Jobs in the United States

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Added 3 mins ago
Clinical Research Nurse
HMRI - Houston Methodist Research Institute - The Methodist Hospital Research Institute
United States
…research patients under the supervision of the Clinical Trials Manager and Principal Investigator. This position implements clinical research patient care via the research protocol. This…
Added 5 mins ago
Configuration Analyst
SAIC
Colorado Springs, CO
SAIC seeks an energetic Configuration & Data Management Analyst to support the US Space Force, Space Systems Command, in performing operational maintenance and sustainment of Ground-Based…
Added 5 mins ago
Logistics Support Analyst
SAIC
Colorado Springs, CO
SAIC seeks a motivated Logistics Support Analyst for the Ground-Based Radar (GBR) Maintenance and Sustainment Services (GMASS) contract. GMASS supports the US Space Force, Space Systems…
Added 11 mins ago
[Mid Level] Marketing Manager / Marketing Analyst - Digital, Brand, Partnership, Social & Insights (261101-8)
JND
DFW, TX
Job Title: Marketing Manager / Marketing Analyst (Digital, Brand, Partnership, Social & Insights)
Added 43 mins ago
Project Manager (Customer Choice)
Southern Company
Atlanta, GA
Project Manager (E7) – Transmission Project Management Organization (PMO) - Customer Choice
Added 43 mins ago
Project Manager
Southern Company
Atlanta, GA
Project Manager (E7) – Transmission Project Management Organization (PMO)
Added 50 mins ago
LH
Finance Business Partner
Legacy Health
PORTLAND, OR
- $63.68 to $94.88 USD / hour
Minimum of six years’ work experience as an accountant, financial analyst, financial/business consultant, and/or auditor or related area of responsibility or previous job experience at the…
Added 56 mins ago
Senior - Retirement and Benefits Analyst
Bread Financial Payments, Inc
Columbus, OH · Chadds Ford, PA · Frisco, TX · Draper, UT · NY · Wilmington, DE
The Senior Retirement and Benefits Analyst will provide comprehensive analysis and oversight of employee retirement and voluntary benefit programs, evaluating plan performance, compliance,…
Added 58 mins ago
Manager, OMS Product & Delivery
ViaPath Technologies
Remote, United States
We are seeking a Manager, Product Operations & Delivery to drive the execution of our product roadmap across ViaPath’s enterprise Offender Management System (OMS) platform. This role serves…
Added 1 hour ago
2027 Summer Internship Program - Vendor Management Analyst
CareSource Management Services LLC
Remote, United States
…vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain…
Added 1 hour ago
2027 Summer Internship Program - Data Analyst
CareSource Management Services LLC
Remote, United States
…vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain…
Added 1 hour ago
BH
Compliance & Policy Analyst
Byram Healthcare Centers Inc
Downers Grove, IL
- $55,000 to $62,000 USD / year
…audit documentation for any reimbursement issues as directed by…
Added 1 hour ago
Financial Planning Analyst
Penn State University Talent Acquisition
University Park, PA
Added 1 hour ago
Business Analyst, Consultant - Quality Performance
BSC
El Dorado Hills, CA · CA · Long Beach, CA · Lodi, CA · Rancho Cordova, CA · Redding, CA · San Diego, CA · Woodland Hills, CA
…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…
Added 1 hour ago
Program Manager, Customer Advocacy
Zoom
Jefferson City, MO
As Program Manager, Customer Advocacy, you will lead Zoom's end-to-end customer reviews strategy across Gartner Peer Insights, TrustRadius, and G2, building a sustainable, always-on program…
Added 1 hour ago
SENIOR HUMAN SERVICES PROGRAM MGR - SES - 64038556 1
State of Florida
TAMPA, FL
COMMUNITY HEALTH DIVISION – SENIOR HUMAN SERVICES PROGRAM MANAGER
Added 1 hour ago
Customer Advocacy Program Manager, Zoom Contact Center
Zoom
Jefferson City, MO
As the dedicated Customer Advocacy Program Manager for Zoom Contact Center, you will own the end-to-end customer advocacy lifecycle for Zoom's CX product line, turning customer voices into…
Added 1 hour ago
SO
INTAKE SPECIALIST - SES - 73000498
State of Florida
TALLAHASSEE, FL
- $48,000 to $53,000.04 USD / year
Intake Specialist (Management Analyst I – SES)
Added 1 hour ago
887082 - GOVERNMENT ANALYST II
State of Florida
TALLAHASSEE, FL
Working Title: 887082 - GOVERNMENT ANALYST II
Added 1 hour ago
GOVERNMENT OPERATIONS CONSULTANT II - 64002750 1 1 1
State of Florida
TALLAHASSEE, FL
…provision of technical assistance for the USDA Child Care Food Program administered by the Bureau of Child Care Food Programs (CCFP). The incumbent in this position will be required to…
Added 1 hour ago
GOVERNMENT OPERATIONS CONSULTANT II - 64001559
State of Florida
FT MYERS, FL
Monitors and reviews Child Care Food Program contractors' program compliance as required within a defined geographic region of Florida, completing written reports within required…
Added 1 hour ago
IM Transcend Deployment Lead Analyst
J&J Family of Companies
Titusville, NJ
The IM Transcend Deployment Lead Analyst will be part of the Innovative Medicines Transcend Finance Deployment Team, reporting to the Supply Chain Finance Deployment Manager; supporting the…
Added 1 hour ago
OF
Accident & Health - Senior Financial Analyst
Ohio Farmers Insurance Company
Berkeley Heights, NJ
- $15.92 USD / hour
The Accident and Health Senior Financial Analyst implements financial processes supporting the core operations of the Accident and Health business unit, including premium billing and…
Added 1 hour ago
Behavioral Specialist - 24 Hours Days, Autism Inpatient Unit
Hospital for Special Care
New Britain, CT
Under the oversight of the Clinical Nurse Manager and daily monitoring by the Behavior Specialist Supervisor, is responsible for the implementation of the therapeutic treatment plan…
Added 1 hour ago
Information Assurance Analyst II
Na Ali'i Consulting & Sales, LLC.
Fort Belvoir, VA
Nakupuna Companies is seeking an Information Assurance Analyst II. The Information Assurance Analyst II supports the C5ISR Center cybersecurity program by assessing information system…

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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