Medical Informatics Analyst, Consultant

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 Consultant will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders from Pharmacy Services and others to be the D&A partner in accelerating and achieving business objectives and operations.  This critical analytics team collaborates with other analytical and business teams and delivers analytical insights to power the business forward. 
This role requires not only in-depth knowledge of the pharmacy claims data domain, but also a broad understanding of the business and business levers that matter.  Being able to act as a “two-in-a-box" partner with business stakeholders is critical. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building, and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 
Your Work
In this role, you will:

Partner with Pharmacy Services team as a data analytics subject matter expert to address data needs to support pharmacy operational, strategic and compliance needs.
Design, develop, and support analytical solutions for Pharmacy Care Reimagined programs.
Provide pharmacy and prescription drug data expertise to cloud migration teams.
Implement data quality rules necessary to ensure timely and accurate delivery of reports.
Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies.
Support internal and external pharmacy data needs, including but not limited to, report automation, in-depth drill down on report reconciliations, research and development of rebate allocation methodologies, cost of healthcare modeling, and customized reporting solutions. 
Effectively translate business problem and/or requirements into an analytical approach and present findings (analytical, reports, and presentations) to stakeholders critical for their business continuity and decision making.
Assess business risks associated with analytical processes and data systems, and develop strategies to mitigate risks.
Evaluate analytic results, prepare presentation materials, and make recommendations that clearly and succinctly convey results and their business significance to appropriate audiences to inform effective decision-making.
Use appropriate technical, business, and financial knowledge to assess the completeness and reliability of data and the validity and accuracy of analytical results.
Perform other functions as needed.
Manage medium to large sized projects (or multiple projects) spanning across business areas
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 at least 7 years of prior relevant experience
At least 5 years of experience in Health Care (pharmacy, managed care, academic, or government payer) 
SAS certification or equivalent experience required 
Demonstrated critical-thinking, analytical, and thought leadership skills
Experience in translating business problems into analytical approaches
Current working knowledge of SQL and Excel strongly preferred
Tableau experience strongly preferred
Python experience preferred
Previous project management experience preferred.

 
Pay Range:
The pay range for this role is: $ 118800.00 to $ 178200.00 for California.
Notes:
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

    1 month 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

    1 month 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, CA, United States Blue Shield of California Full time

    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 provide...

  • Medical Informatics Analyst, Consultant

    1 month 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

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your RoleAre you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding.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...

  • Medical Informatics Analyst, Consultant

    1 month 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

    1 month 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

    6 days 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

    5 days 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

    1 month 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, Consultant

    1 month 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...

  • Medical Informatics Analyst, Consultant

    1 month 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...

  • Lead Data Analyst

    1 month ago

    oakland, United States Blue Shield of California Full time

    Your RoleThe Commercial Markets Analytics team provides financial reporting and utilization/clinical analytics to Commercial employers and their Brokers/Consultants. The Medical Informatics Analyst, Consultant will report to the Senior Manager of Commercial Markets Analytics in Data & Analytics under Information Technology. In this role you will fulfill...

  • Lead Data Analyst

    2 months ago

    Oakland, United States Blue Shield of California Full time

    Your RoleThe Commercial Markets Analytics team provides financial reporting and utilization/clinical analytics to Commercial employers and their Brokers/Consultants. The Medical Informatics Analyst, Consultant will report to the Senior Manager of Commercial Markets Analytics in Data & Analytics under Information Technology. In this role you will fulfill...

  • Pharmacy Medical Informatics Specialist

    4 weeks ago

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

    Job SummaryThe Pharmacy Medical Informatics Analyst, Principal will play a key role in supporting the Pharmacy Reimagined strategy at Blue Shield of CA. This individual will be responsible for developing analytical systems that meet important business needs, coordinating activities with other internal departments, and communicating project status to...

  • Medical Informatics Analyst, Consultant

    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 Consultant will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders...

  • Medical Informatics Analyst, Consultant

    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 Consultant will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders...

  • Medical Informatics Analyst, Consultant

    2 months ago

    Oakland, CA, 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 Consultant will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders...

  • Medical Informatics Analyst, Principal

    2 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, Principal

    2 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...