Sr. Director, Finance Analytics

Job Description

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.

Responsibilities

Your Work

In this role, you will:

• Be a strategic finance thought partner to the Medicare General Manager and Promise CEO.
• Lead financial planning and forecasting activities such as the annual and long-range plans, including membership, revenue and healthcare costs, and support the review of administrative expenses for these business lines
• Lead actuarial pricing and financial management strategy for Medicare Products which include Medicare Advantage, Prescription Drugs Plans and Medicare Supplemental plans
• Align with the organization’s long term operating income and growth targets, as well as driving cross-functional executions as appropriate
• Lead the teams to complete Rate Development Process for Medi-Cal, regulatory filings, CalAIM program implementation and compliance
• Develop financial management strategies for this business line
• Communicate and influence across the organization (Healthcare Quality & Affordability, Claims Operations, Mandates, Pharmacy and other functions) to ensure strategic alignment for Medicare and Medi-Cal LOB goals
• Provide financial opinions for regulatory advocacy and Medi-Cal plan partner negotiations

Qualifications

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

About the Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

• Honest.We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we’re going to do and by acknowledging and correcting where we fall short.
• Human.We strive to listen and communicate effectively, showing empathy by understanding others’ perspectives.
• Courageous.We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model:

At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default):Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:

o Member-facing and approved out-of-state roles remain remote.

o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

• On-Site:Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements:

Office Environment – roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

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.