Blue Shield of California is hiring

Your Role   The Sr. Principal Actuarial Analyst for our Medi-Cal  team is responsible for overseeing rate development & rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy. This position requires directly managing 1 actuarial analyst and partnering wi

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Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Heal

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Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle will report to the Senior Director, Select, ASO & Specialty Pricing. In this role you will be responsible for all Actu

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Your Role   The Risk Adjustment Analytics and Reporting team is looking for an Associate Actuarial Analyst. The Associate Actuarial Analyst will report to the Manager of Risk Adjustment Analytics. In this role you will create and own various analytical projects that assist providers in acc

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Your Role   The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums f

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Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will repor

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Your Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to

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Your Role The Data Services Quality Engineering team is part of the BSC Data & Analytics Organization. We provide testing services for Data & Analytics projects. The data is sourced from various internal and external applications and loaded to the consumption layer. The Quality Engineer, Senior

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Our Senior Markets Customer Experience Teams receive incoming telephone calls from both our 65+, Medicare and Medicare Supplement Senior members. The Senior Markets Call Center is open 7 days a week, 8:00 a.m. – 8:00 p.m., including holidays. If hired, you will be required to attend and complete pa

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Your Role  The Director, Strategic, Planning and Performance will report to the VP, Medicare in supporting the direction, development and execution of the management process for our National Medicare line of business. The goal of this work is to ensure strategy, communications, regularly held m

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