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: 241 - 250 of 573 |
Case Management - Nurse, Senior
Atlanta, Georgia
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management - Nurse, Senior will report to...
6d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Oakland, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
6d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Rancho Cordova, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
6d
| Job Type | Full Time |
Provider Communications Specialist, Senior
Oakland, 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...
6d
| Job Type | Full Time |
Enrollment Processor, Specialist
El Dorado Hills, California
Your Role The Group Eligibility Install and Renewal team is responsible for the review and installation of new and renewing small and large group business as well as ongoing maintenance. The Eligibility Processor, Specialist will report to ...
6d
| Job Type | Full Time |
Case Management - Nurse, Senior
Sacramento, California
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager...
6d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
El Dorado Hills, 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...
6d
| Job Type | Full Time |
Long Beach, 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 ...
6d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
Redding, 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...
6d
| Job Type | Full Time |
Oakland, 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 ...
6d
| Job Type | Part Time |