Medical Informatics Specialist

2 weeks ago


Oakland, California, United States Blue Shield of California Full time
Your Role

The Back Office Analytics team at Blue Shield of California supports back-office operations stakeholders with data-driven insights and analytical studies to drive a better member/provider experience while reducing administrative and healthcare costs.

The Senior Business Intelligence Analyst will report to the Sr. Manager of Back Office Analytics. In this role, you will provide analytical support to the operations team, defining business problems, developing analytic frameworks, and producing insights that support transformational initiatives improving healthcare operations efficiency and member experience.

Your Work
  • Analyzing structured and unstructured data to size and solve different business problems, including uncovering pain points, performing root cause analysis, and recommending improvements for prioritization.
  • Building complex data sets from disparate sources with required linkages to enable analytics.
  • Using statistics, text mining, topic modeling, and predictive modeling to answer business questions and generate insights/outcomes that relate to solving business problems.
  • Developing and automating reports and dashboards to empower stakeholder decision making.
  • Working directly with business stakeholders and leaders to become an embedded analytic partner who understands the business and is ready to contribute directly to meeting stakeholder goals.
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 a BA/BS with demonstrated equivalent work experience.

Requires SAS Certified Base Programmer Credential or equivalent.

Requires at least 5 years of prior relevant experience.

Requires at least 3 years of experience in Healthcare (managed care, academic, or gov't payer).

Advanced level skill with SQL, Excel, data visualization (Tableau preferred), query tuning, various database models (normalized / dimensional / data vault / etc.).

Strongly Preferred: proficiency in statistics, regression techniques, text mining, predictive modeling, agile methodology, confluence, Jira, cloud-based computing, and data platforms (Azure, Google Cloud, BigQuery, Snowflake, DataBricks).

Pay Range

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



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

    Your RoleThe Commercial Markets Analytics team at Blue Shield of California 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...


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

    About the RoleWe are seeking a highly skilled Medical Informatics Specialist to join our team at Blue Shield of California. As a key member of our Data & Analytics team, you will play a critical role in driving business outcomes through data-driven insights.Key ResponsibilitiesPartner with Pharmacy Services team to address data needs and support pharmacy...


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

    Job SummaryWe are seeking a highly skilled Medical Informatics Analyst to join our team at Blue Shield of California. As a key member of our rating model team, you will play a critical role in supporting large group pricing through model programming, data validation, and general model support for users.Key ResponsibilitiesExecute the monthly data load for...


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

    About the RoleThe Medical Informatics Analyst will be part of the rating model team, supporting large group pricing through model programming, data validation, and general model support for users. This role reports to the Actuary Manager.Key ResponsibilitiesExecute the monthly data load process to collect and validate data from multiple sources into the...


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

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


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

    About the RoleWe are seeking a highly skilled Medical Informatics Analyst to join our team at Blue Shield of California. As a key member of our Data & Analytics team, you will play a critical role in driving business outcomes and accelerating our mission to improve healthcare outcomes.Key ResponsibilitiesPartner with Pharmacy Services team to address data...


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

    Your RoleThe Pharmacy Cost of Health Care and Outcome Evaluation team at Blue Shield of California provides critical support to the organization by delivering high-quality analytics and insights. As a Senior Medical Informatics Analyst, you will play a key role in driving business decisions through data-driven insights.Your ResponsibilitiesDevelop and...


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

    About the RoleWe are seeking a highly skilled Pharmacy Medical Informatics Analyst, Principal to join our team at Blue Shield of California. In this role, you will play a critical part in supporting our Pharmacy Reimagined strategy and traditional actuarial functions.Key ResponsibilitiesDevelop analytical systems that meet important business needs,...


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

    About the RoleThe Pharmacy Medical Informatics Analyst, Principal will play a critical role in supporting the Pharmacy Reimagined strategy and traditional actuarial functions of claim reserves and cost trends.Key ResponsibilitiesDevelop analytical systems that meet important business needs, leveraging deep understanding of underlying business...


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

    About the RoleThe Pharmacy Medical Informatics Analyst, Principal will play a critical role in supporting the Pharmacy Reimagined strategy and traditional actuarial functions of claim reserves and cost trends.Key ResponsibilitiesDevelop analytical systems that meet important business needs, leveraging deep understanding of underlying business...


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

    Your RoleAs a key member of the Back Office Analytics team at Blue Shield of California, you will play a vital role in supporting back-office operations stakeholders with data-driven insights and solutions. Your expertise will drive a better member/provider experience while reducing administrative and healthcare costs.Your Key Responsibilities:Analyze...


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

    About the RoleThe Pharmacy Cost of Health Care and Outcome Evaluation team at Blue Shield of California is seeking a highly skilled Senior Health Analyst to join their team. As a key member of the team, you will play a critical role in providing pharmacy cost of health modeling, projection, financial and clinical outcome evaluation, clinical program...


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

    About the Role The Back Office Analytics team at Blue Shield of California supports back-office operations stakeholders with data-driven insights and solutions to drive a better member/provider experience while reducing administrative and healthcare costs. Your Responsibilities Develop and maintain complex data sets from disparate sources to enable...


  • Oakland, California, United States Concentra Career Choice Full time

    Job SummaryWe are seeking a highly skilled Medical Support Specialist to join our team at Concentra Career Choice. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our clinicians.ResponsibilitiesPerform routine medical procedures, including phlebotomy, PFTs, and audiogram testing, as ordered by...


  • Oakland, California, United States Concentra Career Choice Full time

    Job SummaryWe are seeking a highly skilled Medical Support Specialist to join our team at Concentra Career Choice. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our clinicians.ResponsibilitiesPerform routine medical and testing procedures under direct supervision of the treating...


  • Oakland, California, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our clinicians and patients.ResponsibilitiesPerform routine medical and testing procedures under direct supervision of the...


  • Oakland, California, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our clinicians.ResponsibilitiesPerform routine medical procedures, including phlebotomy, PFTs, and audiogram testing, under the supervision of...


  • Oakland, California, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and ensuring the smooth operation of our medical facilities.ResponsibilitiesPerform routine medical procedures, including phlebotomy, PFTs,...


  • Oakland, California, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and support to our clinicians.ResponsibilitiesPerform routine medical procedures, including phlebotomy, PFTs, and audiogram testing, as ordered by treating...


  • Oakland, California, United States Marvel Medical Staffing Full time

    Job Title: Travel Rad Tech in Oakland, CASpecialty: Diagnostic ImagingLocation: Oakland, CAShift Type: DaysDuration: 13 weeksWeekly Gross Pay: Contact Marvel Medical Staffing for more informationWe are seeking a skilled and experienced Rad Tech to join our team in Oakland, CA. As a Diagnostic Imaging Specialist, you will be responsible for operating imaging...