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: 121 - 130 of 684 |
Sr. Director, Behavioral Health
Woodland Hills, 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...
1d
| Job Type | Full Time |
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...
1d
| Job Type | Full Time |
Manager, Special Investigations Services
Oakland, 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...
1d
| Job Type | Full Time |
Actuarial Analyst, Experienced
Rancho Cordova, 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...
1d
| 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...
1d
| Job Type | Full Time |
Program Manager Clinical, Principal
Oakland, California
Your Role The Special Populations Unit (SPU) ensures effective oversight and monitoring of vulnerable groups identified by CalAIM, advancing equitable access to care and improving health outcomes. Through cross-functional collaboration and ...
1d
| Job Type | Full Time |
Manager, Special Investigations Services
Rancho Cordova, 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...
1d
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Long Beach, 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...
1d
| Job Type | Full Time |
Senior Director, Customer Success (Account Management) - Strategic
Hartford, Connecticut
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...
1d
| Job Type | Full Time |
Rancho Cordova, California
Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Gro...
1d
| Job Type | Full Time |