Risk Adjustment Consulting, Senior

Blue Shield of California • Oakland, CA

13h • Hybrid

About The Position

The Risk Adjustment Prospective Program team focuses on transforming health care
by making it more accessible, affordable and customer centric. The Risk
Adjustment Consulting, Senior will report to the Senior Manager of Risk
Adjustment.

In this role you will provides essential support to the Prospective Programs
(In-Home Visit) within the Risk Adjustment Prospective Program (ProsPr) team.
This includes interaction within the Risk Adjustment team, with various
cross-functional teams within Blue Shield, Blue Shield IPA/MG and working
directly with our vendors supporting our prospective programs. The ideal
candidate possesses excellent interpersonal skills, project management skills,
organizational skills, has high attention to detail, and is self-motivated. The
candidate will also possess a desire to continually learn.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun.
Ascendiun is a nonprofit corporate entity that is the parent to a family of
organizations including Blue Shield of California and its subsidiary, Blue
Shield of California Promise Health Plan; Altais, a clinical services company;
and Stellarus, a company designed to scale healthcare solutions. Together, these
organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system
worthy of our family and friends and sustainably affordable. We are transforming
health care in a way that genuinely serves our nonprofit mission by lowering
costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive
and contribute fully to address the needs of the various communities we serve.
We are committed to creating and maintaining a supportive workplace that upholds
our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best
Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360
as a Top Regional Company, and one of the 50 most community-minded companies in
the United States by Points of Light. Here at Blue Shield, we strive to make a
positive change across our industry and communities – join us!

Requirements

• excellent interpersonal skills
• project management skills
• organizational skills
• high attention to detail
• self-motivated
• a desire to continually learn

Responsibilities

• provides essential support to the Prospective Programs (In-Home Visit) within the Risk Adjustment Prospective Program (ProsPr) team.
• interaction within the Risk Adjustment team
• interaction with various cross-functional teams within Blue Shield, Blue Shield IPA/MG
• working directly with our vendors supporting our prospective programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed