IT Data Analyst, Consultant
: Job Details :


IT Data Analyst, Consultant

Blue Shield of California

Location: all cities,CA, USA

Date: 2024-10-22T15:21:15Z

Job Description:

Job Description

Your Role

The Data & Analytics (D&A) team focuses enterprise-wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes. Reporting to Sr. Manager of Care Delivery Analytics, the Medical Informatics Analyst, Consultant, is responsible for working with stakeholders across the enterprise to be their partner in achieving business objectives. The Principal Analyst will support data and analytics needs for population health, health equity, and partner with the business operations team in delivering reporting capabilities to internal stakeholders to monitor performance, demonstrate compliance to our regulators, and conduct analysis to demonstrate the effectiveness of interventions.

This critical analytics team collaborates with other analytical and business teams to deliver insights to power the business forward. This role requires not only analytical prowess but also a broad understanding of the health plan relationship and business levers to make impactful change. Being able to act as two-in-a-box with multiple business stakeholders is critical. You will be setting direction, managing against multiple competing deadlines, and driving change management.

This role must be adept at translating the business problem into an analytical approach, driving the team of analytics professionals, and bringing in other specialties from within the D&A team such as data engineering, visualization, predictive modeling, and data governance as appropriate. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for professionals that are energized by creative and critical thinking, building, and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

  • Use deep understanding of drivers to effective implementation of utilization management strategies to improve patient outcomes, increase provider efficiency, lower healthcare cost, and shift towards value-based care.
  • Independently collaborate with business to understand business objectives of analytic exercises and translate needs to deliver outcomes using sustainable and scalable reporting mechanisms.
  • Describe the significance of analytic results for business decision-making and make recommendations to senior management and/or external entities.
  • Develop surveillance models to detect emerging utilization trends.
  • Drive engagement and foster a culture of insight-driven decision making through compelling and thought-provoking visualizations and enable business to drive change.
  • Be accountable for the reliability of data and the validity and accuracy of analytical results.
  • Be a consultant to aid others in understanding the data infrastructure of utilization review.
  • Communicate project status, progress, and outcomes to leaders and stakeholders.

    • Qualifications

    Your Knowledge and Experience

  • Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience.
  • Requires at least five of the following and facility with at least two additional of the following (must include two of the health/clinical knowledge categories): clinical coding, clinical treatment, large-scale health databases, health statistics (e.g., epidemiology or health services), program evaluation methods, data management methods, econometrics, quality measurement methods, mathematical/statistical modeling, statistical graphics, process control statistics, health insurance business principles, general business/finance principles. Total 7 years of experience or more.
  • Requires SAS Certified Base Programmer Credential or equivalent. SAS Certified Advanced Programmer Credential or equivalent preferred.
  • Must be able to develop and modify SQL scripts and be able to wrangle large datasets, joining multiple datasets.
  • Must be able to create data visualizations to effectively narrate an actionable data story. Preferred working experience with Tableau Desktop.
  • Practical knowledge of agile or project management skills.
  • Practical knowledge of job area typically obtained through advanced education combined with experience within managed care.
  • Understanding of payer relationships and managed care principles.

    • Pay Range:

    The pay range for this role is: $118,800.00 to $178,200.00 for California.

    About The Team

    Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. 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 fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

    Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. 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 be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
  • 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:

    Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

    Two ways of working: Hybrid (our default) and office

  • Hybrid – In a business unit approved office a few times per year to 3 days per week, on average.
  • Office – In a business unit approved office 4+ days a week, on average. If the role you're applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require you to meet the office worker classification.

    • Physical Requirements:

    Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of workday.

    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 regard 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.

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