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Job description
Your Role
The Network Performance Analysis and Contracts team focuses on provider network performance analysis, reporting, and consulting. The Data Analyst-Health, Principal role will report to the Senior Director, Provider Services-Network. In this role you will provide consultative services and support for various strategic and tactical initiatives and projects. This role will provide complex analysis for insight and recommendation and collaboration with various business units as a thought partner and expert.
Job Description
Your Role
The Network Performance Analysis and Contracts team focuses on provider network performance analysis, reporting, and consulting. The Data Analyst-Health, Principal role will report to the Senior Director, Provider Services-Network. In this role you will provide consultative services and support for various strategic and tactical initiatives and projects. This role will provide complex analysis for insight and recommendation and collaboration with various business units as a thought partner and expert.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Responsibilities
Your Work
In this role, you will:
Lead projects end-to-end, working with the client and stakeholders, and delivering the outcomes expected
Interact with stakeholders, including face-to-face meetings, to gather data and information pertinent to the engagement
Consult with all levels (including senior management), making recommendations, and influencing decision making
Collaborate with various business units as a thought partner and expert: Work cross-functionally in analyzing, designing, and developing business solutions
Participate and collaborate with cross-functional workgroups; support other internal teams such as Contracting, Provider Partnerships, Delegation Oversight, and Provider Operations in developing strategies for improving overall processes, data integrity, and new mandates/regulatory requirements impacting provider networks
Provide complex analysis for insight and recommendation: Synthesize from complex information into clear takeaways and recommendations using both qualitative and quantitative methods for management review and present to various levels of management
Summarize findings and present data in formats such as Excel pivots, PowerPoint, Tableau, reports, grids, and tables
Determine key business issues, develop effective action plans, and implement them to successful conclusion
Facilitate and manage the roll-out of operational process changes within the team; develop required training documentation, provide mentoring, and facilitate training sessions in support of a successful roll-out
Develop deliverables that are relevant and easily consumable that allow internal and external customers to receive the information intuitively; provide consultation services to customers on an ad hoc basis or in a formal presentation format
Qualifications
Your Knowledge and Experience
Requires a Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree. A Master’s degree (MPH, MBA, MS, MA) is preferred
Requires 10 years of experience in Health Care (managed care, academic, or government payer)
Intermediate to advanced knowledge of Microsoft Excel (i.e. ability to model, use formulas, etc.) is preferred
Experience with Microsoft Access (i.e. link tables, run queries, etc.), Tableau, and SAS is preferred
Excellent interpersonal skills, communication, and presentation skills. Including previous experience in presenting to leaders
Exceptional problem-solving and analytical skills
Ability to work effectively with diverse teams to come up with the best solution and move people and organizations to act
Ability to influence leaders and stakeholders with no direct reporting relationship
Ability to work independently, proactively, and with little direction
Broad knowledge of project management is preferred
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
About Us
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. 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 achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. 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 listen and communicate effectively, showing empathy by understanding others' perspectives.
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
For most teams, this means coming into the office two days per week.
Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. 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 INFO
Job Identification :
Job Category : Business and Data Analysis
Posting Date : T23:05:53+00:00
Job Schedule : Full time
Locations : Woodland Hills, CA, United States
Locations : CA, United States
Locations : Long Beach, CA, United States
Locations : El Dorado Hills, CA, United States
Locations : Lodi, CA, United States
Locations : Oakland, CA, United States
Locations : Rancho Cordova, CA, United States
Locations : Redding, CA, United States
Locations : San Diego, CA, United States
Pay Range for California : $ to $
Pay Range for Bay Area : $ to $
Note : 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 experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.
Role can be filled by a candidate requiring sponsorship : No
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Worksite address
california, MO, 65018, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.