Operations Specialist, Associate

Blue Shield of CA; Lodi (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Blue Shield of California seeks an Operations Specialist to support claims teams by performing end-to-end testing of new code before it reaches production. You will create test cases to prevent incorrect logic and downstream impacts, ensuring accurate claim processing and outputs.

The role emphasizes independent work within a collaborative, cross-functional environment. Hybrid workplace model requires in-office presence two days per week; candidates should be ready to coordinate with managers to

Qualifications

• Bachelor's degree or HS diploma with 4 years of related experience in lieu of a degree.
• Understanding of healthcare claims processing required.
• User acceptance testing experience preferred.
• Knowledge of Agile methodologies and Jira preferred.
• Ability to work independently.
• Requires critical thinking and problem solving.
• Strong prioritization skills.

Responsibilities

• Perform end-to-end testing to identify defects in new code before production deployment.
• Create test cases to prevent or identify incorrect logic and downstream impacts.
• Collaborate with cross-functional teams to develop solutions that improve efficiency and accuracy.
• Support claims operations teams and report to the manager.

Skills

Independent work

Critical thinking

Prioritization

Team collaboration

Education

Bachelor’s degree or 4 years experience in lieu

Tools

Jira

Job description

Your Role

The Operations Specialist supports claims operational teams by performing end-to-end testing to identify defects of new code being introduced to the production environment. Creating test cases that will prevent or identify incorrect logic, claims downstream impacts, output concerns or other claim processing issues. The Operations Specialist will report to the manager. In this role, you will work both independently and collaborate within the team and other teams to develop solutions that will enhance and create efficiencies in accordance with policies and provisions set forth by state, federal or local entities.

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 Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Understanding of healthcare claims processing required
• Experience with user acceptance testing preferred
• Knowledge and experience of Agile methodology, including Jira preferred
• Ability to work independently
• Requires critical thinking and problem solving
• Strong prioritization skills

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.