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 531 |
Benefit Intent Certified Coding, Senior
Lodi, California
Your Role The Benefit Intent team is responsible for providing the benefit coding for Commercial, Medicare and Medi-Cal lines of business. The Benefit Intent Senior Coding Analyst will report to the Senior Manager for Benefit Intent. In thi...
18h
| Job Type | Full Time |
VP, Chief Medical Officer, Medicare
Oakland, California
Your Role The VP, CMO, Medicare is accountable for providing medical oversight, expertise and leadership to ensure the delivery of affordable, quality healthcare services across all Medicare product lines (Individual, Group, PPO). The role ...
18h
| Job Type | Full Time |
Complex Care Coordination Case Management - Nurse, Senior
El Dorado Hills, California
Work Schedule: Mon-Thr 10:30-7:00 Fr 9:30-6:00 Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, colla...
18h
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
El Dorado Hills, 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...
18h
| Job Type | Full Time |
Benefit Intent Certified Coding, Senior
San Diego, California
Your Role The Benefit Intent team is responsible for providing the benefit coding for Commercial, Medicare and Medi-Cal lines of business. The Benefit Intent Senior Coding Analyst will report to the Senior Manager for Benefit Intent. In thi...
18h
| Job Type | Full Time |
Sr. Medical Director, FEP Utilization Management
Long Beach, 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 Senior Medical Director FEP ...
18h
| Job Type | Full Time |
San Diego, California
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...
18h
| Job Type | Full Time |
(Medicare/MedSupp) Correspondence Phone Support, Intermediate
Lodi, California
Your Role Our Senior Markets Customer Experience Teams receive incoming telephone calls from both our 65+, Medicare and Medicare Supplement Senior members. The Senior Markets Call Center is open 7 days a week, 8:00 a.m. - 8:00 p.m., includi...
18h
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
El Dorado Hills, California
Your Role The Utilization Management team reviews inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent review, transplant and N...
18h
| Job Type | Full Time |
Contact Center Engineer, Senior
Woodland Hills, California
Your Role We are seeking a technically skilled and collaborative Contact Center Engineer to support and optimize our Verint and Genesys Workforce Engagement platforms. This role is critical to ensuring the performance, reliability, and cont...
18h
| Job Type | Full Time |