Medical Informatics Analyst, Consultant
Blue Shield Of California
Location
Oakland, CA | United States
Job description
Job Description
Your Role The Medical Management Analytics team delivers reporting solutions supporting the Utilization Management and Medical Care Programs organizations to enable stakeholder to monitor operational performance and make data-driven business decisions based on insights through analysis. The Medical Informaticist, Consultant will report to the Senior Manager of Medical Management Analytics. In this role you will collaborate with the Medical Care Programs team to develop reporting solutions to monitor health of business and conduct analysis to demonstrate value of interventions/ programs to internal stakeholders and external customers.
Your Work In this role, you will:
- Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
- Assist in identifying systems and operational problems and recommend solutions and changes to streamline procedures for more effective reporting
- Develop reporting tools to enable operational leaders to monitor key process metrics and assist in identifying opportunities to gain operational efficiency
- Generate reporting to demonstrate regulatory compliance according to specifications
- Drive engagement and foster a culture of insight-driven decision making through compelling and thought-provoking visualizations promoting decision making and drive change
- Interact with internal business partners to define complex reporting needs and specifications; design and implement complex report programming according to specifications
- Present effectively to internal business partners on analytics/reports/presentations that are critical for their business continuity and decision making
- Participate on internal and external task forces and committees to provide analytical insights and support for implementation of new programs, applications, products and services and enhancement of existing applications/systems
- Create process to extract data, synthesize data, conduct and interpret quantitative and qualitative analysis into actionable insights
- Manage and prioritize workload while meeting deliverables and expectations in a timely manner
- Function of role requires the ability to understand broad spectrum of issues. Problems typically involve considerations of multiple dependencies including business process, data infrastructure, business rules, and general industry knowledge of healthcare administration
Qualifications Your Knowledge and Experience - Requires an MPH, MBA, MS, MA in science, social science, public health, health svcs research or business, or BA/BS with demonstrated equivalent work experience
- Requires at least 5 years of prior relevant experience
- Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer)
- Must be able to develop and modify SQL scripts and be able to wrangle large datasets, join multiple datasets. Preferred working experience with SAS
- 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
- Requires practical knowledge of job area typically obtained through advance education combined with experience within managed care
- Understanding of payor relationship and managed care principles
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.
About the Team Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure 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.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, 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 (our default) and office
- Hybrid - In a business unit approved office a few times per year to 3 days per week, on average
- Office - In a business unit approved office 4+ days a week, on average. If the role you're applying for is deemed an "Essential Role," the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.
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.
Job tags
Salary
