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154749 jobs as of 1/19/2020
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Manager, Actuary
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At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably...
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From Blue Shield Of California
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Date
2020-01-16
Company
Blue Shield of CA
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Location
El Segundo, CA
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About the job:
At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members....
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Mandates Control Specialist, Consultant
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At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably...
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From Blue Shield Of California
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Date
2020-01-16
Company
Blue Shield of CA
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Location
El Segundo, CA
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About the job:
At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members....
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Federal legislation
Preferred WorkKeys®
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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Group Underwriter - Large, Associate
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Large Group Underwriting � Fully Insured: Project COHC and set premium rates, identify/mitigate risk selection, set contribution structure for stable/favorable risk distribution, project/account for migration/enrollment/risk mix, and account for...
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From Blue Shield Of California
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Date
2020-01-13
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Large Group Underwriting � Fully Insured: Project COHC and set premium rates, identify/mitigate risk selection, set contribution structure for stable/favorable risk distribution, project/account for migration/enrollment/risk mix, and account for competitor and BSC provider contracts and it�s impact to projected COHC. Self Funded: price administration (ASO and Shared Advantage), medical management, blue card, and various HCQA/value add optional services. Access and price stop loss, ISL and ASL, which includes COHC projections, terms, lasers, product features to customize coverage and structure...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Actuarial Analyst, Senior
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Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and...
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From Blue Shield Of California
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Date
2020-01-08
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products. Actuarial Analyst - Provides Actuarial department with pricing support, calculating reserves, risk assessment/analysis, data reporting, financial forecasting/projections, creating filings and/or performing financial and risk analysis in changes to provider contracts to help meet company goals of providing...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Associate of the Society of Actuaries
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Senior. Manager, Actuary
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Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the...
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From Blue Shield Of California
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Date
2020-01-06
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products. Actuary Management - Responsible for the overall management and technical oversight of actuarial staff where activities are concerned with identifying and solving actuarial problems involved in a subset or segment of a Major Healthcare Product Group, Line of Business, or Market. Provides counsel on a wide variety of actuarial...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Associate of the Society of Actuaries
Associate of the Conference of Consulting Actuaries
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Appeals and Grievances Nurse (RN), Senior
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Essential Responsibilities: Researches and resolves standard and expedited member grievances related to the prospective, concurrent, or retrospective denial of services which include, but are not limited to, the following: Prior-authorization...
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From Blue Shield Of California
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Date
2019-12-21
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Essential Responsibilities: Researches and resolves standard and expedited member grievances related to the prospective, concurrent, or retrospective denial of services which include, but are not limited to, the following: Prior-authorization denials issued by BSC Medical Management or Pharmacy Services, delegated IPA/Medical Groups, and external vendors such as National Imaging Associates (NIA) and Mental Health Services Administrator. Concurrent or retrospective utilization review denials of inpatient or outpatient care by internal or delegated entities. Retrospective denial of claims by...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Actuarial Analyst, Associate
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Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and...
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From Blue Shield Of California
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Date
2019-12-10
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products. Actuarial Analyst Provides Actuarial department with pricing support, calculating reserves, risk assessment/analysis, data reporting, financial forecasting/projections, creating filings and/or performing financial and risk analysis in changes to provider contracts to help meet company goals of providing...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Associate of the Society of Actuaries
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Actuarial Analyst, experienced
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Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and...
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From Blue Shield Of California
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Date
2019-12-05
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Actuarial Operations Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products. Actuarial Analyst - Provides Actuarial department with pricing support, calculating reserves, risk assessment/analysis, data reporting, financial forecasting/projections, creating filings and/or performing financial and risk analysis in changes to provider contracts to help meet company goals of providing...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Associate of the Society of Actuaries
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Risk Adjustment Consulting, Consultant
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The RA Programs Analyst provides essential support to the in-home programs within the risk adjustment program. This includes interaction within the Risk Adjustment team, with various cross-functional teams within Blue Shield, and working directly...
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From Blue Shield Of California
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Date
2019-12-03
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
The RA Programs Analyst provides essential support to the in-home programs within the risk adjustment program. This includes interaction within the Risk Adjustment team, with various cross-functional teams within Blue Shield, and working directly with our vendors supporting our Risk Adjustment in-home 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. This position can be based in El Segundo, Woodland Hills,...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Medical Informatics Analyst, Senior
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Description Job Summary: Supports corporate and departmental strategies and goals for the annual HEDIS submission process. Effectively applies business knowledge and technical expertise to support the business initiatives to report clinical quality...
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From Blue Shield Of California
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Date
2019-11-26
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
Description Job Summary: Supports corporate and departmental strategies and goals for the annual HEDIS submission process. Effectively applies business knowledge and technical expertise to support the business initiatives to report clinical quality of care received by members. The analyst will collect data from various internal systems (example Claims processing or membership systems) and external systems (EMR/EHR) and converts those data to actionable insights to guide business decision making for BSC populations' health management and quality of care. This position may also be involved in...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records and Health Information Technicians
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Postsecondary nondegree award
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
3
Graphic Literacy
4
Workplace Documents
4

