2,251 Results for

Blue Shield Jobs in the United States

Jobs

Seattle, WA30+ days ago

Full-time
Employee

In this role you will be partnering with Enterprise Architects, Portfolio, Analytics and Data engineering teams for designing technical solutions and building data products to meet enterprise data needs. Expert in understanding data management practices, data modelling (data vault 2.0), master data management, data integration, data architecture, data virtualization, data warehousing, data privacy and security.

Seattle, WA30+ days ago

Full-time
Employee

Requires at least 8 (eight) years of experience drafting and negotiating complex commercial, strategic, technology and corporate agreements and advising on general commercial and product matters, including experience at a top-tier law firm or in-house law department. Successful candidates will be able to blend legal expertise, thought partnership, cross-functional collaboration, and the ability to craft viable solutions for a high-growth company along with efficient execution.

Seattle, WA30+ days ago

Full-time
Employee

Additionally, this role is responsible for the leadership of the pharmacy accounts and sales support team to support employer group account management and client renewal, as well as new membership acquisition activities for fully insured and self-funded pharmacy membership. 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.

Seattle, WA30+ days ago

Full-time
Employee

Requires strong hands-on experience with Cisco routing and switching (Catalyst, Nexus), Cisco Wireless networking (Cisco APs and Cisco Catalyst 9800), network security (Palo Alto, Cisco Firepower, VPN technologies), load balancing (F5 or equivalent), cloud networking experience (Azure, AWS), and automation, Scripting, and IAC (Ansible, Terraform, Python). Requires deep understanding of routing protocols (BGP, OSPF, EIGRP), network segmentation (VRF, VLANs), and WAN connectivity and design, Proven ability to troubleshoot complex network issues in production environments.

Seattle, WA30+ days ago

Full-time
Employee

Requires advanced knowledge and skills including technical or functional expertise, business acumen, financial analysis skills, risk management, delegation skills, critical thinking, and decision-making skills. 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.

Seattle, WA30+ days ago

Full-time
Employee

This role connects customer needs, business goals, and technical delivery-working closely with engineering, design, data, and compliance partners to deliver user centric, value driven digital solutions. The Product Manager, Consultant defines and drives product strategy, roadmap, and execution for platform and interoperability capabilities that enable secure, scalable data exchange in complex and regulated environments.

Seattle, WA30+ days ago

Full-time
Employee

In this role, you will be accountable for end-to-end management of Stellarus' partner portfolio, including both strategic build-with partners and the Stellarus Marketplace partnership program, which delivers partner offerings to customers through API integrations with the Stellarus core platform. This role sits at the intersection of business strategy, product, and technology, and is responsible for ensuring partnerships translate into durable products, scalable integrations, and measurable business outcomes.

Seattle, WA30+ days ago

Full-time
Employee

The Manager, Sales Implementation oversees the successful delivery of client implementation launches and complex renewals, ensuring a high-quality onboarding and renewal experience for external partners. 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.

Seattle, WA30+ days ago

Full-time
Employee

Seattle, WA30+ days ago

Full-time
Employee

Seattle, WA30+ days ago

Full-time
Employee

The Implementation Specialist, Consultant will be trained to support new client implementations and complex renewals across multiple product lines, including both self-funded and fully insured offerings. The Implementation Specialist, Consultant is responsible for client implementation launches and complex renewals, directly contributing to high-quality onboarding and renewal experience for external partners.

Seattle, WA30+ days ago

Full-time
Employee

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. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially.

Seattle, WA30+ days ago

Full-time
Employee

The Pharmacy Product Strategist, Principal will work cross-departmentally with Sales, Underwriting/Actuarial, Clinical Pharmacy, and Operations to ensure programs align with the enterprise strategic vision, Line of Business goals, and meet the needs of our clients and members. The Pharmacy Product Strategist, Principal, reporting to the Director Self-Funded & Buy-Ups, is responsible for creating, scaling, and optimizing pharmacy products that drive incremental revenue, employer growth, and pharmacy penetration in the self-funded employer market.

Seattle, WA30+ days ago

Full-time
Employee

Seattle, WA30+ days ago

Full-time
Employee

Oakland, CA30+ days ago

Full-time
Employee

In this role, you will work collaboratively across People & Engagement COEs, enterprise IT, Finance, Analytics & Reporting, Planning, and external partners to evaluate vendor solutions, design, build, and implement technology solutions, and enhance deployed applications. The People & Engagement Technology team is a critical member of the Corporate Platform in the IT Applications organization and is responsible for providing technical and functional leadership for multiple HR Technology products within the Corporate Platform.

