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: 61 - 70 of 546 |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Woodland Hills, 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...
1d
| Job Type | Full Time |
Platform Administrator, Senior
Lodi, California
Your Role The Product Platform team is looking for a Senior Platform Administrator to assist with the admin configuration and analysis as changes are needed to the platform modules that support benefit coding and product management to suppo...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Intake)
Lodi, California
Your Role The Behavioral Health Services (BHS) Clinical Intake team is responsible for timely and accurate processing of Treatment Authorization Requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), Intermediate will rep...
1d
| Job Type | Full Time |
FEP Oncology Case Management - Nurse, Senior
San Diego, California
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with m...
1d
| Job Type | Full Time |
Sr. Director, Clinical Quality
Long Beach, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
1d
| Job Type | Full Time |
Case Management - Nurse, Senior
Virginia Beach, Virginia
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...
1d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
Rancho Cordova, 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...
1d
| Job Type | Full Time |
Provider Dispute Resolution Coordinator, Intermediate
Sacramento, California
Your Role The Provider Dispute Resolution Team is looking for an Intermediate Provider Dispute Resolution Coordinator that can research, review and adjust high priority and high dollar provider grievances, appeals and complaints, while clar...
1d
| Job Type | Full Time |
Sr. Director, Clinical Quality
Sacramento, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
1d
| Job Type | Full Time |
Clinical Advisor, Behavioral Health
Sacramento, 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 Clinical Advisor, Behavioral...
1d
| Job Type | Full Time |