Blue Shield Of California Jobs in Newark, CA

Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director,... Read More

Your Role The Pharmacy Cost of Health Care and Outcome Evaluation team provides pharmacy cost of health modeling, projection, financial and clinical outcome evaluation, clinical program monitoring, and rebate reporting analytics. The senior Health Analyst will report to... Read More

Your Role The Large Group Pricing team is responsible for setting accurate rates and forecasting future performance for fully insured employer groups. The Actuarial Analyst, Senior will report to the Director or Manager of Large Group Pricing. In this role you will be... Read 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... Read 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... Read More

Your Role The Clinical Quality Measurement team manages HEDIS annual submissions and other quality measure submissions to CMS, NCQA, DHCS and other governing bodies. The Medical Informatics Analyst, Consultant will report to the Sr Manager, Medical Informatics. In this... Read More