Business Data Analyst, Consultant

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 role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical...

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior Manager....

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 our members receive. The Associate Actuarial Analyst will report to the Principal of...

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 of Reserving. In this role you will collaborate with partners in Accounting,...

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 our members receive. The Experienced Actuarial Analyst will report to the Senior...

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 growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

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 allow the actuarial team to quantify financial gaps and opportunities at a provider...

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 ensuring they have a voice when it comes to key network decisions and network...

Your Role The Customer Experience, Digital, and Operations Analytics team is responsible for accelerating data driven value-based solutions that drive out expense, generate growth while elevating experience for members, providers and brokers. The Senior Manager of Digital and Marketing Analytics will report to the Senior Director of Customer Experience,...

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 mission. This team is highly regarded within the company and respected by management....

Requisition ID # 153294 Job Category: Maintenance / Construction / Operations; Business Operations / Strategy; Compliance / Risk / Quality Assurance; Project / Program Management Job Level: Individual ContributorBusiness Unit: Electric OperationsWork Type: HybridJob Location: Oakland Department OverviewThe Coworkers of Electric Transmission and Substation...

Your Role The Corporate Services Finance team ensures financial stewardship of the Corporate Services administrative budget and serves as the trusted financial advisor to executive leadership. Our team is looking for a Financial Analyst, Consultant to steer financial performance toward Blue Shield goals. The position will support annual planning, monthly...

Summary POSITION OVERVIEW Collaborates with nursing management and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. DUTIES & ESSENTIAL JOB FUNCTIONS NOTE: The following are the duties...

Job Summary: The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and...

Your Role The Communication Governance team supports the development and implementation of strategic communication programs to improve overall member experience, streamline operational processes, and govern member-facing communications to align with company policies and regulatory requirements. The Marketing Operations Specialist, Consultant - Communication...

Summary Alameda Health System offers outstanding benefits that include: 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans This...

Requisition ID # 152912 Job Category: Maintenance / Construction / Operations Job Level: Manager/PrincipalBusiness Unit: Electric EngineeringWork Type: HybridJob Location: Oakland; Alameda; Alta; American Canyon; Angels Camp; Antioch; Auberry; Auburn; Avenal; Avila Beach; Bakersfield; Balch Camp; Bear Valley; Belden; Bellota; Belmont; Benicia; Berkeley;...

An All-Inclusive Opportunity! 90 Day Temporary EmploymentTo optimize your experience applying to a job at Kaiser Permanente we have created a unique and easy all-inclusive process to apply for all open career opportunities in this specific nursing specialty for this Service Area relevant to your work experience and interests. These Variable Hour and Schedule...

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes...