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: 21 - 30 of 583 |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Lodi, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
10h
| Job Type | Full Time |
Clinical Advisor, Behavioral Health
Oakland, 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 Clinical Advisor, Behavioral...
10h
| Job Type | Full Time |
Program Manager, Consultant - CalPERS Cost of Health Care
San Diego, California
Your Role The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the CalPERS PPO line of business ensuring the delivery of high-quality, affordable healthcare services to CalPERS ...
10h
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
Oakland, 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...
10h
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Long Beach, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
10h
| Job Type | Full Time |
Medical Director, Behavioral Health
Hartford, Connecticut
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...
10h
| Job Type | Full Time |
Provider Dispute Resolution Coordinator, Intermediate
Oakland, 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...
10h
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty Team)
Sacramento, California
Your Role The Behavioral Health Services (BHS) Specialty team manages continuity of care (CoC) requests, exception requests, and provides support for the clinical Behavioral Health Utilization Management team. The Behavioral Health (BH) Cli...
10h
| Job Type | Full Time |
Clinical Advisor, Behavioral Health
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 Clinical Advisor, Behavioral...
10h
| Job Type | Full Time |
Program Manager, Consultant - CalPERS Cost of Health Care
San Francisco, California
Your Role The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the CalPERS PPO line of business ensuring the delivery of high-quality, affordable healthcare services to CalPERS ...
10h
| Job Type | Full Time |