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: 311 - 320 of 651 |
Actuarial Analyst, Sr. Principal
Minneapolis, Minnesota
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...
10d
| Job Type | Full Time |
Manager, Special Investigations Services
Woodland Hills, California
Your Role The Special Investigations Unit (SIU) comprises several areas that, in collaboration, are tasked to identify, investigate, and combat health insurance fraud, waste and abuse (FWA). SIU's Prepayment Review team is responsible for o...
10d
| Job Type | Full Time |
Sr. Director, Behavioral Health
Oakland, California
Your Role Blue Shield of California is looking for a clinical leader to oversee the behavioral health program for all product lines. The Sr. Director of Behavioral Health will report to the VP, Medical Care Solutions. This individual will b...
10d
| 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...
10d
| Job Type | Full Time |
Case Management - Nurse, Senior
Long Beach, 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...
10d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate
Long Beach, California
Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an initial point of contact for providers and members in the medical management process by tele...
10d
| Job Type | Full Time |
Manager, Case Management Nurse Management
Long Beach, California
Your Role The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) - Medi-Cal Care Management line of business. The Manager, Care Management will re...
10d
| 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...
10d
| Job Type | Full Time |
Long Beach, California
Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis by collaborating with members and tho...
10d
| Job Type | Full Time |
Woodland Hills, 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 LVN, Care Manager will report to the Ma...
10d
| Job Type | Full Time |