Risk Adjustment Consulting, Associate

Blue Shield of California • Oakland, CA

3d • $37 - $52 • Hybrid

About The Position

In this role, you will actively learn the core principles of decision analytics with knowledge of the analytic tools and techniques that are used to acquire and analyze data for reporting and decision making. You will understand, update, and run programs that apply to decision analytic techniques. You will understand claim, premium, membership and/or risk score assignment data at a basic level. You will compile and categorize data, documenting and verifying the factors used in computations such as those used in premiums, benefits, member risk data and score submissions and establishing rating and pricing levels. You will participate in 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.

Requirements

• Requires a bachelor’s degree in mathematics, statistics, computer science, or a related field
• Requires basic analytic and data skills to support reporting, validation, and documentation tasks
• Requires attention to detail to follow defined processes and quality checks for assigned work

Nice To Haves

• Risk Adjustment experience preferred
• Project Management experience preferred

Responsibilities

• Actively learning the core principles of decision analytics with knowledge of the analytic tools and techniques that are used to acquire and analyze data for reporting and decision making
• Understand, update, and run programs that applies to decision analytic techniques
• Understand claim, premium, membership and/or risk score assignment data at a basic level
• Compile and categorize data, documenting and verifying the factors used in computations such as those used in premiums, benefits, member risk data and score submissions and establishing rating and pricing levels
• Participate in 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level