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Risk Adjustment Consulting, Senior

Blue Shield of CA
Long Beach, CA Full Time
POSTED ON 12/8/2025 CLOSED ON 1/8/2026

What are the responsibilities and job description for the Risk Adjustment Consulting, Senior position at Blue Shield of CA?

Your Role

The Risk Adjustment Prospective Program team focused 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 (aka 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 bachelor's degree or equivalent experience

  • Requires at least 3 years of professional experience
  • Requires proficiency in Excel, Word, PowerPoint, and Outlook
  • Requires previous project/program management experience
  • Vendor management or Provider-facing experience desired
  • Requires strong communication and presentation skills


External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

 

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Salary.com Estimation for Risk Adjustment Consulting, Senior in Long Beach, CA
$118,179 to $145,861
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