Data Analyst - Health, Principal

Job Description

Your Role

The Finance, Cost of Health Care (CoHC) team is responsible for financial oversight, analytics and strategic planning to manage and reduce healthcare costs across all lines of business for Blue Shield of California. The Data Analyst - Behavioral Health, Principal will report to the Medical Informatics Analyst - Sr Principal. In this role you will be collaborating with leadership in developing behavioral health finance analytics including measurement of the internal cost of healthcare, and reporting and analytics supporting the various stakeholders in the behavioral health (BH) insourcing project. A key responsibility will be to work with Line of Business Leadership on their cost of health care metrics and analytics.

Responsibilities

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, specifically for Behavioral Health as we move to in-sourced environment
• Apply advanced statistical methods, advanced analytics and modeling techniques, visualization techniques, and advanced programming to innovate our products and services
• Identify how our customers are using our products to make strategic decisions and generate/implement ideas to improve our products and services to allow even better decision support
• Work with business partners to engineer new products/services/analytics that will improve customer satisfaction; estimate the resources needed and provide planning and support for product/service innovation
• Conduct proof of concept using techniques that can quickly contemplate the viability of a product/service
• Deliver accurate and timely submissions to the Compliance team for mandated Behavioral Health reporting requirements, aligned with regulatory standards
• Design and implement ad-hoc models, analyses, and tools to address emerging issues, including initiatives to detect and mitigate Fraud, Waste, and Abuse with a focus on Behavioral Health
• Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various departments on resolution
• Conduct research and perform data-driven analyses to identify priority areas for Behavioral Health initiatives and strategic improvement
• Role will also collaborate with the Corporate Finance department on budget to actual variance analyses and projections
• Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various teams on resolution

Qualifications

Your Knowledge and Experience

• 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 10 years of prior relevant experience
• Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
• Requires advanced SQL and Excel for data manipulation and analysis
• Requires expertise in Data Modeling to support predictive and prescriptive analytics
• Requires experience with data visualization tools for creating insightful dashboards
• Requires strong analytical and problem-solving abilities to interpret complex datasets and identify actionable insights
• Requires the ability to communicate complex findings clearly, using compelling narratives and visual representations to engage technical and non-technical audiences
• Requires strong customer service orientation and proven ability to collaborate with individuals at all organizational levels

About the Team

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:

At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:

o Member-facing and approved out-of-state roles remain remote.

o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

o 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.

• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

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.