Principal Risk Adjustment Compliance Leader
blue shield of californiaCalifornia (MO)
Principal Risk Adjustment Compliance Leader
Posted yesterday
blue shield of californiaCalifornia (MO)
SENIORITY
Manager
About the role
Blue Shield of California is seeking a Risk Adjustment Compliance Specialist, Principal to ensure compliance across ACA Marketplace, Medicaid, and Medicare Advantage lines. The role involves auditing, monitoring, and evaluating risk adjustment processes, identifying non-compliance, and recommending corrective actions.
Collaboration with internal teams and external partners is essential to uphold data integrity and implement compliance programs.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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