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: 11 - 20 of 620 |
Application Developer, Consultant
San Diego, California
Your Role The IT Health Solutions Health Data Strategy team is responsible for delivering on various initiatives including the Digital Health Record and health data exchanges with vendor partners . The Full Stack Engineer will report to the...
1d
| Job Type | Full Time |
(Medi-Cal) Correspondence Phone Support, Intermediate
Los Angeles, California
Your Role Our Medi-Cal Customer Experience Teams receive incoming telephone calls from our members who need help navigating their Blue Shield of California Medi-Cal Insurance Coverage. The Medi-Cal Call Centers are open Monday - Friday from...
1d
| Job Type | Full Time |
Medical Director, Utilization Management - Promise Health Plan
Rancho Cordova, California
Your Role The Healthcare Services team is committed to a single vision of transforming health care delivery for Blue Shield members. Within this framework, the Office of the Promise Chief Medical Officer (CMO) and its Medical Directors repo...
1d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt 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...
1d
| Job Type | Full Time |
El Dorado 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 Vision Director will report ...
1d
| Job Type | Part Time |
Lodi, 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 Vision Director will report ...
1d
| Job Type | Part Time |
Program Manager Clinical, Consultant
Long Beach, California
Your Role The Care Management team meets the member where they are, understandings the member's goals, offers assistance, provides education, and recommends resources to improve member health. The Program Manager Clinical, Consultant- QI & ...
1d
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
San Diego, California
Your Role The Medicare and Medi-cal 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 Grievan...
1d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Consultant (Lead)
Lodi, California
Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationa...
1d
| Job Type | Full Time |
Regulatory Complaint Coordinator, Intermediate
Oakland, California
Your Role The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulator...
1d
| Job Type | Full Time |