Seattle, WA19 days ago

Full-time
Employee

The Strategic Account Manager - Stellarus, Principal is a senior individualcontributor role responsible for managing and growing a portfolio of strategic customer accounts that are important to Stellarus' growth and customer outcomes, but do not carry the same enterpriselevel risk or visibility as flagship accounts. In this role, you will serve as the primary account owner for assigned strategic customers, developing account strategies, driving value realization and solution adoption, and partnering across Product, Technology, and Operations teams to deliver measurable business outcomes.

Seattle, WA19 days ago

Full-time
Employee

The ideal candidate has deep hands-on experience in troubleshooting, network configuration, and production support, and works closely with Principal and Consultant Network Engineers to implement solutions and maintain reliable network services. Strong hands-on experience with: Cisco routing and switching (Catalyst, Nexus), Wireless networking (Cisco APs and controllers), Network security (Palo Alto, Cisco Firepower, VPN technologies), Load balancing (F5 or equivalent).

Seattle, WA19 days ago

Full-time
Employee

Having a desire to help achieve transformational healthcare improvement should serve as the inspiration behind the ideal candidate's willingness to participate across many different activities within an agile working model. 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.

Seattle, WA19 days ago

Full-time
Employee

This role partners closely with Sales Development, Sales Leadership, Marketing, Finance, and Product to design and maintain the infrastructure, processes, and analytical frameworks that enable predictable growth. Requires experience partnering crossfunctionally with Sales, Sales Development, Marketing, Finance, Legal, and Deal Desk teams to streamline deal cycles and improve operational efficiency.

Seattle, WA19 days ago

Full-time
Employee

With deep focus on APIs, integrations, and healthcare interoperability, this role drives the development and scaling of platform capabilities that support internal products, external partners, and nonprofit customers, while influencing priorities, trade-offs, and outcomes across multiple squads or a broader product area. This role connects customer needs, business goals, and technical delivery-partnering closely with engineering, design, data, and compliance teams to deliver user-centric, value-driven digital solutions.

Seattle, WA19 days ago

Full-time
Employee

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. Track record of cross-functional influence, translating technical strategy into business value for non-technical stakeholders and building trusted relationships with senior leadership.

Seattle, WA19 days ago

Full-time
Employee

The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. 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.

Seattle, WA19 days ago

Full-time
Employee

In this role, you will lead the end-to-end engineering delivery and operational health of corporate platforms (e.g., Workday and its ecosystem), spanning integrations, security architecture, digital experience, analytics/data, and enterprise AI enablement. You will partner with business and technology leaders to modernize platforms, improve employee and manager experiences, and ensure solutions are resilient, compliant, and built for long-term value across the Family of Companies.

Kansas City, MO30+ days ago

This position is internally and externally facing and coordinates team events, monitors and responds to client and broker inquires, and conducts research to assist Sales with initiatives and programs. Monitor and manage CRM input, reporting, and researching, Assist with inputting/updating group and broker information in CRM and ensure accurate and complete information is housed within the tool.

Topeka, KS30+ days ago

$116,000–$145,000 Per Year

This position leads actuarial efforts related to MA Part C and D bids, profitability analysis, and financial modeling, while providing insights and reporting to senior leadership and cross-functional stakeholders. Compensation $116,000 - $145,000 Exempt Grade 18 * Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members.

Phoenix, Arizona15 days ago

Remote

Working independently, initiate research from resource materials, e.g., clinical journals, periodicals, CMS (Medicare) guidelines and publications, BCBSA publications, other BCBS plans, and internet resources relating to technical, clinical and coverage guidelines, summarizing and reporting this information to management for further action. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Gilbert, Arizona30+ days ago

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind.

Phoenix, Arizona30+ days ago

Remote

Serves as the primary technical and analytical resource responsible for understanding how member, policy, premium, and agent assignment data flows from source systems into SAP Agent Performance Management (Callidus/APM), and how that data is used organizationally across commission processing, broker portal display, book of business management, and enterprise reporting. Serves as the Broker Commissions data SME for the broker portal, providing data clarification, analysis, and requirements support to Digital Product, IT, and portal project teams regarding how Callidus data drives portal content, including commission statements, book of business, and agent/firm relationships.