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Stop-Loss Underwriter, Principal
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The Stop Loss Underwriting Principal is responsible for the stop loss underwriting of renewal and new business accounts, pricing, identifying risk, risk mitigation through applying appropriate stop loss policy terms, and leading negotiations to...
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From Blue Shield Of California
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Date
2019-11-20
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
The Stop Loss Underwriting Principal is responsible for the stop loss underwriting of renewal and new business accounts, pricing, identifying risk, risk mitigation through applying appropriate stop loss policy terms, and leading negotiations to achieve membership and operating income plan targets. The Stop Loss Underwriting principal reports to the Director of Stop-Loss Underwriting. Available locations for the position include Costa Mesa, Oakland, El Segundo, Woodland Hills and El Dorado Hills. Flexibility to work from our Costa Mesa office is preferred due to staff primarily located in this...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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B2B Content Hub Administrator
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The content hub administrator will stand up and manage the ongoing evolution of a centralized platform for storing and distributing B2B content within Blue Shield and to external channels as appropriate. The purpose is to equip stakeholders...
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From Blue Shield Of California
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Date
2019-11-19
Company
Blue Shield Of California
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Location
El Segundo, CA
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About the job:
The content hub administrator will stand up and manage the ongoing evolution of a centralized platform for storing and distributing B2B content within Blue Shield and to external channels as appropriate. The purpose is to equip stakeholders including executives and frontline sales force with the language and tools needed to effectively showcase Blue Shield solutions in the market. This includes fueling Blue Shield’s digital communications ecosystems primarily web and social. Focus is in the large group and national accounts segments in which several influencers and decision-makers are...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
5
Workplace Documents
5

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Financial Analyst, Consultant
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Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by...
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From Blue Shield Of California
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Date
2019-11-15
Company
Blue Shield Of California
View company profile

Location
El Segundo, CA
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About the job:
Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Actuary Director, Core and Premier Pricing
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The Actuarial Director position overseeing Core and Premier Fully Insured pricing and will report directly to the Senior Director of Large Group Pricing. This position will require managing 6-8 actuaries spanning over at least 2 sub teams. We are...
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From Blue Shield Of California
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Date
2019-11-13
Company
Blue Shield Of California
View company profile

Location
El Segundo, CA
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About the job:
The Actuarial Director position overseeing Core and Premier Fully Insured pricing and will report directly to the Senior Director of Large Group Pricing. This position will require managing 6-8 actuaries spanning over at least 2 sub teams. We are looking for an actuary who is willing and able to be a key driver of overall business strategy in the complex large group market. Specifically, the Director role will: - Work closely with counterparts in underwriting and finance on rating methodology and pricing strategy. - Be responsible for developing, updating, and evaluating all pricing factors...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Associate of the Society of Actuaries
Fellow of the Society of Actuaries
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Compensation Analyst, Senior
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The role of the Senior Analyst, Compensation is critical to the success of Blue Shield of California and the Human Resources department in realizing its goals and objectives. The Compensation function within Blue Shield of California (BSC) is an...
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From Blue Shield Of California
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Date
2019-10-24
Company
Blue Shield Of California
View company profile

Location
El Segundo, CA
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About the job:
The role of the Senior Analyst, Compensation is critical to the success of Blue Shield of California and the Human Resources department in realizing its goals and objectives. The Compensation function within Blue Shield of California (BSC) is an in-house center of expertise and consulting team. This team provides leadership and guidance in the development and delivery of effective compensation strategies and policies that support BSC’s goals, and are in alignment with enterprise values, philosophy and strategic direction. The Senior Analyst, Compensation will provide counsel and...
Location:
El Segundo, CA
Job Type:
Full-Time
Permanent
Occupation:
Compensation, Benefits, and Job Analysis Specialists
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

Display

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WorkKeys®

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154749 jobs as of 1/19/2020
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Jobs 1 To 15 of 15 Page 1 of 1 Page [1]

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