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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: 1 - 10 of 583
New
Blue Shield of CA

Provider Dispute Resolution Coordinator, Intermediate

Lodi, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Sr. Director, Clinical Quality

Los Angeles, 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

Provider Dispute Resolution Coordinator, Intermediate

Redding, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Intake)

El Dorado Hills, 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

Platform Administrator, Senior

San Diego, California

Blue Shield of CA

Your Role The Product Platform team is looking for a Senior Platform Administrator to assist with the admin configuration and analysis as changes are needed to the platform modules that support benefit coding and product management to suppo...

Job Type Full Time
New
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Senior

Lodi, 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

Provider Dispute Resolution Coordinator, Intermediate

Woodland Hills, California

Blue Shield of CA

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...

Job Type Full Time
New
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Intake)

Sacramento, 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

Case Management - Nurse, Senior

Oakland, California

Blue Shield of CA

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management - Nurse, Senior will report to...

Job Type Full Time
New
Blue Shield of CA

Enrollment Processor, Specialist

Lodi, California

Blue Shield of CA

Your Role The Group Eligibility Install and Renewal team is responsible for the review and installation of new and renewing small and large group business as well as ongoing maintenance. The Eligibility Processor, Specialist will report to ...

Job Type Full Time
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