Peoria, Arizona30+ days ago

Create healthcare transformation across the state of Arizona through the intentional design of vertically integrated offerings and new care delivery assets that address the total continuum of care and achieves health equity for all members. The Clinical Care Guide will have end to end responsibility for our specialist and diagnostic testing navigation, as well as in leading and partnering with the care team to support patients in their journey toward their best health.

Phoenix, Arizona18 days ago

Develops technical documentation, designs, analyzes, tests, provides end user support and training for new applications and data structures; and provides post-implementation review for systems and reporting to support customers and management. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Phoenix, Arizona9 days ago

Coordinate responses to DOI, attorney, provider, and member complaints, including drafting responses, reviewing responses drafted by paralegal and/or research assistants, and consulting with other BCBSAZ employees on responses. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Peoria, Arizona24 days ago

Phoenix, Arizona11 days ago

Customize the improvement approach to meet the specific need(s), which may include: Work session facilitation: train, coach and challenge process owners and teams in the use of Lean/Six Sigma tools and approaches to define customer and business requirements, analyze barriers and develop solutions to improve the customer experience and increase the efficiency and effectiveness of processes. Through coaching, mentoring, and leading large projects, they work directly with key stakeholders to identify process improvement opportunities and determine the appropriate improvement methodology.

Arizona22 days ago

Prepare patients for their visit to include communicating details around their scheduled visit, explaining all relevant information clearly, take vitals, and complete updates to patient record as required. Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind.

Flagstaff, Arizona16 days ago

Remote

The Consumer Outreach Specialist conducts outreach to both current and potential members, participates in outreach events, assists the Outreach Supervisor in planning outreach activities, supports member retention programs, establishes and maintains community partnerships, and represents Medicaid Business Segment and BCBSAZ programs in the community. The Consumer Outreach Lead conducts outreach to both current and potential members, supports member retention programs, establishes and maintains community partnerships, and represents Medicaid Business Segment and BCBSAZ programs in the community.

Phoenix, Arizona30+ days ago

Facilities and drives the completion of work requirements of all departments accountable for accreditation deliverables for the Medicaid Segment under the authority of the Medicaid Segments Chief Medical Officer and the entire Medicaid Segment’s leadership team. Collaborate with Data Science and Analytics to analyze utilization and identify opportunities to offer additional health management services to various customer segments, as well as, trend analysis and development of services for program advancement.

Missouri8 days ago

Schedules time effectively; works with minimal supervision; handles multiple projects simultaneously; prioritizes work appropriately to streamline process and identifies opportunities for quality or process improvement; Uses critical thinking skills, problem solving and organizational skills; works as a team member while maintaining a positive attitude. Contributes to reaching or exceeding departmental, divisional and corporate goals; knowledgeable of business goals, progress toward accomplishment of goals and works collaboratively with peers to meet or exceed annual departmental targets; analyzes qualitative and quantitative data in developing strategies to improve provider performance and member satisfaction.

Mesa, Arizona15 days ago

Prepare patients for their visit to include communicating details around their scheduled visit, explaining all relevant information clearly, take vitals, and complete updates to patient record as required. Excellent interpersonal skills to include maintaining courteous, friendly, and effective communications with patients, team members and external parties .

Tucson, Arizona12 days ago

Remote

Prepare patients for their visit to include communicating details around their scheduled visit, explaining all relevant information clearly, take vitals, and complete updates to patient record as required. Excellent interpersonal skills to include maintaining courteous, friendly, and effective communications with patients, team members and external parties.

Phoenix, Arizona10 days ago

Remote

Key responsibilities include working directly with members and families to identify concerns and remove barriers that affect service delivery or member satisfaction, educating members and communities on the availability of resources, building partnerships with providers, community-based organizations, and key stakeholders, and assessing services with the use of stratified data and outcome measures. Collaborate with AHCCCS, the AHCCCS-Approved Statewide Veteran Resource Provider, Veterans Affairs, key stakeholders, and community organizations to provide care and support for service members, veterans, and families.

Phoenix, Arizona30+ days ago

Remote

Phoenix, Arizona30+ days ago

Remote

Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC). Preferred CertificationsActive and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

Phoenix, Arizona16 days ago

Remote

When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.

