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: 71 - 80 of 583 |

Medical Director, Behavioral Health
Sacramento, California
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 Medical Director, Behavioral...
1d
Job Type | Full Time |

Provider Dispute Resolution Coordinator, Intermediate
Rancho Cordova, California
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...
1d
Job Type | Full Time |

Case Management - Nurse, Senior
Baltimore, Maryland
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...
1d
Job Type | Full Time |

Medical Director, Utilization Management - Concurrent Review
Long Beach, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
1d
Job Type | Full Time |

Medical Director, Utilization Management - Concurrent Review
San Diego, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
1d
Job Type | Full Time |

Medical Director, Utilization Management - Concurrent Review
Oakland, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
1d
Job Type | Full Time |

Medical Director, Utilization Management - Concurrent Review
El Dorado Hills, California
Your Work In this role, you will: Complete assigned clinical reviews (preservice requests, Concurrent Review, Provider Claims Disputes, pharmacy, or others) within compliance standards while supporting clinical staff in maintaining high qua...
1d
Job Type | Full Time |

Sr. Manager, Product Management
Oakland, California
Your Role The Platform Strategy & Operations team is focused on optimizing platforms (Salesforce & Pega) solutions and maximizing value across the enterprise. We are leveraging enterprise platforms to help accelerate our transformation prog...
1d
Job Type | Full Time |

Site Reliability Engineer, Consultant
Oakland, California
Your Role The Technology Operations Center (TOC) team provides 24 x 7 coverage of observability monitoring events including batch operations to assure successful execution and completion of critical business services, within required timeli...
1d
Job Type | Full Time |

Sr. Manager, Product Management
Long Beach, California
Your Role The Platform Strategy & Operations team is focused on optimizing platforms (Salesforce & Pega) solutions and maximizing value across the enterprise. We are leveraging enterprise platforms to help accelerate our transformation prog...
1d
Job Type | Full Time |