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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: 241 - 250 of 680
Blue Shield of CA

Appeals and Grievances - RN, Senior

Woodland Hills, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Financial Analyst, Experienced

Rancho Cordova, California

Blue Shield of CA

Your Role The Select and Specialty Finance team oversees the forecasting and financial reporting of the CalPERS, Federal Employees, National Par/BlueCard, Specialty as well as TriWest and TRICARE lines of businesses. The Financial Analyst, ...

Job Type Full Time
Blue Shield of CA

Clinical Coding Analyst RN, Senior

Phoenix, Arizona

Blue Shield of CA

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Code...

Job Type Full Time
Blue Shield of CA

Clinical Services Coordinator, Advanced

El Dorado Hills, California

Blue Shield of CA

Your Role The Care Management team is a member facing team that provides care coordination to our most vulnerable members to improve the health equity and quality for each person we serve. The Clinical Service Coordinator, Advanced will rep...

Job Type Full Time
Blue Shield of CA

Clinical Coding Analyst RN, Senior

Miami, Florida

Blue Shield of CA

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Code...

Job Type Full Time
Blue Shield of CA

Manager, Utilization Management Nurse Management (Prior Authorization)

San Diego, California

Blue Shield of CA

Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization...

Job Type Full Time
Blue Shield of CA

Application Developer, Principal

Long Beach, California

Blue Shield of CA

Your Role The Health Solutions IT Portfolio team at Blue Shield is tasked with building a secure, scalable Cloud based solutions to support critical business processes by establishing best practices and standards as we rapidly transform our...

Job Type Full Time
Blue Shield of CA

Application Developer, Principal

Woodland Hills, California

Blue Shield of CA

Your Role The Health Solutions IT Portfolio team at Blue Shield is tasked with building a secure, scalable Cloud based solutions to support critical business processes by establishing best practices and standards as we rapidly transform our...

Job Type Full Time
Blue Shield of CA

IT NOC/Batch Operations, Experienced

San Diego, California

Blue Shield of CA

Your Role The Command Control Center (BSOC) team is responsible for executing and monitoring batch operations and Network Operations Center (NOC) events to assure successful execution and completion within required timelines. The Batch / NO...

Job Type Full Time
Blue Shield of CA

Actuarial Analyst, Senior

Oakland, California

Blue Shield of CA

Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to m...

Job Type Full Time
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