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Blue Shield of California · 11 hours ago

Risk Adjustment Consulting, Senior

California, United States

Full-time

Hybrid

Mid, Senior Level

3+ years exp

Blue Shield of California is focused on transforming healthcare to make it more accessible and affordable. The Risk Adjustment Consulting, Senior will provide essential support to the Prospective Programs team, involving project management, data analysis, and collaboration with cross-functional teams and vendors.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

Responsibilities

Analyze information for core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques

Train lower-level analysts on how to update and apply these advanced analytic techniques

Contribute to successful programs for the team, engaged multiple areas related to vendor oversight, internal cross-functional partnerships, tracking performance and measuring results

Lead data analysis, documenting and verifying the assumptions used in computations such as those used in member risk data and score submissions and establishing revenue accruals

Manage 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

Facilitates the In-Home Visit (IHV) program from start to finish

Works with internal and external teams on all aspects of the IHV program and monitors vendor performance to ensure alignment

Gathers and communicates information clearly in both in-person and virtual meetings

Manages projects and timelines to achieve positive results

Be able to provide backup support when asked

Qualification

Vendor managementData analysisProject managementExcel proficiencyCommunication skills

Required

Requires a bachelor's degree or equivalent experience

Requires at least 3 years of professional experience

Requires proficiency in Excel, Word, PowerPoint, and Outlook

Requires previous project/program management experience

Requires strong communication and presentation skills

Preferred

Vendor management or Provider-facing experience desired

Company

Blue Shield of California

Glassdoor3.8

Blue Shield of California is a health insurance service provider.

Founded in 1939

San Francisco, California, USA

5001-10000 employees

https://www.blueshieldca.com

H1B Sponsorship

Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (1)

2022 (41)

2021 (20)

2020 (31)