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Data Analyst - Health, Consultant for Provider Operations Strategy & Planning

Company: Blue Shield of California
Location: Rancho Cordova
Posted on: May 10, 2022

Job Description:

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 truly 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 comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us!
Your Role
The Provider Operations team Performance Analytics and Reporting team is an analytical function under the Provider Operations department and provides analytical support for operational performance, provider data management and data quality. The Business Analyst Consultant will report to the Performance Analytics and Reporting Manager. In this role you will work closely with Operations teams (Claims and Provider), Network Management, Provider Relations, Transformation, Markets, Data & Analytics, IT teams and partners. This team is the first point of contact for operational performance and metric performance reporting using a variety of analytical tools. You will use SQL, Business Objects (BO), Excel, SAS, and Tableau to design, build, enhance, and manage complex data systems and analysis methods that better serve ongoing analytical and reporting requirements.
Your Work
In this role, you will:

  • Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
  • Lead/coordinate the design and implementation of reports that integrate data from multiple sources, including design of reporting systems and standardization of metrics and formats across departments and functional areas
  • Assess business risks relating to reporting design and production; develop and implement plans to mitigate risks
  • Function as facilitator and/or mentor for data reporting projects, teams, and task forces; supply consultative advice to cross-functional analytics teams and business units regarding standard business rules and algorithms
  • Coordinate interaction between data analysis teams and support functions including information systems, provider relations and medical management
  • Analyze and summarize Provider data for comparative analysis using SAS, Business Objects (BO), Tableau and Excel
  • Adhere to documentation standards and protocols to ensure sustainability of processes, reports, and solutions
  • Functions as facilitator and consultant to cross-functional analytics teams and business units regarding Provider business rules and data model
  • Partner with IT teams to analyze, manage and support data quality in support of new and established operational controls
    Your Knowledge and Experience
    • 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
    • Requires at least 7 years of prior relevant experience
    • Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
    • Requires ability to use MS Office, Excel and Access, SQL/PL-SQL, SAS, Business Objects (BO) and Tableau with minimal supervision and support
    • Proficient in Excel and comfortable working with large data set
    • Strong analytics skills, strong problem-solving skills
    • Prior experience in government programs Medi-Cal and Medicare is a plus
      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

Keywords: Blue Shield of California, Rancho Cordova , Data Analyst - Health, Consultant for Provider Operations Strategy & Planning, Professions , Rancho Cordova, California

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