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Business Analyst - II* Job ID: 24-01788 Responsibilities: Support PDM system managers by analyzing cost optimization information provided by IT Cloud team. As needed, work with system managers to create plan to implement right sizing of AWS features and services eg EC2 instance type, EBS drive, RDS, etc Work with IT Cloud DevOps team and system manager to provide resource utilization dashboarding Prepare adhoc reports to support system managers to provide visibility to cost optimization and reduction process Work with Cloud Dev Ops and GCQS team members to ensure accuracy of cost optimization... more ->
Requisition ID # 155957 Job Category: Information Technology Job Level: Individual Contributor Business Unit: Information Technology Work Type: Hybrid Job Location: Oakland Department Overview The IT Meter to Cash Application Development team is responsible for software development and implementation of new functionality within the Customer Care and Billing system and its Direct Interfaces. This team works closely with the IT business analyst team to assure delivery of products and services that are top quality. Position Summary We are looking for an Expert Level IT applications design... more ->
Your Role The Enterprise Finance Consolidations and Business System team is responsible for the Company's consolidated financial statements, forecasting and reporting activities, business systems and administrative expense allocations. The team manages financial forecast and annual planning activities, provide monthly, quarterly, and annual consolidated financial reporting to the Board of Directors, Executives, Senior leaders, and external constituents. The team also manages Administrative Expense allocations and business systems (Hyperion Essbase & Planning, Concur and Planview). Our... more ->
Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network strategy Create value for the Network team by organizing and focusing the various requests from the General Managers and Pricing Team into a prioritized, workable list Be required to have strong influencing skills across multiple functions within Blue... more ->
Minimum Qualifications Education: Possession of a Bachelor's degree from an accredited college or university with a major in Computer Science, Medical Informatics, Healthcare Administration, Health Sciences, Business Administration, Public Administration, Engineering, or a closely related field. Experience: Three (3) years, or its equivalent, of system analysis experience including two (2) years in a health care information systems environment, working with end users to extract, document and optimize data flow, implement hospital systems, and support applications and databases. Incumbents... more ->
Your Role The Managed Care Finance team administers the financial terms and conditions of our capitated contracts with IPA/Medical Groups, Hospitals, and Vendors. The Financial Analyst, Experienced will report to the Manager of Managed Care Finance. In this role you will be performing provider contract analysis, financial research, preparing financial forecasts, analyzing data trends, and translating data into useful information. You will interact with a variety of internal units as well as IPA/Medical Groups to monitor financial payments and reporting to ensure compliance with contractual... more ->
Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider level Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates... more ->
Your Role The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for hospitals and ambulatory surgery centers. The Associate Actuarial Analyst will report to the Senior Manager. In this role you will be applying your analytical toolset to project future unit cost trends and drive the development of an affordable provider network. Your Work In this role, you will: Learn various actuarial techniques and procedures by: conducting analysis, assessing risk and population risk scores and assignment, developing pricing and... more ->
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting, Operations, IT, and other areas to support timely and accurate reserve development. You will work collaboratively with other members of the team to address changing business needs. Your Work In this role, you will: Understand the core principles and... more ->
Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior manager of Actuarial Provider Strategies and work closely with their team and with colleagues from various backgrounds and roles within the company. Your Work In this role, you will: Understand the core principles and functionality of decision,... more ->