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: 31 - 40 of 583 |
Case Management - Nurse, Senior
Miami, Florida
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 Case Management - Nurse, Senior will report to...
4h
| Job Type | Full Time |
FEP Oncology 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...
4h
| Job Type | Full Time |
Enrollment Processor, Specialist
El Dorado Hills, California
Your Role The Group Eligibility Install and Renewal team is responsible for the review and installation of new and renewing small and large group business as well as ongoing maintenance. The Eligibility Processor, Specialist will report to ...
4h
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
Redding, 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...
4h
| Job Type | Full Time |
Medical Director, Behavioral Health
Sacramento, 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 Medical Director, Behavioral...
4h
| Job Type | Full Time |
Provider Dispute Resolution Coordinator, Intermediate
Rancho Cordova, California
Your Role The Provider Dispute Resolution Team is looking for an Intermediate Provider Dispute Resolution Coordinator that can research, review and adjust high priority and high dollar provider grievances, appeals and complaints, while clar...
4h
| Job Type | Full Time |
Case Management - Nurse, Senior
Baltimore, Maryland
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 Case Management - Nurse, Senior will report to...
4h
| Job Type | Full Time |
Medical Director, Utilization Management - Concurrent Review
Long Beach, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
10h
| Job Type | Full Time |
Medical Director, Utilization Management - Concurrent Review
San Diego, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
10h
| Job Type | Full Time |
Medical Director, Utilization Management - Concurrent Review
Oakland, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
10h
| Job Type | Full Time |