What are the responsibilities and job description for the Sr. Director, Finance Analytics position at Blue Shield of CA?
Your Role
The MediCal and Medicare Pricing and Finance team is responsible and accountable to the General Managers of both lines and oversees a team that drives pricing, rate filings, strategic planning, compliance, and performance optimization. The combined lines represent approximately $6B in annual revenue and 985,000 members.
The Sr. Director, Financial Analytics, Medi-Cal and Medicare leads the actuarial and financial analytics team responsible for managing the financial performance of Blue Shield of California's Medi-Cal and Medicare lines of business.
Your Knowledge and Experience
- Requires a college degree or equivalent experience
- Requires at least 12 years of prior experience in health plan financial or actuarial analytics
- Requires at least 8 years of management experience with direct reports
- Requires at least 7 years of experience working business process improvement, analyzing data, and implementing projects supporting financial operations
- Requires deep understanding of CMS and DHCS regulatory environment, including rules and drivers for Medicare and Medi-Cal revenue rate developments
- Requires working knowledge of Medicaid or Medicare Advantage product financial management either through actuarial rate filings, bids or pricings, or financial planning and analysis for revenue and cost of healthcare
- Requires strong cross-functional collaboration, influence and communication 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.
Salary : $6