In order to create an effective team, nearly every single individual on the team needs to be extraordinarily strong in their technical background with the ability to learn quickly. The analyst will be part of a team that is leading and developing new programs and new processes.
In addition to strong technical skills, this position will require the soft communication skills to be able to articulate complex concepts to individuals lacking in a technical background.
This position may provide support towards eventual attainment of the Associate or Fellow, Society of Actuaries (SOA) designation, if desired.

RESPONSIBILITIES:
* Ensure complete and accurate monitoring of supplemental data submission to regulatory entities.
* Maintain tracking reports for claims/encounter data quality.
* Practices basic modeling, querying and analysis.
* Applies basic mathematical and programming techniques in course of doing actuarial analyses under direct supervision of Manager
* Perform historical study on Medi-Cal risk adjustment.
* Work with cross-functional teams to meet objectives.
* Special projects as requested.

Education:
* Requires minimum of a bachelors' degree in a technical or quantitative field (GPA: 3.0+) or equivalent combination of experience and education.
* At least 1 year of healthcare experience, with at least 1 year in a data analysis role.
* Typically has completed Course 1 (Exam P).
Technical Skills:
* Strong programming experience including SQL or SAS knowledge.
* Proficient with MS Office (Excel, Access, Word, PowerPoint).
Personal/Leadership Skills:
* Excellent communication skills (oral, written, and presentation).
* Strong interpersonal skills. Able to collaborate with other cross-functional areas to meet objectives.
* Independent problem-solver. Proactive. Able to multi-task.
* Ability to work independently in a fast-paced environment.
Preferred Experience:
* Medi-Cal or Medicare experience.
* Healthcare claims knowledge.

Additional Information

- Our Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us!

- Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

- Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

- Requisition ID: 20001VW

- Posting Date: Oct 22, 2020

- Schedule: Full-time

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