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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: 51 - 60 of 700
Blue Shield of CA

Clinical Quality Reviewer Trainer/Auditor- Nurse, Consultant

El Dorado Hills, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Director, Commercial Utilization Management

El Dorado Hills, California

Blue Shield of CA

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its ...

Job Type Full Time
Blue Shield of CA

Senior Director, Risk Adjustment and Medicare STARs

Miami, Florida

Blue Shield of CA

Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and compet...

Job Type Full Time
Blue Shield of CA

Clinical Services Coordinator, Intermediate

San Diego, California

Blue Shield of CA

Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established prot...

Job Type Full Time
Blue Shield of CA

IT Product Manager, Consultant

Long Beach, California

Blue Shield of CA

Your Role The Operations Portfolio team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from claims processing to benefit enrollmen...

Job Type Full Time
Blue Shield of CA

Program Coordinator, Experienced

San Diego, California

Blue Shield of CA

Your Role Provider Partnerships manages the holistic relationship of the Blue Shield of California contracted risk-baring medical groups and IPAs in the state of California, tracking and managing performance and strategy execution. Reportin...

Job Type Full Time
Blue Shield of CA

Systems Analyst, Consultant - Pharmacy

San Diego, California

Blue Shield of CA

Your Role The IT Health Solutions Pharmacy team delivers all IT Pharmacy solutions to support Pharmacy operations and Pharmacy Transformation. The Systems Analyst, Consultant will report to the IT Apps Pharmacy Solution Delivery Director. I...

Job Type Full Time
Blue Shield of CA

Sr. Manager, Actuary

Redding, California

Blue Shield of CA

Your Role The Network and Trend Analytics (NTA) team supports the Network Management team with analytical and financial modeling for provider contracting and network development activities for Blue Shield of California. The Senior Manager, ...

Job Type Full Time
Blue Shield of CA

Lead Data Analyst, Consultant

Oakland, California

Blue Shield of CA

Your Role The Survey Analytics team is responsible for supporting analytics tied to internal and external key programs such as Net Promoter Score (NPS), Digital Satisfaction, Call Center Satisfaction, Interactive Response Satisfaction, Mock...

Job Type Full Time
Blue Shield of CA

Director, Data Engineering

Long Beach, California

Blue Shield of CA

Your Role The Data and Analytics (D&A) team focuses enterprise-wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes. The Director...

Job Type Full Time
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