Risk Adjustment Consulting, Senior

Blue Shield of California•Long Beach, CA

1d•Hybrid

About The Position

Your Role 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. Responsibilities Your Work In this role, you will:

Requirements

Requires a college degree or equivalent experience
Requires a minimum of 4 years of prior relevant experience
Requires proficiency in Excel, Word, PowerPoint, and Outlook
Requires previous project/program management experience
Requires strong communication and presentation skills

Nice To Haves

Vendor management or Provider-facing experience preferred

Responsibilities

Analyze information for core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques
Train lower-level analysts on how to update and apply these advanced analytic techniques
Contribute to successful programs for the team, engaged multiple areas related to vendor oversight, internal cross-functional partnerships, tracking performance and measuring results
Lead data analysis, documenting and verifying the assumptions used in computations such as those used in member risk data and score submissions and establishing revenue accruals
Manage 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
Facilitate the In-Home Visit (IHV) program from start to finish
Work with internal and external teams on all aspects of the IHV program and monitors vendor performance to ensure alignment
Gather and communicate information clearly in both in-person and virtual meetings
Manage projects and timelines to achieve positive results
Be able to provide backup support when asked upon
Handle special projects as assigned.