue Shield, encourage provider wellness, and maintain operational performance in areas such as access to care, member experience, affordability, and sustainability Manage structured processes for claims disputes and appeals, driving research, root cause analysis, and corrective action plans to prevent recurring issues Deliver expert insight and guidance for strategic and operational initiatives impacting Provider Relations, driving effective execution of implementation tasks within the team's scope Provide effective and detailed thought leadership to inform the Blue Shield Provider Engagement Model working with the Performance Enablement Team Work collaboratively with Provider Partnerships and the Regional Medical Directors, along with other internal provider-facing partners, to execute an overall strategic engagement strategy Identify and implement process improvement as it pertains to provider operations, contract and regulatory compliance, efficient relationship management and other areas Establish operational Key Performance Indicators to assess the effectiveness and performance of the Provider Relations team. Define baseline metrics, set measurable targets, and drive achievement through ongoing process improvement Assess regulatory, government, or organizational mandates to ensure Blue Shield and Blue Shield Promise Health plans comply with all requirements. Work collaboratively with various departments to maintain internal compliance with regulations by leading workgroups and taskforces Build and lead a high-performing team that meets all operating goals, including cost of health care, clinical quality improvement, regulatory compliance, administrative costs and employee engagement Foster a culture of innovation and creativity to enable Blue Shield of California to meet changing market conditions and strategy Promote and model a collaborative and partnership-oriented culture by cultivating strong relationships with internal stakeholders to achieve collective success

Your Role The Community Programs team provides high-touch engagement with members and community-based organizations to remove barriers to healthcare access, enhance population health initiatives and advance health equity. The Community Connector Health Advocate will report to the Community Programs Manager, Operations. In this role you will serve as the Blue Shield of California Promise Health Plan's community expert. You will be responsible for creating meaningful relationships with community-based organizations, participating in community events and acting as the health plan liaison. In addition, you will assist members with complex health and/or social needs by assessing their immediate needs and addressing barriers to care to include, but not limited to, care coordination, linkages to health plan services and community resources. This position requires frequent travel locally in San Diego County. Your Knowledge and Experience Requires a college degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health, or Health related field or equivalent experience Requires at least 3 years of prior relevant experience working with people who need assistance with complex health and social issues Requires knowledge of and experience working with community agencies and programs Requires knowledge of Medi-Cal programs and services Requires strong interpersonal skills Bilingual speaking, reading and writing desired #LI-AD3 Your Work In this role, you will: Assess psychosocial and social determinants of health needs for moderate-risk members and document assessment results or augment available information in appropriate systems Consult with or refer members to licensed staff (social worker, nurse case manager etc.) as required based on member social, health risk and medical complexity Establish relationships and partner with community resources, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools Assist members with problem-solving barriers to moderate health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services Actively engage, build rapport and establish trusting relationships and facilitate collaborative communication with members and member family support systems Identify and coordinate sponsorship and community investment opportunities Identify and coordinate community event participation Effectively manage workload to achieve productivity standards Document and report on community outreach efforts