Role Summary

HIGHLIGHTS

Senior director role leading the actuarial and financial analytics team for Medi‑Cal and Medicare at Blue Shield of California in Oakland, CA. You will own pricing, rate development and regulatory filings for Medicare Advantage, PDPs and Medicare supplemental plans, plus financial planning and forecasting for Medi‑Cal and Medicare. The role requires deep CMS/DHCS knowledge, senior leadership experience, and cross‑functional influence.

JOB DESCRIPTION SUMMARY

Lead actuarial and finance analytics for Medi‑Cal and Medicare (~$6B revenue)
Own pricing, rate development and regulatory filings for Medicare products
Drive annual and long‑range financial planning, membership, revenue and cost forecasts
Senior director role with management responsibility and cross‑functional influence
Hybrid work model — director‑level expectation: in office about once per week