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Blue Shield of CA

www.blueshieldca.com
Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. 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 fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving.

Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Search among Blue Shield of CA jobs




Jobs: 1 - 10 of 672
New
Blue Shield of CA

Compliance and Ethics Program Specialist, Senior

El Dorado Hills, California

Blue Shield of CA

Your Role The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company's compliance and ethics program across the enterprise, including all business units, products, services and activitie...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

Rancho Cordova, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Compliance and Ethics Program Specialist, Senior

Lodi, California

Blue Shield of CA

Your Role The Compliance and Ethics team ensures adherence to the BSC Code of Conduct and owns and coordinates the Company's compliance and ethics program across the enterprise, including all business units, products, services and activitie...

Job Type Full Time
New
Blue Shield of CA

Manager, Actuary

Long Beach, California

Blue Shield of CA

Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Ch...

Job Type Full Time
New
Blue Shield of CA

Group Underwriter - Large, Senior

Oakland, California

Blue Shield of CA

Your Role The Premier Accounts Underwriting team serves group health care for national and public sector companies with over 3,000 employees and all labor and trust groups. Partnering with our national (large) accounts sales organization, w...

Job Type Full Time
New
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Experienced

Oakland, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...

Job Type Full Time
New
Blue Shield of CA

Manager, Actuary

Redding, California

Blue Shield of CA

Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Ch...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

El Dorado Hills, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Experienced

Redding, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...

Job Type Full Time
New
Blue Shield of CA

Supplier Procurement, Principal

Woodland Hills, California

Blue Shield of CA

Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Principal Sourcing Specialist (Supplier ...

Job Type Full Time
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