Blue Shield of California

Risk Adjustment Consulting, Associate

Blue Shield of California  •  Oakland, CA (Hybrid)  •  20 hours ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

​​Your Work

​ ​In this role, you will:​

  • Actively learning the core principles of decision analytics with knowledge of the analytic tools and techniques that are used to acquire and analyze data for reporting and decision making
  • Understand, update, and run programs that applies to decision analytic techniques
  • Understand claim, premium, membership and/or risk score assignment data at a basic level
  • Compile and categorize data, documenting and verifying the factors used in computations such as those used in premiums, benefits, member risk data and score submissions and establishing rating and pricing levels
  • Participate in the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products

Your Knowledge and Experience​

  • Requires a bachelor’s degree in mathematics, statistics, computer science, or a related field
  • Requires basic analytic and data skills to support reporting, validation, and documentation tasks
  • Requires attention to detail to follow defined processes and quality checks for assigned work
  • Risk Adjustment experience preferred
  • Project Management experience preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Blue Shield of California

About Blue Shield of California

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue.

Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities.

For more news about Blue Shield of California, please visit news.blueshieldca.com.

Industry
Finance & Insurance
Company Size
5,001-10,000 employees
Headquarters
Oakland, California
Year Founded
1939
Social Media