Full-Time
End-to-End Member Experience Specialist
Consultant, Strategic Insights
Posted on 7/3/2025
Blue Shield California
5,001-10,000 employees
Nonprofit health insurance provider in California
No salary listed
Junior, Mid
Oakland, CA, USA
In Person
- Experience in designing and conducting research related to member experience
- Ability to collaborate with external vendors and internal stakeholders
- Knowledge of Net Promoter Score (NPS) and Forrester program performance
- Strong analytical skills to inform optimization strategies
- Experience in the healthcare industry
- Design and manage MX research
- Conduct research in collaboration with external vendors and internal stakeholders
- Inform optimization of member experiences specific to Blue Shield members
- Drive Net Promoter Score (NPS) and Forrester program performance
Blue Shield of California provides a range of medical insurance options as a nonprofit health plan provider. It serves individuals, families, and employers, with many members coming from its collaboration with the California Public Employees' Retirement System (CalPERS). Operating solely in California, the company acts as a mutual benefit corporation, focusing on giving members access to a wide network of healthcare professionals and facilities. Members can manage their accounts, review claims, and make payments through an online portal. The company prioritizes preventive care and wellness, offering various health programs, including digital health coaching. To control costs and ensure necessary medical services, some medical procedures and prescription drugs require prior authorization.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
null
Founded
1939
Simplify's Take
What believers are saying
- Telehealth expansion meets growing demand for virtual care services.
- AI-driven tools enhance patient outcomes and operational efficiency.
- Value-based care models improve patient outcomes while controlling costs.
What critics are saying
- Data breach exposes sensitive health records, risking reputational damage.
- Increased competition from digital health platforms pressures innovation.
- Lawsuit over Google Ads use of private information could lead to penalties.
What makes Blue Shield California unique
- Exclusive focus on California enhances local expertise and member engagement.
- Partnership with Zocdoc streamlines in-network appointment booking for members.
- Nonprofit model prioritizes member health over profit, fostering trust and loyalty.
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Benefits
Remote Work Options
Paid Vacation
Company News
Blue Shield of California and Zocdoc to Streamline In-Network Appointment Booking. by Jasmine Pennic 06/11/2025 Leave a Comment. Blue Shield of California teams up with Zocdoc to simplify the appointment scheduling experience for membersWhat You Should Know: – Blue Shield of California today announced a new collaboration with Zocdoc’s healthcare booking platform to allow its members to seamlessly schedule in-network, in-person, and virtual care appointments directly on the nonprofit health plan’s online member portal.– The strategic partnership for Zocdoc marks the first time the company is working with a health plan to power scheduling for its online portal. The feature enables appointment booking from a single sign-on, available 24/7 for members seeking care.A Seamless Experience to Improve Access to CareBlue Shield members can now see real-time availability of providers and easily access more than 1 million hours of bookable appointments over a 90-day window. Available through the plan’s “Find a doctor” tool, this integration is Blue Shield’s latest effort to create high-quality, seamless experiences for its members and address common barriers to care.Outdated scheduling systems are a known hurdle in healthcare access. A recent Zocdoc-commissioned survey found that more than half of patients who couldn’t reach their doctor by phone ended up delaying care (54%), with a third giving up on scheduling a visit entirely (33%).“As we continue to address healthcare access issues, making it easier and faster for our members to get connected to in-network care is absolutely essential,” said Jigar Shah, chief marketing and strategy officer at Blue Shield of California
OAKLAND, Calif., June 11, 2025 /PRNewswire-HISPANIC PR WIRE/ - Blue Shield of California today announced a new collaboration with Zocdoc, America's leading healthcare booking platform, to allow members to seamlessly schedule in-network, in-person and virtual care appointments directly on the nonprofit health plan's online member portal.
Nonprofit health plan urges members and the public to protect themselves from fraud involving medical supplies, services not received, and suspicious chargesOAKLAND, Calif., June 2, 2025 /PRNewswire/ -- In observance of Medicare Fraud Prevention Week, Blue Shield of California is highlighting its commitment to safeguarding Medicare beneficiaries against scams and fraudulent activities. With healthcare fraud continuing to rise across the country, protecting seniors has never been more critical.Blue Shield of California Helps Seniors Be on Alert for Medicare ScamsHighlighting the severity of Medicare fraud, the U.S. Department of Justice charged 193 individuals, including 76 medical professionals, in a nationwide healthcare fraud enforcement action in 2024. The schemes involved over $2.75 billion in alleged false claims, including fraudulent telemedicine and prescription drug schemes."Medicare fraud and scams continue to pose a serious threat to older adults," said Alex Uhm, vice president and general manager at Blue Shield. "We are committed to enhancing our preventive measures and providing our members with the tools and knowledge to protect themselves."Blue Shield's efforts to protect its members include distributing updated member education materials that highlight common fraud schemes and preventive measures, and the introduction of an online portal for members to report suspected fraud.Blue Shield's Special Investigations Unit (SIU) is dedicated to detecting healthcare fraud and protecting our members by identifying suspicious activity and potential fraud. This proactive approach helps keep members safe and ensures fraud is addressed quickly.Blue Shield's SIU team tackles fraud across all areas, but experts have identified several prevalent scams targeting seniors, including:Unsolicited medical supplies: Receiving items such as catheters, diabetic supplies or back braces that were neither ordered nor needed.Receiving items such as catheters, diabetic supplies or back braces that were neither ordered nor needed
Blue Shield data breach exposes millions of Health records via Google.
Blue Shield of California receives stevie(r) Bronze Award for Customer Service Employer of the Year.