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Your Role The wave of Large Language Models and Generative AI has burst onto the scene, requiring companies to quickly adapt to harnessing the power of these new technologies, while maintaining a secure and compliant environment and simultaneously continue using more traditional AI/machine learning techniques. The enterprise-wide Data & Analytics team at Blue Shield of California is seeking to hire an AI Program & Product Manager, Principal. This role reports to the Director of Advanced Analytics but has very close interactions with the VP of Data & Analytics (D&A) and is expected to work... more ->
Your Role The Platform Strategy and Operations Team is focused on optimizing Salesforce solutions and maximizing value across the enterprise. Salesforce is an enterprise platform targeted to help accelerate our transformation program, enable innovation, and help realize our vision for a reimagined healthcare system. Our team works cross-functionally to link our key business strategies and initiatives with our platform roadmap and day-to-day operations. We are responsible for driving critical business and vendor alignment, defining and executing the enterprise product roadmap, and maintaining... more ->
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting, Operations, IT, and other areas to support timely and accurate reserve development. You will work collaboratively with other members of the team to address changing business needs. Your Work In this role, you will: Understand the core principles and... more ->
Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior manager of Actuarial Provider Strategies and work closely with their team and with colleagues from various backgrounds and roles within the company. Your Work In this role, you will: Understand the core principles and functionality of decision,... more ->
Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of Actuarial Provider Strategies and work closely with their team and with colleagues from various backgrounds and roles within the company. In this role you will be collaborating with various stakeholders to design and execute risk share payment... more ->
Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company's operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the Actuarial Pricing Shared Services. In this role you will have visibility into total company financials and enterprise-wide initiatives. You will directly support reporting and forecasting of total company financial with a focus on Gross Margin.... more ->
Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network strategy Create value for the Network team by organizing and focusing the various requests from the General Managers and Pricing Team into a prioritized, workable list Be required to have strong influencing skills across multiple functions within Blue... more ->
Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider level Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates... more ->