Data Analyst Consultant

5 days ago

Oakland, California, United States Blue Shield Of California Full time

About the Role

We are seeking a highly skilled Data Analyst Consultant to join our team at Blue Shield of California. As a Data Analyst Consultant, you will play a critical role in helping us achieve our mission to ensure all Californians have access to high-quality healthcare at a sustainably affordable price.

Key Responsibilities

  • Use deep understanding of drivers to effective implementation of utilization management strategies to improve patient outcomes, increase provider efficiency, lower healthcare cost, and shift towards value-based care.
  • Independently collaborate with business to understand business objective of analytic exercise and translate needs to deliver outcomes using sustainable and scalable reporting mechanism.
  • Describe the significance of analytic results for business decision-making and make recommendations to senior management and/or external entities.
  • Develop surveillance models to detect emerging utilization trends.
  • Drive engagement and foster a culture of insight-driven decision making through compelling and thought-provoking visualizations and enable business to drive change.
  • Be accountable for the reliability of data and validity and accuracy of analytical results.
  • Be a consultant to aid others to understand the data infrastructure of utilization review.
  • Communicate project status, progress, and outcomes to leaders and stakeholders.

Requirements

  • Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience.
  • Requires at least five of the following and facility with at least two additional of the following (must include two of the health/clinical knowledge categories): clinical coding, clinical treatment, large-scale health databases, health statistics (e.g., epidemiology or health services), program evaluation methods, data management methods, econometrics, quality measurement methods, mathematical/statistical modeling, statistical graphics, process control statistics, health insurance business principles, general business/finance principles.
  • Total 7 years of experience or more.
  • Requires SAS Certified Base Programmer Credential or equivalent required. SAS Certified Advanced Programmer Credential or equivalent
  • Must be able to develop and modify SQL scripts and be able to wrangle large datasets, join multiple datasets
  • Must be able to create data visualizations to effectively narrate an actionable data story. Preferred working experience with Tableau Desktop.
  • Practical knowledge of agile or project management skills
  • Practical knowledge of job area typically obtained through advance education combined with experience within managed care
  • Understanding of payor relationship and managed care principles

About Blue Shield of California

Blue Shield of California's mission is to ensure all Californians have access to high-quality healthcare at a sustainably affordable price. We are transforming healthcare in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

We are committed to creating 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 continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

We strive to make a positive change across our industry and communities - join us.

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.

Our Workplace Model

Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

Two ways of working:

Hybrid - In a business unit approved office a few times per week, on average

Office - In a business unit approved office 4+ days a week, on average

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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