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: 61 - 70 of 606 |
Delegation Operations Nurse Auditor - LVN, Experienced
Rancho Cordova, California
Your Role The Delegation Oversight Utilization Management team is responsible for the organization, tracking and data entry of IPA Utilization Management audits, issues, complaints and monitoring. Identifies root cause of the problem and ma...
1d
| Job Type | Full Time |
Rancho Cordova, California
Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report ...
1d
| Job Type | Full Time |
(Designated) Customer Service Representative
Rancho Cordova, California
Your Role Our Designated Customer Experience Teams receive incoming telephone calls from Self-Funded Large Group Commercial Plans. The Designated Call Center is open Monday - Friday, 4:45 a.m. - 8:00 p.m., including some holidays. If hired,...
1d
| Job Type | Full Time |
Appeals and Grievances - RN, Senior (Behavioral Health)
Oakland, California
Your Role The Member 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 repor...
1d
| Job Type | Full Time |
Rancho Cordova, California
Your Role The Corporate Financial Accounting and Reporting team is responsible for the financial accounting and reporting for Blue Shield of California and its subsidiaries. The Senior Accountant will report to the Accounting Manager. The t...
1d
| Job Type | Full Time |
(Designated) Customer Service Representative
Oakland, California
Your Role Our Designated Customer Experience Teams receive incoming telephone calls from Self-Funded Large Group Commercial Plans. The Designated Call Center is open Monday - Friday, 4:45 a.m. - 8:00 p.m., including some holidays. If hired,...
1d
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Rancho Cordova, California
Your Role The Medicare and Medi-cal 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 Medicare Appeals and Grievan...
1d
| Job Type | Full Time |
Appeals and Grievances - RN, Consultant
Oakland, California
Your Role The Medicare and Medi-cal 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 Medicare Appeals and Grievan...
1d
| Job Type | Full Time |
Woodland Hills, California
Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report ...
1d
| Job Type | Full Time |
Director, Product & Financial Analytics - Stellarus
Long Beach, California
Your Role The Director, Product & Financial Analytics - Stellarus, reporting to the VP, Corporate Finance & Head of Stellarus Finance, will lead, prioritize and oversee the development of financial reporting and analysis to enable Stellarus...
1d
| Job Type | Full Time |