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: 111 - 120 of 730 |
El Dorado Hills, California
Your Role The Actuarial Provider Strategies team supports the budget setting, program design, and operations of Blue Shield of California's value based care (VBC) payment models, which includes Accountable Care Organization (ACO) and other ...
2d
| Job Type | Full Time |
Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)
Oakland, California
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...
2d
| Job Type | Full Time |
Long Beach, California
Your Role The Actuarial Provider Strategies team supports the budget setting, program design, and operations of Blue Shield of California's value based care (VBC) payment models, which includes Accountable Care Organization (ACO) and other ...
2d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Transplant)
El Dorado Hills, California
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 ...
2d
| Job Type | Full Time |
Woodland Hills, California
Your Role The Actuarial Provider Strategies team supports the budget setting, program design, and operations of Blue Shield of California's value based care (VBC) payment models, which includes Accountable Care Organization (ACO) and other ...
2d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Transplant)
Oakland, California
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 ...
2d
| Job Type | Full Time |
Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)
Rancho Cordova, California
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...
2d
| Job Type | Full Time |
Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)
El Dorado Hills, California
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...
2d
| Job Type | Full Time |
Clinical Quality Reviewer - Nurse, Consultant (Behavioral Health)
Long Beach, California
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...
2d
| Job Type | Full Time |
Appeals and Grievances - RN, Senior
Oakland, California
Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to th...
2d
| Job Type | Full Time |