Medical Informatics Analyst, Principal

3 months ago

Oakland, United States Blue Shield of California Full time

Your Role

 

The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes, product development, and initiative evaluation.

 

Your Work

 

In this role, you will:

  • Use deep understanding of underlying business requirements to conceptualize and develop analytical systems that meet important business needs
  • Design and develop these systems so that they can be used by lower-level analysts thereby promoting company-wide efficiencies
  • Coordinate activities with other internal departments to maximize overall efficiency and resolve conflicts
  • Communicate project status, progress, and outcomes to executive management
  • Fulfill a leadership role in the critical review and ongoing development of data management and analytical systems for strategically important enterprise-wide analysis and reporting
  • Support vendor financial contract performance evaluation, forecast and negotiation (e.g. rebates, network contracts)
  • Support development of budget/trend impact models and formulary strategy models for high impact existing and pipeline drugs
  • Provide Rx data support and participate in product governance /value assessment committee on Rx benefit and formulary strategy
  • Support ASO product strategy evaluation and coordinate with UW and Actuarial Trend teams as needed
  • Support RxCare strategic initiatives evaluation as needed

 


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 10 years of prior relevant experience
  • Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
  • Requires experience at a Pharmacy Benefit Manager (PBM)

 

 

Pay Range:

The pay range for this role is: $ 145970.00 to $ 218900.00 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.

  • Medical Informatics Analyst, Consultant

    2 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Consultant

    3 weeks ago

    Oakland, United States Blue Shield of CA Full time

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Consultant

    2 months ago

    Oakland, United States Blue Shield of California Full time

    Your RoleThe Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Consultant

    4 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Consultant

    2 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Consultant

    4 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Principal

    3 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Medical Informatics Analyst, Consultant

    2 months ago

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

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Medical Informatics Analyst, Principal

    3 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Medical Informatics Analyst, Consultant

    2 months ago

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

    Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will...

  • Data Solutions Analyst

    1 week ago

    Oakland, California, United States Resource Informatics Group Inc Full time

    Job OverviewWe are seeking highly motivated professionals with strong organizational, analytical, and communication skills to join our team at Resource Informatics Group Inc. As a Business Analyst/Data Analyst, you will be responsible for researching and documenting clinical data solutions for patient-facing outreach products.

  • Pharmacy Medical Informatics Analyst, Principal

    3 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

  • Pharmacy Medical Informatics Analyst, Principal

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Pharmacy Medical Informatics Analyst, Principal

    6 days ago

    Oakland, United States SimplyApply Full time

    Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Pharmacy Medical Informatics Analyst, Principal

    6 days ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Pharmacy Medical Informatics Analyst, Principal

    4 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Pharmacy Medical Informatics Analyst, Principal

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Medical Informatics Analyst, Principal

    3 months ago

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

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Pharmacy Medical Informatics Analyst, Principal

    3 months ago

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

    Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy...

  • Medical Informatics Analyst, Principal

    2 months ago

    Oakland, United States Blue Shield of California Full time

    Your Role The Data & Analytics (D&A) team partners with enterprise-wide business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes.  The Pharmacy Analytics Principal will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders...