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Added 1 min ago
Senior Territory Manager- Los Angeles
PROCEPT BioRobotics Corporation
Remote, United States
…readiness needed for sustained growth. You will leverage your advanced understanding of surgeon and patient pathways to identify barriers, optimize scheduling and efficiency, and expand…
Added 2 mins ago
M
Senior Construction Project Manager (Full-Time)
MBP
Columbia, MD
- Full-time
…years of combined education and/or experience and demonstrated advanced knowledge and expertise in the design and/or construction of secure facilities, including secure compartmented…
Added 3 mins ago
Licensed Architect
Heritage Business Group
Salem, OR
Identify code, site, permitting, or design risks and recommend practical solutions to the General Manager and project team.
Added 4 mins ago
RE
Senior Manager, HR Business Partner
Rosendin Electric, Inc
United States
- $154,800 to $203,200 USD / year
The Senior Manager, HR Business Partner provides guidance in Human Resources’ alignment to business objectives with employees and management in designated business units across the…
Added 4 mins ago
RE
Senior Learning & Development Trainer
Rosendin Electric, Inc
United States
- $98,400 to $129,100 USD / year
…individual or group performance results and typically reports to a manager. This is a senior level employee development role that has an advanced understanding and can anticipate business…
Added 4 mins ago
Senior Engineering Team Lead
Rosendin Electric, Inc
United States
The Senior Engineering Team Lead is an advanced-level engineering management position responsible for overseeing larger or more complex project work and may oversee several Engineering Team…
Added 4 mins ago
Senior Engineering Team Lead - Analytics
Rosendin Electric, Inc
United States
The Senior Engineering Team Lead is an advanced-level engineering management position responsible for overseeing larger or more complex project work and may oversee several Engineering Team…
Added 4 mins ago
Engineer III
Rosendin Electric, Inc
United States
Work closely with the Rosendin Project Manager to coordinate the design criteria with budgetary issues and deliverables schedule on the projects they are assigned.
Added 4 mins ago
Engineer III - Analytics
Rosendin Electric, Inc
United States
Work closely with the Rosendin Project Manager to coordinate the design criteria with budgetary issues and deliverables schedule on the projects they are assigned.
Added 4 mins ago
Electrical Construction Engineer III
Rosendin
United States
Work closely with the Rosendin Project Manager to coordinate the design criteria with budgetary issues and deliverables schedule on the projects they are assigned.
Added 4 mins ago
Electrical Construction Designer III
Rosendin Electric, Inc
United States
…intent of the design on drawings. Work closely with project manager and project lead engineer and take design lead on projects. Coordinates with clients, architects, and other discipline…
Added 4 mins ago
Director of Engineering-High Voltage-EPC
Rosendin Electric, Inc
United States
Report directly to the Energy Director of Engineering and would be participate in all senior manager planning covering engineering, detailing/modeling and principal engineering…
Added 4 mins ago
OS
Patient Services Associate- Gastroenterology- Hilliard
Ohio State University Physicians
Hilliard, OH
- $16.93 to $25.39 USD / hour
…includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play…
Added 4 mins ago
Nephrology Advanced Practice Provider ACNP / PA
Emory Healthcare
Atlanta, GA
Emory Healthcare is looking for an experienced Advanced Practice Provider (APP) to join our Nephrology team.
Added 5 mins ago
Senior Safety Specialist
J.E. Dunn Construction Group Inc P
Denver, CO
The Senior Safety Specialist will coordinate and implement the field safety program for routine and complex construction projects. This position will be responsible for conducting safety…
Added 6 mins ago
FB
Senior Manager Secondary Marketing
Fulton Bank
Lancaster, PA · Virginia Beach, VA · Columbia, MD · Georgetown, DE · Mt Laurel, NJ
- $127,800 to $213,000 USD / year
…secondary market presence. Serve as a trusted relationship manager for key investors and partners, fostering long-term engagement, performance reviews, and ongoing business development…
Added 7 mins ago
Security Operations Manager I
Quality Technology Services, LLC
United States
As a global leader in digital infrastructure, QTS designs, builds and operates advanced data centers that support strategic AI, cloud and digital transformation initiatives. We are driven…
Added 8 mins ago
Senior Customer Success Manager
PowerSchool Group LLC
UNAVAILABLE
Additional experience may be substitute for an advanced degree.
Added 10 mins ago
Registered Nurse
Appalachian Regional Healthcare, Inc.
Beckley, WV
Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
Added 13 mins ago
C6
Senior Manager, Software Quality Assurance
Company 601 LivaNova USA Inc
United States
- $150,000 to $175,000 USD / year
As our Senior Manager, Software Quality Assurance, you will lead the software quality function while applying hands-on software development knowledge to ensure product software, firmware,…
Added 15 mins ago
Senior Lead Field Marketing Manager
Lumen
Jefferson City, MO
The Senior Lead Field Marketing Manager (FMM) serves as a strategic partner to Enterprise Sales, responsible for developing and executing integrated field marketing plans that accelerate…
Added 15 mins ago
Sr. Program Account Manager
Vizient, Inc.
Cape Girardeau, MO · Irving, TX
Advanced Excel, data analysis, and reporting skills with the ability to translate complex information into actionable business recommendations.
Added 20 mins ago
Senior Manager, QC Analytical-1
Devens
Devens, MA
Bristol Myers Squibb is seeking a Senior Manager for QC Analytical at the Cell Therapy Facility (CTF) in Devens, MA. This role supports the QC analytical operations team, develops and…
Added 20 mins ago
Controller
Concurrent Technologies Corporation
Johnstown, PA
Ensure optimal allocation of resources, including technology, personnel, and funding, to meet program requirements and organizational objectives.
Added 20 mins ago
Senior Principal Cyber Security Engineer Specialist
Concurrent Technologies Corporation
Columbia, MD
Advanced Security Innovation and Architecture:

