Blue Shield Of California Jobs in San Carlos, CA 94070

Your Role The Blue Shield s Risk Adjustment (RA) team plays a crucial role in bringing healthcare into the digital age. The RA team is highly cross-functional, with each team member deeply skilled in both business-operations and data-analytics; this enables us to deliver... Read More

Your Role The ACA retrospective chart team develops suspecting logic to determine unreported diagnosis in medical charts, tracks retrieval, coding, QA of charts, perform ad hoc analytics to help team monitor expected value of each chart chase and determine drivers of... Read More

Your Role The Data 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 Medical Informatics Analyst, Principal will... Read More

Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The... Read More

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 meet Company s operating and... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by... Read More

Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that... Read More

Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager... Read More

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More

Your Role The Sr. Director, Legal Counsel will be a member of Blue Shield s Law Department and will be a leader in the company. The Law Department partners with the company s business leaders to embrace legal and ethical behavior in the achievement of the company s... Read More