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Business Analyst, Senior
2 months ago
The Quality Improvement and Provider & Plan Quality Incentives (PPQI) team at Blue Shield of California strives to enhance the health outcomes of our members.
We develop and execute programs that support provider efforts to get patients into preventive care, working closely with internal and external stakeholders to align our initiatives with national standards for high-quality healthcare.
The Senior Business Analyst, Quality Improvement will report to the Senior Manager and provide complex analytical support to the PPQI team, including payout modeling, forecasting, calculation, and program evaluation.
This role requires bridging performance and cost views across targeted populations, including Commercial HMO, Covered CA HMO, Covered CA PPO, Medicare, and Medi-Cal.
Key Responsibilities- Provide analytical support through data analysis and interpretation in support of cross-functional business operations.
- Develop budgets and forecasts for existing programs, and build business cases for new initiatives (cost/benefit analysis).
- Define business requirements and analyze operational efficiency.
- Work cross-functionally in analyzing, designing, and launching business solutions.
- Develop, prepare, and analyze reports with complex analysis and data for management review.
- Provide analytical support for complex cross-functional projects, and coordinate with internal and external resources.
- Develop communication materials for all levels of Blue Shield of California cohorts the team works with.
- Create presentations and reports utilizing tools such as Microsoft PowerPoint and Excel.
- Prepare meeting agendas/notes and project plans/action item tracking.
- Take responsibility for the administration and organization of the team's SharePoint site that houses critical program documentation.
- Requires a college degree or equivalent experience.
- Requires a minimum of 5 years of prior relevant experience.
- Experience in working cross-functionally in analyzing, designing, and developing business solutions is preferred.
- Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of executives, managers, and subject matter experts as well as external customers is preferred.
- Prior experience in the health insurance industry is preferred.
- Prior experience in healthcare quality is preferred.
- Strong problem solver with demonstrated ability to identify root cause of low complexity issues is preferred.
- Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability is preferred.
- Advanced skills in Microsoft Excel, Word, Visio, and PowerPoint in preparing and making presentations to various levels of management is preferred.
- Prior experience in SQL is preferred.
The pay range for this role is: $77,990.00 to $116,930.00 for California.
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.
