Data Analyst - Health, Senior

Your Role

The HCQA team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups. Our team (Network Performance Analysis and Contracts) is part of the HCQA Division and focuses on provider network performance analysis, reporting, and consulting. The NPAC team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups. In this role you will (1) provide analysis and consultative services on new network design in support of corporate strategic roadmap; (2) manages and oversees development and production of regulatory network filing artifacts as required by regulators for all Blue Shield and Promise Health Plan Commercial, Medi-Cal and Medicare networks; (3) provides network analytics, reporting and oversight on existing networks to ensure meeting regulatory access, availability standards as defined by regulators; and (4) provides consultative and analytical support as needed to during contract negotiations, pricing activities and product/network strategy roadmap planning. The Data Analyst, Senior will report to the Manager.

Your Work

In this role, you will:

• Manage creation, collection, tracking, and compilation of evidence from internal teams into regulator reports
• Present effectively to internal and external customers on analytics/reports/presentations that are critical for their business continuity and decision making
• Participate on internal and external task forces and committees to provide analytical insights and support for implementation of new programs, applications, products and services and enhancement of existing applications/systems
• Lead and manage projects that may involve coordinating a team and working with different stakeholders
• Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
• Independently summarize findings and presents data in formats such as excel pivots, power point, reports, grids, and tables
• Adapt to and incorporate state and federal regulatory updates into existing policies, procedures, and assessments
• Analyze data using a variety of software, provide recommendations based on the results, and present to internal stakeholders
• Interact with internal and external customers to define complex reporting needs and specifications; design and implement complex report programming according to specifications

Your Knowledge and Experience

• Requires at least 5 years of prior relevant experience
• Excellent communication (written and verbal) and presentation skills, previous experience in presenting to leaders
• Ability to work independently, proactively and with little direction
• Good business acumen, ability to work in a team environment
• Requires an MPH, MBA, MS, MA in science, social science, public health, health svcs research or business, or BA/BS with demonstrated equivalent work experience
• Good math, analytical and problem-solving skills
• Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer)
• Intermediate to Advanced knowledge of MS Excel (able to model, use formula) and Access (link tables, run queries) and SAS

Pay Range:

The pay range for this role is: $ 85360.00 to $ 128040.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

About Us

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. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in, Join us!