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: 131 - 140 of 665 |
Appeals and Grievances - RN, Consultant
San Diego, 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...
5d
| Job Type | Full Time |
Actuarial Analyst, Sr. Principal
Hartford, Connecticut
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...
5d
| Job Type | Full Time |
Actuarial Analyst, Experienced
El Dorado Hills, 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...
5d
| Job Type | Full Time |
Senior Director, Customer Success (Account Management) - Strategic
Atlanta, Georgia
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...
5d
| Job Type | Full Time |
Rancho Cordova, California
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 Senior LVN, Care Manager will report to the Ma...
5d
| Job Type | Full Time |
Clinical Quality Auditor, Consultant
San Diego, California
Your Role The Quality Review team completes audits of front-line staff to ensure alignment with department processes and regulatory compliance. Clinical Quality Auditors also provide coaching and work closely with business leaders to drive ...
5d
| Job Type | Full Time |
Actuarial Analyst, Sr. Principal
Denver, Colorado
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...
5d
| Job Type | Full Time |
Program Manager Clinical, Principal
El Dorado Hills, 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 ...
5d
| Job Type | Full Time |
Manager, Case Management Nurse Management
Woodland Hills, California
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...
5d
| Job Type | Full Time |
Oakland, California
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 Senior LVN, Care Manager will report to the Ma...
5d
| Job Type | Full Time |