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: 1 - 10 of 535 |
Manager, Utilization Management Nurse Management
Woodland Hills, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
7h
| Job Type | Full Time |
Complex Care Coordination Case Management - Nurse, Senior
Woodland Hills, California
Work Schedule: Mon-Thr 10:30-7:00 Fr 9:30-6:00 Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, colla...
7h
| Job Type | Full Time |
FEP Oncology Case Management - Nurse, Senior
Oakland, 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...
7h
| Job Type | Full Time |
Provider Contracting Specialist, Senior
Rancho Cordova, California
Your Role The PPO Professional Provider Contracting team manages our PPO network to maintain network adequacy by contract negotiation, recruitment and building/maintaining professional relationships. The Provider Contracting Specialist, Sen...
7h
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Intake)
Long Beach, 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...
7h
| Job Type | Full Time |
Dental Director, Clinical Advisor
Woodland Hills, 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 Dental Director will report ...
7h
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
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...
7h
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Rancho Cordova, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
7h
| Job Type | Full Time |
Community Resource Center Representative, Intermediate (Bilingual Spanish) - Wilmington
Long Beach, California
Your Role *This position is located at our Wilmington Community Resource Center Location & require employee to work 5 days per week in the Wilmington Community Resource Center* The Community Resource Center (CRC) team is responsible for man...
7h
| Job Type | Full Time |
Sr. Director, Clinical Quality
El Dorado Hills, 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...
7h
| Job Type | Full Time |