Business Analyst, Consultant

Blue Shield of CaliforniaLos Angeles, CA
$102,900 - $174,000Hybrid

About The Position

The Clinical Coding team seeks an experienced Business Analyst, Consultant with strong analytical, business, and technical expertise to support complex, cross functional initiatives. This role is responsible for analyzing data, defining business requirements, and driving operational improvements related to payment policy, medical policy, and coding related processes, while also contributing to the development of annual operating plans, budgets, forecasts, and cost/benefit analyses for new initiatives. The Business Analyst, Consultant will report to the Sr. Manager, Clinical Coding. In this role, you will play a critical role in ensuring payment and medical policy logic is accurately translated into system configuration, directly impacting claims accuracy, regulatory compliance, and cost of healthcare outcomes, while influencing cross-functional decision-making through expert analysis and identification of improvement opportunities. 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.

Requirements

  • Strong analytical, business, and technical expertise
  • Experience supporting complex, cross functional initiatives

Responsibilities

  • Analyzing data
  • Defining business requirements
  • Driving operational improvements related to payment policy, medical policy, and coding related processes
  • Contributing to the development of annual operating plans, budgets, forecasts, and cost/benefit analyses for new initiatives
  • Ensuring payment and medical policy logic is accurately translated into system configuration
  • Influencing cross-functional decision-making through expert analysis and identification of improvement opportunities

Benefits

  • Opportunities for personal, professional, and financial growth
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