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Blue Shield of California
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  • Your Role The End-to-End Member Experience team is responsible for dev... Read More

    Your Role

    The End-to-End Member Experience team is responsible for developing a comprehensive Member Experience (MX) strategy that integrates digital, call center, marketing, and operations efforts to achieve excellence within the healthcare industry. The End-to-End Member Experience Strategic Insights, Consultant will report to the Senior Manager, Strategic Insights for End-to-End Member Experience. In this role, you will design, manage, and conduct MX research in collaboration with external vendors and internal stakeholders to inform the optimization of member experiences specific to Blue Shield members, all while driving our Net Promoter Score (NPS) and Forrester program performance.

    Your Work

    In this role, you will:

    • Drive MX strategy by generating insights to prioritize and refine the MX roadmap, focusing on initiatives to enhance the experience for all members
    • Synthesize complex data and concepts into easily understood stories and recommendations for senior leadership and cross-functional teams, by scaling our NPS and Forrester programs
    • Support the Voice of the Customer (VoC) programs and collaborate across the organization to translate member reported issues into effective actionable results
    • Derive insights and trends from data and analytics to create high-level strategies to drive optimization of customer experience and enhancement of loyalty
    • Identify critical short and long-term business opportunities that enable transformational change across the enterprise
    • Synthesize complex data and concepts into easily understood stories and recommendations for senior leadership, by scaling our NPS & Forrester programs
    • Produce impactful insights by leveraging expertise in survey design, statistical analysis, and data-driven storytelling
    • Collaborate with internal teams to leverage insights in the development of journey maps and action plans
    • Navigate ambiguity through strategic thinking, identify and implement improvements to various processes, programs, and tools used in support of the VoC best practices
    • Own monthly, quarterly, and annual reporting, sharing insights in presentations to internal teams

    Your Knowledge and Experience

    • Requires a bachelor's degree or equivalent experience and/or equivalent combination of education and experience
    • Requires at least 7 years of prior relevant experience, including in Member or Customer Experience, Voice-of-Customer programs (e.g., CAHPS, Digital MSAT, NPS, Forrester, etc.) or Market Research
    • Requires ability to analyze ambiguous feedback from members/customers, employees, and other sources to turn into actionable insights for practical use
    • Requires experience with tools to analyze and interpret member feedback data (e.g., Tableau, Vendor managed software, etc.)
    • Requires experience with applying a variety of data analysis techniques and combining survey and operational data
    • Experience in customer experience program reporting, design, and roadmap development, in roles such as analyst, program manager, or adjacent strongly preferred
    • Experience managing customer experience improvement projects from insights to building business cases to managing implementation (working with cross-functional teams), strongly preferred
    • Strong communicator, self-starter, strategic thinker with a blend of business understanding and quantitative skills

    Read Less
  • Your Role This position is located at our Wilmington Community Resou... Read More

    Your Role

    This position is located at our Wilmington Community Resource Center Location & require employee to work 5 days per week in the Wilmington Community Resource Center

    The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles County with L.A. Care. The IRC and CRCs connect members from both Blue Shield Promise and L.A. Care health plans, and the Los Angeles community, to classes and personalized services that foster community connections, address social needs, and keep people active, healthy, and informed. The Blue Shield Promise CRC Representative provides in-person support to Blue Shield Promise members and consumers who visit a CRC. That support includes, but is not limited to, health plan member services, explanation of benefits, linkage to enrollment assistance, and referral to social services and care planning. In addition, the CRC Representative assists with engaging members on select quality events and participating in CRC-sponsored activities.

    Your Work

    In this role, you will:

    • Resolve issues and inquiries concerning members eligibility, benefits, provider information, clinical, pharmacy and other health or social service needs
    • Compose routine and non-routine correspondence to answer benefits/provider inquiries in writing
    • Coordinate membership changes such as member's primary care physician. May participate in quality and efficiency workgroups to continuously improve quality member/customer satisfaction
    • Analyze available programs, determine program eligibility, and connect member to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists
    • Conduct outreach calls and activities to inform members about the Community Resource Centers, how to access health plan benefits, and assist with scheduling appointments
    • Coordinates membership changes such as member's primary care physician
    • Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs or services when appropriate
    • Assist with organization and hosting of unique quality events and participating in on-site, off-site Community Resource Center activities

    Your Knowledge and Experience

    • Requires at least 3 years of professional experience
    • Requires broad knowledge of operational systems and practices typically gained through extensive experience and/or education
    • Requires being bilingual in Spanish as demonstrated by successful completion of an oral language proficiency test
    • Requires at least 6 months of experience with Medi-Cal enrollment guidelines, specifically Medi-Cal renewal/redetermination process
    • Requires customer service background
    • Must demonstrate a positive attitude, flexibility, professionalism, and dependability in all workplace activities

    Read Less
  • Your Role This position is located at our Palmdale Community Resourc... Read More

    Your Role

    This position is located at our Palmdale Community Resource Center Location & require employee to work 5 days per week in the Palmdale Community Resource Center

    The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles County with L.A. Care. The IRC and CRCs connect members from both Blue Shield Promise and L.A. Care health plans, and the Los Angeles community, to classes and personalized services that foster community connections, address social needs, and keep people active, healthy, and informed. The Blue Shield Promise CRC Representative provides in-person support to Blue Shield Promise members and consumers who visit a CRC. That support includes, but is not limited to, health plan member services, explanation of benefits, linkage to enrollment assistance, and referral to social services and care planning. In addition, the CRC Representative assists with engaging members on select quality events and participating in CRC-sponsored activities.

    Your Work

    In this role, you will:

    • Resolve issues and inquiries concerning members eligibility, benefits, provider information, clinical, pharmacy and other health or social service needs
    • Compose routine and non-routine correspondence to answer benefits/provider inquiries in writing
    • Coordinate membership changes such as member's primary care physician. May participate in quality and efficiency workgroups to continuously improve quality member/customer satisfaction
    • Analyze available programs, determine program eligibility, and connect member to appropriate BSC vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists
    • Conduct outreach calls and activities to inform members about the Community Resource Centers, how to access health plan benefits, and assist with scheduling appointments
    • Coordinates membership changes such as member's primary care physician
    • Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs or services when appropriate
    • Assist with organization and hosting of unique quality events and participating in on-site, off-site Community Resource Center activities

    Your Knowledge and Experience

    • Requires at least 3 years of professional experience
    • Requires broad knowledge of operational systems and practices typically gained through extensive experience and/or education
    • Requires being bilingual in Spanish as demonstrated by successful completion of an oral language proficiency test
    • Requires at least 6 months of experience with Medi-Cal enrollment guidelines, specifically Medi-Cal renewal/redetermination process
    • Requires customer service background
    • Must demonstrate a positive attitude, flexibility, professionalism, and dependability in all workplace activities

    Read Less

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