Blue Shield Of California Jobs & Careers in Woodland Hills, UT

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9 days ago

Regional Medical Director

Blue Shield Of California Woodland Hills, UT

The Regional Medical Director (RMD) is accountable for the utilization and quality performance of assigned geographic regions for all product lines… Blue Shield Of California


17 days ago

Lead Risk Adjustment Analyst

Blue Shield Of California Woodland Hills, UT

-Independently writes reports and presents data in formats such as abstracts, graphs or summaries. -Develops technical specs and… Blue Shield Of California


21 days ago

Wellness Program Specialist

Blue Shield Of California Woodland Hills, UT

In addition, this individual will be a key team member of the Wellvolution department in Health Care Services. The Wellvolution team is responsible… Blue Shield Of California


27 days ago

Program Manager, QI

Blue Shield Of California Woodland Hills, UT

Responsible for strategic alignment and program development, integration and execution in support of business unit process and administrative… Blue Shield Of California


8 days ago

Senior Health Data Analyst

Blue Shield Of California Woodland Hills, UT

. With minimum supervision, writes reports and presents data in formats such as abstracts, graphs or summaries. Develops technical specs and develops… Blue Shield Of California


18 days ago

Sr Risk Adjustment Analyst

Blue Shield Of California Woodland Hills, UT

-Independently writes reports and presents data in formats such as abstracts, graphs or summaries. -Develops technical specs and… Blue Shield Of California


13 days ago

Senior Business Analyst

Blue Shield Of California Woodland Hills, UT

• Assessment of the business & operational impacts. • Documenting, tracking & management of end-to-end workplan: o Key tasks. o Dependencies… Blue Shield Of California


27 days ago

Business Analysis Associate

Blue Shield Of California Woodland Hills, UT

The HCQA division is responsible for developing, maintaining, and managing the relationship with Blue Shield's network of physicians, hospitals… Blue Shield Of California


18 days ago

Sr. Financial Analyst

Blue Shield Of California Woodland Hills, UT

Conducts analysis of changes in provider reimbursement terms; develops, recommends and quotes alternative funding provider funding arrangements… Blue Shield Of California


7 days ago

Lead Consultant Business Info Analysis

Blue Shield Of California Woodland Hills, UT

The NPAC (Network Performance Analysis and Contracts) team is part of the HCQA division and focuses on providing strategic guidance for network… Blue Shield Of California


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Blue Shield Of California Reviews

271 Reviews
3.0
271 Reviews
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Blue Shield Of California President & CEO Paul Markovich
Paul Markovich
74 Ratings
  1.  

    It's just okay, and has the potential to be great

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Current Employee - Anonymous Employee
    Current Employee - Anonymous Employee

    I have been working at Blue Shield Of California full-time for more than 3 years

    Pros

    - Not for profit/mission driven organization; "2% pledge" - returning profit/income in excess of 2% returned to customers or invested in Blue Shield's foundation; embraces health care reform
    - A variety of locations across the state, and generally, depending upon the role, there is flexibility about where your "home" office is
    - The organization is getting much more comfortable with telecommuting and managing work schedules more flexibly
    - If you're a self-starter, self-directed, you can get a lot done - not a lot of micro management
    - Organization is very comfortable outsourcing functions/capabilities - not a lot of ego and insistence that "we can build everything ourselves"
    - Good benefits, PTO, etc., and very progressive wellness programs/incentives; on site gyms, healthy foods available at the cafes, at a reasonable price; supports diversity in the workplace

    Cons

    - For all of its focus on its mission and getting Californians access to healthcare, there is not enough skilled leadership to steer this ship to achieving those objectives. With the executive team, there were a lot of changes throughout the organization. Having an all new leadership team managing business in a time of extraordinary change is certainly proving challenging. Pair that with an ill-defined culture and organizational norms - and you end up with group of people from the top to the bottom of the organization who don't always know how to work together
    - The strategy and planning process is chaotic, constantly changing and managed in a top down fashion. By the time people are bought into the strategy they've been served, the strategy/plan changes, and the team is expected to get on board as if the new plan was the plan all along. Senior leadership develops these strategies pretty much at the office level and above (with support from Big 5 consulting firms) - with generally little to no interactions with team members who are closest to the work
    - Because the organization doesn't have a predominant central location - relationship building is done primarily over the phone, negatively impacting the speed of relationship building that is necessary for a team to function optimally (and again, paired with the fledgling culture the company is trying to build, it's all the more trying)
    - Beginning in late 2012, throughout 2013, and to some extent in 2014, Blue Shield has gone through very profound organizational changes, especially in Sales, IT and HR. Regardless if these changes were good, bad, or neutral, given the immature leadership team and the chaotic strategy and planning process, people are justifiably nervous about their own job security - which proves distracting and manifests itself in defensiveness, CYA and managing up - none of which add value.

    Advice to ManagementAdvice

    - Stabilize the organization and strategy - give people a chance to accomplish some things, and build on those accomplishments. Just because one part of the organization is struggling, doesn't mean you need to drop all the other work you're doing
    - Get better at the basics; innovate sparingly in the meantime. If a customer's claims aren't getting paid, or the phones aren't answered, they won't care if you have the coolest web site or mobile app
    - Focus on preventing problems, and not being good at fixing problems
    - Stop thinking you can automate every process as a means of driving cost out - until you know how to do those processes the right way, you have no business trying to automate them; start automation on an incremental basis - don't boil the ocean
    - Develop strategy in partnership with team members who are doing the work, and do so across functional teams

    Doesn't Recommend
    Neutral Outlook
    No opinion of CEO