BSC

Business Analyst, Consultant - Quality Performance

El Dorado Hills, CA, United States
CA, United States
Long Beach, CA, United States
Lodi, CA, United States
Rancho Cordova, CA, United States
Redding, CA, United States
San Diego, CA, United States
Woodland Hills, CA, United States

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Job details

Experience: Requires at least 7 years of prior relevant experience
Posting language: English
Posted: Nov 5, 2026

Original job description

Your Role

The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department is a team of pharmacy professionals responsible for defining and executing strategies to address clinical quality, member experience, and affordability of prescription medications used by Blue Shield members. The Business Analyst, Consultant, Rx Quality Performance Management will report to the Senior Manager, Rx Member Experience & Quality Performance. In this role you will support the development, measurement, and continuous improvement of Pharmacy initiatives across the Commercial and Medicare lines of business. This role combines performance analytics, program management, member experience insights, and executive reporting to identify opportunities, measure outcomes, and drive member-centered improvements.

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 Work

In this role, you will:

Provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations
Lead the development of annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
Develop, prepare, and analyze reports with highly complex analysis and data for management review, and presents to various levels of management
Define business requirements and provide analysis to increase operational efficiency
Provide analytical support for multiple, highly complex cross-functional projects simultaneously, establish work plans and timelines, coordinates with internal and external resources
Expand subject matter expertise on performance monitoring of drug quality and member experience measures to support program improvement and enterprise goals
Establish and sustain strong, collaborative relationships and operating model with data and technology partners internally and externally to ensure robust management of drug quality performance
Work independently with limited oversight to achieve goals and objectives

Your Knowledge and Experience

Requires a bachelor’s degree or equivalent experience
Requires at least 7 years of prior relevant experience
A minimum of 3 years' experience in managed care is preferred
Requires strong analytic and problem-solving skills with intermediate to advanced knowledge of pharmacy data elements and related technical standards/concepts (e.g. claims, e-prescriptions, e-prior authorization, real time pharmacy benefits, etc.) Experience with HEDIS, CAHPS, NPS and Medicare Stars data preferred.
Requires advanced proficiency in Microsoft applications including Word, Excel, Power Point, OneNote, SharePoint
Requires excellent written, verbal, and interpersonal communication skills
Requires experience working independently in a fast-paced environment

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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