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: 21 - 30 of 586 |
Rancho Cordova, California
Your Role The Business Operations team is responsible for ensuring appropriate strategic planning and oversight over Clinical Quality. The Strategic Planning and Performance Program Manager will report to the Director, Clinical Quality. In ...
6h
| Job Type | Full Time |
Oakland, California
Your Role The Business Operations team is responsible for ensuring appropriate strategic planning and oversight over Clinical Quality. The Strategic Planning and Performance Program Manager will report to the Director, Clinical Quality. In ...
6h
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Rancho Cordova, California
Your Role The Medicare and Medical 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 Grievanc...
6h
| Job Type | Full Time |
Case Management - Nurse, Senior
El Dorado Hills, California
Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessmen...
6h
| Job Type | Full Time |
Actuarial Analyst, Experienced
Redding, California
Your Role The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical to...
6h
| Job Type | Full Time |
Actuarial Analyst, Experienced
El Dorado Hills, California
Your Role The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical to...
6h
| Job Type | Full Time |
Utilization Management Nurse, Senior
Long Beach, California
Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Utilization Management ...
6h
| Job Type | Full Time |
Actuarial Analyst, Experienced
Long Beach, California
Your Role The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical to...
6h
| Job Type | Full Time |
Actuarial Analyst, Sr. Principal
Portland, Oregon
Your Role The Sr. Principal Actuarial Analyst for our Medi-Cal team is responsible for overseeing rate development & rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy. This position requires direc...
6h
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Oakland, California
Your Role The Medicare and Medical 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 Grievanc...
6h
| Job Type | Full Time |