Business Analyst, Principal

Company: Blue Shield of California
Location: El Dorado Hills
Posted on: May 5, 2025

Job Description:

Your Role The Operational Integrity team plays a key role in ensuring operational areas are always compliant and audit ready. The Business Analyst, Principal will report to the Director, Operational Integrity. In this role you will track internal and external audit and risk management activities across operational functions, ensuring compliance, risk reduction and improved audit performance. Work involves partnering with cross-functional key stakeholders to identify high-risk processes, high risk audit areas and the design, implementation, and continuous monitoring of appropriate internal controls to mitigate risk. Your Work In this role, you will:

• Establish and cultivate relationships across key business execution roles
• Proactively anticipate organizational needs based on customer and industry trends
• Lead the planning, execution, and reporting of overall operational audit readiness, status and risk management; ensuring alignment with regulatory requirements and industry best practices.
• Participate in enterprise risk planning activities (i.e. business resiliency planning) and drive standardization and compliance across all operational areas.
• Ensure compliance and risk mitigation action planning to meet relevant association and regulatory requirements
• Lead or participate in root cause discovery processes and development and implementation of corrective action plans
• Serve as a key operational liaison with Internal Audit, Compliance Teams and Internal Controls team to ensure continuous maturation of internal controls across operational areas
• Collaborate with process owners to identify high risk areas and ensure control deficiencies are remediated timely and effectively
• Communicate complex concepts and findings clearly to senior leadership and stakeholders
• Other responsibilities as assigned Your Knowledge and Experience
  • Requires a bachelor's degree or equivalent
  • Requires at least 10 years of prior relevant experience
  • Experience in healthcare industry is preferred
  • Strong understanding of internal controls and practical application in operational processes
  • Strong understanding of audit and corrective action planning process
  • Knowledge of industry programs, policies, procedures, regulations, and laws.
  • Considerable skill in planning and project management, and in maintaining composure under pressure while meeting multiple deadlines
  • Excellent communication skills. Communicate results written reports and oral presentations to mid-level and senior leadership
  • Team player with strong interpersonal, communication, and project management skills

Keywords: Blue Shield of California, Rancho Cordova , Business Analyst, Principal, Professions , El Dorado Hills, California