Operations Specialist, Associate

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us!


Job Summary

Operations and Management manages the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with service levels and providing service worthy of our family and friends. Responsible for the oversight of quality, production levels, strategic initiatives, employee development, preparation and management of budgets, goals, objectives, and results for various operational areas.

The Operations Specialist is responsible for being the subject matter expert on functional operational workflows, databases, systems and applications, procedures, tools and documentation, for enhancing operating efficiency, quality, and technical skill levels of staff.

  • Acts as subject matter expert and reviews operational workflows, identifying problems and acts as a SME to inform improvements, modifications, and enhancements.
  • Tracks and communicates workflow and system changes to appropriate resources.
  • Reviews systems and applications and recommends system edits/changes as needed.
  • Notifies appropriate department mangers about issues and problems in operational workflow requiring immediate attention.
  • Participates as a subject matter expert to inform the development of written guidelines and documents problems as needed.
  • Participates on Special Projects as required
  • May assist with training and documentation needs.
  • Other duties as assigned.


Knowledge and Experience
  • Requires broad theoretical job knowledge typically obtained through advanced education.
  • Typically, requires a college degree or equivalent experience and less than 2 years prior relevant experience.

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.

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.EEO Policy