Healthcare Analytics Consultant

3 weeks ago

Long Beach CA, United States Blue Shield of California Full time
Job Title: Healthcare Analytics Consultant

Company Overview:
Blue Shield of California is a health plan that provides high-quality healthcare services to its members. Our goal is to improve the health and well-being of our members, and we are looking for a skilled Healthcare Analytics Consultant to join our team.

Estimated Salary:$120,000 - $150,000 per year

Job Description:
The Clinical Quality Analytics and Informatics team at Blue Shield of California delivers best-in-class clinical quality analytics and informatics to enable high-quality and affordable member-centered care. In this role, you will provide data, analytic, and reporting support for the BSC CalPERS HMO/PPO lines of business. This includes monthly executive reporting, Tableau dashboards, member engagement, and ad-hoc analytics.

Required Skills and Qualifications:
* Bachelor's degree in health science, quantitative social science, public health, health services research, or business
* At least 5 years of SAS/SQL programming experience
* At least 7 years of prior operational and/or data analysis experience
* Experience in database structures, standard query, and reporting tools
* Proficient in MS Office – Word, Excel, and PowerPoint
* Experience with visual management tools (e.g., Tableau, Power BI)
* Group (APR-DRG/MS-DRG) codes or Healthcare Common Procedure Coding System (HCPCS) codes

Benefits:
* Comprehensive benefits package
* Opportunities for professional growth and development
* Collaborative and dynamic work environment

Others:
* Partner with the HEDIS data team, Clinical Quality Analytics, and Medical Record Review teams to support HEDIS performance improvement initiatives
* Requires at least 3 years of experience working with NCQA HEDIS quality measures
* Requires at least 3 years of experience with NCQA Health Plan Rating, CMS Medicare Advantage Star Rating, or Medi-Cal Managed Care Accountability Sets (MCAS)

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