Business Analyst, Senior
Senior operations analyst job at Blue Cross & Blue Shield
Your Role
The Payment Integrity team is responsible for ensuring healthcare claims are paid accurately, both in a pre-pay and post-pay context. Some examples of payment integrity include validating coding rules, determining the correct party, membership eligibility, contractual adherence, and conducting root cause analysis to prevent errors. This team is responsible for over $400M+ of cost of healthcare savings and avoidance annually and is also responsible for developing new capabilities to improve cost of healthcare exposure and performance, managing multiple third-party partners in pursuit and prevention of over-payments. The Senior Business Analyst will report to the Director of Payment Integrity. In this role you will collaborate with various internal teams and vendors to improve the cost of healthcare and premium cost outcomes for our Behavioral Health program.
Auto-ApplyDevOps Analyst, Senior
Senior operations analyst job at Blue Cross & Blue Shield
The Health Data Strategy team is responsible for advancing clinical data capabilities, supporting value-based care models, and enabling digital health transformation. The DevOps Analyst will report to the Sr Manager over the Health Data Strategy IT Team.
In this role you will be the comprehensive subject matter expert in the technology products/platform feature space and apply, learn, and extend your skills beyond formal role boundaries.
Having a desire to help achieve transformational healthcare improvement should serve as the inspiration behind the ideal candidate's willingness to participate across many different activities within an agile working model.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially.
We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Auto-ApplyProduct Operations Consultant
Senior operations analyst job at Blue Cross & Blue Shield
Your Role
The Stellarus Product Management team defines technology products and brings them to market to help Stellarus's health plan customers improve cost, quality, experience and growth. Stellarus is a sister company to Blue Shield of CA, serving Blue Shield of CA and other mission-aligned health plans across the country. The Product Operations Consultant will report to the Product Operations Director, Chief of Staff to Vice President of Product Management. In this role you will help drive governance, operational excellence and cross-functional alignment across the product and technology teams. It ensures seamless execution of strategic initiatives by coordinating with product teams to uphold delivery standards and optimize performance. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Auto-ApplyFinancial Analyst, Senior
Senior operations analyst job at Blue Cross & Blue Shield
Your Role
The Blue Shield of California Promise Health Plan (BSCPHP) Finance team is responsible for implementing financial program requirements from Department of Healthcare Services (DHCS) and other regulators as well as monitoring Medi-Cal financial performance including budget variances, growth and cost trends, forecasts, scenario modeling, and financial reporting. Medi-Cal programs managed within BSCPHP Finance team include but are not limited to Proposition 56 Supplemental Payment program, Hospital and other Directed Payment programs, CalAIM Incentive Payment Programs, and Skilled Nursing Facility Incentive Programs. The Senior Financial Analyst will report to the Finance Analytics Senior Manager and will be responsible for preparing various routine and on-demand tasks and reports that might involve extracting, manipulating, and analyzing data related to Medi-Cal line of Business and its various programs.
Auto-ApplyFinancial Analyst, Senior - Stellarus
Senior operations analyst job at Blue Cross & Blue Shield
Your Role
The Stellarus finance team provides financial support to Stellarus, a new technology company being grown within the Ascendiun family of companies. The Financial Analyst, Senior will report to the Director of Finance for Stellarus. In this role you will be responsible for supporting day to day finance operations including partnering with all aspects of the Stellarus leadership team and with the accounting & corporate controllers team. You will own budgeting and planning for all non-technology functions of Stellarus, as well as partnering with accounting to ensure appropriate transfer pricing and intercompany transactions are being booked. In addition, you will provide ad hoc financial support for ongoing business cases for both products and new partners.
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