Medical Informatics Analyst, Consultant

3 weeks ago

Oakland, United States Blue Shield of California Full time

Your Role

 

The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.

 

Your Work

 

In this role, you will:

  • Conduct independent analysis of high complexity under minimal supervision and guidance 
  • Develop analytical methods so that they may be subsequently delegated for production to Medical Informatics Analysts at lower levels
  • Produce analysis of high complexity under the guidance and direction of the Actuarial Manager
  • Develop documentation and create and execute workplans for analyses of high complexity. Workplans may coordinate the activities of analysts at lower levels and may involve collaboration with more than one team
  • Provide training and mentoring for team members on best practices for analysis and reporting; assist in the development of supplemental analytic training tools and materials; conducts formal training sessions for lower level analysts and analysts in other Departments 
  • Have overall responsibility and accountability for leading and managing pharmacy support work products related to target setting, reconciliation, and reporting (internal and/or external) for Pharmacy related programs.
  • Lead and/or support other general program operations work, ranging from savings projection, accrual setting, addressing data issues and developing solutions, executing program renewals/conversions, iterative model design changes, improving and streamlining operations efficiency
  • Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports
  • Lead, coordinate and/or develop strategic, market and competitive analysis
  • Ensure team follows existing, validates, and/or develops new work-flow procedures or policies

 

 

Your Knowledge and Experience

 

  • Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience
  • Requires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalent
  • 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 health insurance data background including ICD-10 codes, utilization measurement, and service type categorization
  • Prior experience related to pharmacy claim data preferable

 

Pay Range:

The pay range for this role is: $ 118800.00 to $ 178200.00 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.

#LI-CS4

  • Medical Informatics Analyst, Consultant

    4 weeks ago

    Oakland, United States Blue Shield of California Full time

    The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent a Analyst, Medical, Consultant, Operations, Healthcare, Technology, Insurance

  • Medical Informatics Analyst, Consultant

    4 weeks ago

    Oakland, United States Blue Cross and Blue Shield Association Full time

    Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: * Conduct independent analysis of high complexity under minimal supervision and guidance * Develop analytical methods...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Cross and Blue Shield Association Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst - Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.   Your Work   In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance  Develop analytical...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    8 hours ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    2 weeks ago

    Oakland, United States Blue Shield Of California Full time

    Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical methods so that...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.   Your Work   In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance  Develop analytical...

  • Medical Informatics Analyst, Consultant

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.   Your Work   In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance  Develop analytical...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, CA, 94616, Alameda County, CA, United States Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    3 weeks ago

    Oakland, CA, 94616, Alameda County, CA, United States Blue Shield of California Full time

    Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical...

  • Medical Informatics Analyst, Consultant

    1 week ago

    United States, CA, Oakland Blue Shield of California Full time

    Your Role The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical...

  • Medical Informatics Analyst, Consultant

    4 weeks ago

    United States, CA, Oakland Blue Shield of California Full time

    Your Role   The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.   Your Work   In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance  Develop analytical...

  • Medical Informatics Analyst, Principal

    13 hours ago

    Oakland, United States Blue Shield of California Full time

    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. The Medical Informatics Analyst, Principal will report to the Senior Manager, Medical Informatics (Value Based and Medical Care...

  • Medical Informatics Analyst, Consultant

    1 week ago

    Oakland, United States Blue Shield of California Full time

    The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Busine Medical, Analyst, Consultant, Technology, Insurance, Analytics

  • Medical Informatics Analyst, Principal

    16 hours ago

    Oakland, United States Blue Shield of California Full time

    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. The Medical Informatics Analyst, Principal will report to the Senior Manager, Medical Informatics (Value Based and Medical Care...

  • Medical Informatics Analyst, Principal

    21 hours ago

    Oakland, United States Blue Shield of California Full time

    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. The Medical Informatics Analyst, Principal will report to the Senior Manager, Medical Informatics (Value Based and Medical Care...

  • Clinical Quality Analytics, Senior

    4 days ago

    Oakland, United States Blue Cross and Blue Shield Association Full time

    Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will...