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: 1 - 10 of 508 |
Redding, California
Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Ch...
2h
| Job Type | Full Time |
Long Beach, California
Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Ch...
2h
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
San Diego, 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...
2h
| Job Type | Full Time |
Utilization Management Nurse, Senior
El Dorado Hills, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
2h
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Experienced
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...
2h
| Job Type | Full Time |
Manager, Utilization Management Nurse Management
Oakland, 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...
2h
| Job Type | Full Time |
Business Systems Analyst, Senior
Long Beach, California
Your Role In the Mandates & Corporate Services team-The Business Systems Analyst, Senior, works to solve for business needs that meet mandate compliance through enterprise-wide cross-functional collaboration. Responsible for eliciting, docu...
2h
| Job Type | Full Time |
Behavioral Health Utilization Management 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...
2h
| Job Type | Full Time |
Contact Center Engineer, Senior
El Dorado 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...
2h
| Job Type | Full Time |
HRSD ServiceNow Administrator, Consultant
Woodland Hills, California
Your Role Reporting to the Manager and Lead Admin, Technology and Operations department, as a ServiceNow Administrator, you will be responsible for building, supporting, and maintaining the ServiceNow platform within the company and optimiz...
2h
| Job Type | Full Time |