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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role on the Risk Adjustment team in Oakland, CA. You will lead a team performing risk adjustment provider analytics, develop provider-level dashboards and deep-dive analyses, and ensure compliance with CMS/ACA risk adjustment processes. The role reports to the Director of Risk Adjustment Analytics and requires managing projects and staff across provider engagement initiatives.

JOB DESCRIPTION SUMMARY

  • Manage a team delivering provider-focused risk adjustment analytics and reporting
  • Oversee development and maintenance of provider dashboards and deep-dive analyses
  • Ensure processes align with CMS/ACA risk adjustment regulations and trends
  • Lead special projects and cross-functional initiatives for provider engagement
  • Hybrid role based in Oakland, CA with periodic in-office expectations

DOMAIN EXPERTISE

  • risk adjustment analytics
  • provider-level reporting and dashboards
  • CMS/ACA risk adjustment processes
  • team leadership and management

KEY REQUIREMENTS

  • Bachelor’s degree in actuarial science, math, stats, CS or equivalent required
  • Minimum 7 years relevant experience, including 3 years in a team leader role
  • At least 2 years working primarily with Risk Adjustment
  • Strong ability to communicate complex technical subjects to non-technical audiences
  • Proven project and team management skills

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role on the Risk Adjustment team in Oakland, CA. You will lead a team performing risk adjustment provider analytics, develop provider-level dashboards and deep-dive analyses, and ensure compliance with CMS/ACA risk adjustment processes. The role reports to the Director of Risk Adjustment Analytics and requires managing projects and staff across provider engagement initiatives.

JOB DESCRIPTION SUMMARY

  • Manage a team delivering provider-focused risk adjustment analytics and reporting
  • Oversee development and maintenance of provider dashboards and deep-dive analyses
  • Ensure processes align with CMS/ACA risk adjustment regulations and trends
  • Lead special projects and cross-functional initiatives for provider engagement
  • Hybrid role based in Oakland, CA with periodic in-office expectations

DOMAIN EXPERTISE

  • risk adjustment analytics
  • provider-level reporting and dashboards
  • CMS/ACA risk adjustment processes
  • team leadership and management

KEY REQUIREMENTS

  • Bachelor’s degree in actuarial science, math, stats, CS or equivalent required
  • Minimum 7 years relevant experience, including 3 years in a team leader role
  • At least 2 years working primarily with Risk Adjustment
  • Strong ability to communicate complex technical subjects to non-technical audiences
  • Proven project and team management skills

TECH STACK

  • No tech stack specified

Job Overview

Salary
$119k - $179k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Manager-level health actuary with 7+ years of experience, including 2+ years in risk adjustment, strong provider-analytics skills, and proven team and project leadership.

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
182d
182 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$119k - $179k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Manager-level health actuary with 7+ years of experience, including 2+ years in risk adjustment, strong provider-analytics skills, and proven team and project leadership.

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
182d
182 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Manager, Actuary

Blue Shield Of California

Health/Insurer/Manager Level
Blue Shield Of California

Manager, Actuary

Blue Shield Of California
Oakland, United States•6mo ago
HybridMedicare AdvantageACA Exchange

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