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Blue Shield of CA

www.blueshieldca.com
Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

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: 41 - 50 of 583
New
Blue Shield of CA

Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)

Oakland, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Program Manager, Consultant - CalPERS Cost of Health Care

Woodland Hills, California

Blue Shield of CA

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 ...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Specialty Team)

San Francisco, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Senior

Redding, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Specialty TOC )

El Dorado Hills, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Specialty TOC )

Sacramento, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

FEP Oncology Case Management - Nurse, Senior

Rancho Cordova, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Sr. Director, Clinical Quality

San Diego, California

Blue Shield of CA

Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Intake)

San Francisco, California

Blue Shield of CA

Your Role The Behavioral Health Services (BHS) Clinical Intake team is responsible for timely and accurate processing of Treatment Authorization Requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), Intermediate will rep...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)

Rancho Cordova, California

Blue Shield of CA

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...

Job Type Full Time
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