Data Analyst - Health, Consultant

Health, Consultant - Blue Shield of California Careers
Oakland, CA Full Time
POSTED ON 7/25/2022 CLOSED ON 11/3/2022

Job Posting for Data Analyst - Health, Consultant at Health, Consultant - Blue Shield of California Careers

 

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 Medical Management Analytics team supports the Network Analytics with financial analysis, fee schedule development, provider contract modeling with behavior health focus. The Data Analyst Consultant will report to the Senior Manager of Network Analytics. In this role you will develop reporting strategy to enable the business to monitor operational performance, support regional strategy cost of healthcare initiatives and provides contract analysis support to the behavior health contracting team.

Your Work

In this role, you will:

  • Conduct and develop analysis, providing financial modeling, contract negotiation proposals to review with contract managers

  • Proficient in SAS including develop SQL query to set criteria and parameters, synthesize data, and interpret quantitative and qualitative analysis into actionable insights

  • Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports

  • Coordinate, prepare and perform analyses to assist in the development of the recommendation of pricing, trending, and/or provider reimbursement and/or strategies

  • Develop reporting tools to enable operational leaders to monitor performance metrics according to contractual specifications

  • Present effectively to internal business partners on analytics/reports/presentations that are critical for to demonstrate the value of various interventions for specified population compared to like cohort​​​​​​​

 

 

 

Your Knowledge and Experience

  • Requires a bachelor’s degree with at least a minor in mathematics, statistics, or equivalent business experience

  • Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)

  • Preference to Associate of Actuaries (ASA)

  • Demonstrated proficiency in SQL or SAS, advanced preferred

  • Strong analytical and problem-solving skills related to automated systems and operations

  • Excellent verbal and written communication and presentation skills


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

#Dice

 
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Salary.com Estimation for Data Analyst - Health, Consultant in Oakland, CA
$121,567 to $159,314
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