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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: 351 - 360 of 667
Blue Shield of CA

Utilization Management Nurse, Senior (Transplant)

Oakland, California

Blue Shield of CA

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management ...

Job Type Full Time
Blue Shield of CA

Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)

Rancho Cordova, California

Blue Shield of CA

Your Role The Clinical Quality Review (CQR) team is responsible for reviewing potential quality of care issues (PQIs) reported by a member, a member representative, or an internal partner. The Clinical Quality Review (CQR) Nurse Trainer/Aud...

Job Type Full Time
Blue Shield of CA

Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)

El Dorado Hills, California

Blue Shield of CA

Your Role The Clinical Quality Review (CQR) team is responsible for reviewing potential quality of care issues (PQIs) reported by a member, a member representative, or an internal partner. The Clinical Quality Review (CQR) Nurse Trainer/Aud...

Job Type Full Time
Blue Shield of CA

Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)

Long Beach, California

Blue Shield of CA

Your Role The Clinical Quality Review (CQR) team is responsible for reviewing potential quality of care issues (PQIs) reported by a member, a member representative, or an internal partner. The Clinical Quality Review (CQR) Nurse Trainer/Aud...

Job Type Full Time
Blue Shield of CA

Sr. Medical Director, Medical Policy

San Diego, California

Blue Shield of CA

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 Sr. Medical Director, Medica...

Job Type Full Time
Blue Shield of CA

Sr. Director, Clinical Quality

Oakland, 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
Blue Shield of CA

Actuarial Analyst, Senior

Long Beach, California

Blue Shield of CA

Your Role The Risk Adjustment Analytics and Reporting team is looking for a Senior Actuarial Analyst. The Senior Actuarial Analyst will report to the Senior Manager of Risk Adjustment Analytics and Reporting. In this role you will help prov...

Job Type Full Time
Blue Shield of CA

Sales Implementation Specialist, Consultant

Long Beach, California

Blue Shield of CA

Your Role The Sales Implementation Specialist, Consultant is responsible for the successful onboarding of groups with ASO, Shared Advantage, and Fully Insured funding types across Commercial Markets. This role will also manage complex renew...

Job Type Full Time
Blue Shield of CA

Actuarial Analyst, Senior

Redding, California

Blue Shield of CA

Your Role The Risk Adjustment Analytics and Reporting team is looking for a Senior Actuarial Analyst. The Senior Actuarial Analyst will report to the Senior Manager of Risk Adjustment Analytics and Reporting. In this role you will help prov...

Job Type Full Time
Blue Shield of CA

Sales Implementation Specialist, Senior

Long Beach, California

Blue Shield of CA

Your Role The Sales Implementation Specialist, Senior is responsible for the successful onboarding of groups with Shared Advantage, and Fully Insured funding types across Commercial Markets. This role will also manage complex renewals. The ...

Job Type Full Time
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