New!

Phoenix, Arizona5 days ago

Primary responsibilities include: Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Nebraska, NE30+ days ago

$99,440–$124,300 Per Year

The Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.

Georgia, GA30+ days ago

$99,440–$124,300 Per Year

Missouri, MO30+ days ago

$99,440–$124,300 Per Year

Wichita, KS30+ days ago

$99,440–$124,300 Per Year

Texas, TX30+ days ago

$99,440–$124,300 Per Year

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Blue Shield Jobs in the United States

Data Integration Developer, Principal Blue Shield of CA

Associate General Counsel - Stellarus Blue Shield of CA

Sr. Manager, Program and Project Management-Pharmacy Accounts and Sales Support Blue Shield of CA

Network Engineer, Consultant Blue Shield of CA

Sr. Manager Of AI Cloud Engineering Blue Shield of CA

Product Manager, Consultant - Stellarus Platform & Interoperability Blue Shield of CA

Senior Director, Partner Account Management - Stellarus Blue Shield of CA

Manager, Sales Implementation Blue Shield of CA

Solution Design Lead, Consultant Blue Shield of CA

Senior Director, Partner Account Management - Stellarus Blue Shield of CA

Sales Implementation Specialist, Consultant Blue Shield of CA

Full Stack Engineer, Consultant Blue Shield of CA

Product Strategist, Principal - ASO Pharmacy Buy Ups Blue Shield of CA

Full Stack Engineer, Principal Blue Shield of CA

Full Stack Engineer, Senior Blue Shield of CA

Sr. Manager, People Technology and AI Enablement Blue Shield of CA

Strategic Account Manager - Stellarus, Principal Blue Shield of CA

Network Engineer, Senior Blue Shield of CA

DevOps Analyst, Senior Blue Shield of CA

Commercial Sales Operations, Principal - Stellarus Blue Shield of CA

Product Manager - Consultant, Stellarus Blue Shield of CA

Director, Platform Engineering and Tools Blue Shield of CA

Behavioral Health Utilization Mgmt Clinician, Senior Blue Shield of CA

Director, Corporate Platform - Engineering & AI Enablement Blue Shield of CA

Sales Account Specialist Blue Cross and Blue Shield of Kansas City

Actuary - Pricing Blue Cross and Blue Shield of Kansas City

RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ Blue Cross Blue Shield of Arizona

Physician - Chandler/Gilbert (Onsite) Blue Cross Blue Shield of Arizona

Broker Data Delivery Analyst Blue Cross Blue Shield of Arizona

Care Navigator - Peoria Clinic - Onsite Blue Cross Blue Shield of Arizona

EDI Technical Analyst (Claims) - Hybrid Blue Cross Blue Shield of Arizona

Associate General Counsel - Hybrid Blue Cross Blue Shield of Arizona

Physician- Peoria (Onsite) Blue Cross Blue Shield of Arizona

Continuous Improvement Manager - Hybrid Blue Cross Blue Shield of Arizona

Medical Assistant - Deer Valley (Onsite) Blue Cross Blue Shield of Arizona

Consumer Outreach Specialist- Remote - AZ (Supporting Mohave/Coconino counties) Blue Cross Blue Shield of Arizona

Director, NCQA Accreditation (Hybrid) Blue Cross Blue Shield of Arizona

Clinical Review Nurse Blue Cross and Blue Shield of Kansas City

Medical Assistant - Mesa Clinic - Onsite Blue Cross Blue Shield of Arizona

Medical Assistant- Tucson Williams Centre - Onsite Blue Cross Blue Shield of Arizona

Member and Veteran Liaison Coordinator - Remote in AZ Blue Cross Blue Shield of Arizona

Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ Blue Cross Blue Shield of Arizona

Integrated Care Manager Blue Cross Blue Shield of Arizona

Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of Arizona

High-Cost Claimant Review Unit Nurse Auditor Blue Cross Blue Shield of Arizona

Medicaid & ACA Manager Blue Cross and Blue Shield of Kansas City

Medicaid & ACA Manager Blue Cross and Blue Shield of Kansas City

Medicaid & ACA Manager Blue Cross and Blue Shield of Kansas City

Medicaid & ACA Manager Blue Cross and Blue Shield of Kansas City

Medicaid & ACA Manager Blue Cross and Blue Shield of Kansas City

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