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Blue Shield of CA

www.blueshieldca.com
Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

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 653
Blue Shield of CA

Actuarial Analyst, Sr. Principal

Minneapolis, Minnesota

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Manager, Special Investigations Services

Woodland Hills, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Sr. Director, Behavioral Health

Oakland, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Actuarial Analyst, Experienced

Redding, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Case Management - Nurse, Senior

Long Beach, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Clinical Services Coordinator, Intermediate

Long Beach, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Senior Director, Customer Success (Account Management) - Strategic

Denver, Colorado

Blue Shield of CA

Your Role The Product team is responsible for providing product offerings to Blue Shield of California that enables them to improve and achieve their business goals. The Senior Director, Customer Success will report to the Vice President of...

Job Type Full Time
Blue Shield of CA

Manager, Case Management Nurse Management

Long Beach, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Appeals and Grievances - RN, Consultant

Rancho Cordova, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Senior Director, Customer Success (Account Management) - Strategic

Miami, Florida

Blue Shield of CA

Your Role The Product team is responsible for providing product offerings to Blue Shield of California that enables them to improve and achieve their business goals. The Senior Director, Customer Success will report to the Vice President of...

Job Type Full Time
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