Blue Shield of CA
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: 111 - 120 of 600 |
Case Management - Nurse, Senior
Long Beach, California
Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating...
3d
| Job Type | Full Time |
Rancho Cordova, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report ...
3d
| Job Type | Part Time |
Behavioral Health Utilization Mgmt Clinician, Senior
San Diego, California
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...
3d
| Job Type | Full Time |
Regulatory Complaint Coordinator, Intermediate
El Dorado Hills, California
Your Role The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulator...
3d
| Job Type | Full Time |
(Designated) Customer Service Representative
Redding, California
Your Role Our Designated Customer Experience Teams receive incoming telephone calls from Self-Funded Large Group Commercial Plans. The Designated Call Center is open Monday - Friday, 4:45 a.m. - 8:00 p.m., including some holidays. If hired,...
3d
| Job Type | Full Time |
Director, Product & Financial Analytics - Stellarus
El Dorado Hills, California
Your Role The Director, Product & Financial Analytics - Stellarus, reporting to the VP, Corporate Finance & Head of Stellarus Finance, will lead, prioritize and oversee the development of financial reporting and analysis to enable Stellarus...
3d
| Job Type | Full Time |
Regulatory Complaint Coordinator, Intermediate
Lodi, California
Your Role The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulator...
3d
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Woodland Hills, California
Your Role The Medicare and Medi-cal Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievan...
3d
| Job Type | Full Time |
Provider Communications Specialist, Senior
Woodland Hills, California
Your Role The Provider Communications team is responsible for partnering with business departments throughout Blue Shield of California and Blue Shield of California Promise Health Plan to support the strategic business goals and compliance...
3d
| Job Type | Full Time |
Oakland, California
Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report ...
3d
| Job Type | Full Time |