Blue Shield of California · 1 month ago
Risk Adjustment Consulting, Experienced
Oakland, CA, United States
Full-time
Onsite
Mid Level
$91K/yr - $128K/yrBlue Shield of California is seeking an Experienced Risk Adjustment Analyst to join their Risk Adjustment Retrospective Analytics team. The role involves developing and refining analytics for risk adjustment programs and ensuring accurate data submissions.
Financial ServicesHealth InsuranceNon Profit
No H1B
Responsibilities
Develop and refine Risk Adjustment Suspecting logic
Quantify the financial impact of the Risk Adjustment programs
Support complete and accurate data submission for both Medicare Advantage and ACA Chart Review Programs
Qualification
Required
Experience in Risk Adjustment Analytics
Ability to develop and refine Risk Adjustment Suspecting logic
Experience in quantifying financial impact of Risk Adjustment programs
Support for complete and accurate data submission for Medicare Advantage and ACA Chart Review Programs
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
Founded in 1939
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
2026-01-13
Fierce Healthcare
2025-12-15
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