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Risk Adjustment Consulting, Senior

Blue Shield of CA
United States, California, Oakland
601 12th Street (Show on map)
Mar 05, 2026

Your Role

The Risk Adjustment Prospective Program team focuses on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment.

In this role you will provides essential support to the Prospective Programs (In-Home Visit) within the Risk Adjustment Prospective Program (ProsPr) team. This includes interaction within the Risk Adjustment team, with various cross-functional teams within Blue Shield, Blue Shield IPA/MG and working directly with our vendors supporting our prospective programs. The ideal candidate possesses excellent interpersonal skills, project management skills, organizational skills, has high attention to detail, and is self-motivated. The candidate will also possess a desire to continually learn.

Your Knowledge and Experience

  • Requires a college degree or equivalent experience
  • Requires a minimum of 4 years of prior relevant experience
  • Requires proficiency in Excel, Word, PowerPoint, and Outlook
  • Requires previous project/program management experience
  • Requires strong communication and presentation skills
  • Vendor management or Provider-facing experience preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

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