Business Analyst, Experienced

Blue Shield of California•Long Beach, CA
•$32 - $54•Hybrid

About The Position

The Pharmacy Finance Support team supports Pharmacy Strategy and Operations in managing impacts to the Pharmacy portfolio budget, ensuring proper approvals, and validating invoices from strategic vendors prior to payment. The Business Analyst, Experience will report to the Manager of Pharmacy Finance Support. In this role you will support day-to-day pharmacy funding and administrative invoice operations by validating payments, coordinating approvals, researching discrepancies, tracking funding activity, and maintaining accurate process documentation. This role partners with Finance, Data Analytics, external vendor partners, and business stakeholders to resolve discrepancies, helps ensure financial controls, audit readiness, and timely execution across pharmacy payments activities. 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

  • Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
  • Requires at least 3 years of prior relevant experience
  • Knowledge of pharmacy benefit claims and pharmacy operations
  • Experience in business analysis, financial operations, payment validation, reconciliation, controls, or audit support
  • Ability to analyze discrepancies, maintain accurate financial tracking, and manage recurring operational deadlines
  • Excellent verbal and written communication skills that exhibit a solution-oriented approach
  • Proficient in Microsoft Excel

Responsibilities

  • Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations
  • Contribute to annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
  • Develop, prepare and analyze reports for management review, and present to various levels of management
  • Define business requirements and provide analysis to increase operational efficiency
  • Analyze actual results against plan and forecast and recommend interventions where appropriate
  • Perform operational validation, approval coordination, payment processing, and discrepancy research for Pharmacy funding and Administrative Invoice activities
  • Track Pharmacy funding expenditures against approved pre-approval amounts and maintain accurate records of dollars received and disbursed
  • Support Archer controls, external audits, and related evidence requests
  • Create and maintain process documents and detailed level procedures for BSC-side Pharmacy Administrative invoice validation
  • Perform other duties as assigned
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