Business Analyst, Consultant

Blue Shield of California•Long Beach, CA

6d•Hybrid

About The Position

The Population Health Management (PHM) team advances strategies to differentiate member experience and engagement, improve the overall health of Blue Shield of California members, and make the healthcare system more affordable and efficient. The Business Analyst, Consultant reports to the Director of Population Health Management and leads the strategy for reporting tools while providing analytical support for technology-enabled business solutions. The role collaborates with internal and external partners on operational monitoring, performance metrics, presentations, and the development of solutions and tools, serving as a departmental subject matter expert for project leaders. The position provides complex analysis and reporting to support cross-functional operations and decision-making. It leads forecasting, business cases, performance measurement, reporting requirements, and initiatives that improve operational outcomes. The analyst translates stakeholder needs into scalable process and technology solutions, coordinates implementation activities, and communicates actionable insights to technical and non-technical audiences. This role follows a hybrid workplace model. Most teams work in the office two days each week; employees living more than 50 miles from an office location will coordinate in-office expectations with their manager based on business needs.

Requirements

Bachelor’s degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of a degree.
At least seven years of prior relevant experience.
Previous healthcare experience, such as in managed care, an academic setting, or a government payer, and understanding of payer relationships and managed care principles.
Ability to develop and modify SQL scripts and work with large datasets, including joining multiple datasets.

Nice To Haves

Working experience with SAS.
Experience creating data visualizations that communicate an actionable data story; working experience with Tableau Desktop, Power BI, or Business Objects.
Practical knowledge of Agile or project management skills.
Expertise translating complex PHM clinical and operational needs into business requirements, user stories, workflows, acceptance criteria, data and KPI reporting, and technology solutions.
Strong knowledge of Medi-Cal/CalAIM regulatory requirements and ability to partner cross-functionally from requirements discovery through implementation and ongoing monitoring.

Responsibilities

Provide highly complex analytical support through analysis and interpretation of data for cross-functional business operations.
Lead development of annual operating plans, capital budgets, and forecasts, and build cost-benefit business cases for new initiatives.
Develop, prepare, and analyze complex reports and data for management review, and present findings to various levels of management.
Define business requirements and provide analysis to increase operational efficiency.
Support multiple complex cross-functional projects simultaneously by establishing work plans and timelines and coordinating internal and external resources.
Develop and conduct evaluations and studies within limited time frames, producing analyses that are understandable to non-technical audiences.
Identify systems and operational problems and recommend solutions or procedural changes to improve reporting.
Work with internal and external customers to define complex reporting needs and specifications, and design and implement report programming accordingly.
Present analytics, reports, and presentations to internal and external customers to support business continuity and decision-making.
Participate in internal and external task forces and committees, providing analytical insights and implementation support for new or enhanced programs, applications, products, and services.
Develop root-cause analyses and presentations according to specifications from the team Director or manager.
Create and distribute routine and ad hoc reports for various departments.
Drive analytical insights and trends and improve processes, systems, or products to enhance performance and operational excellence.
Lead complex analysis, reporting, forecasting, business cases, and performance measurement to deliver actionable insights and improve operational outcomes.
Define business and reporting requirements, conduct gap and impact analyses, and translate stakeholder needs into scalable process and technology solutions.
Lead multiple cross-functional initiatives, coordinating resources, timelines, risks, dependencies, readiness, testing, and post-implementation validation.
Partner with internal, external, and technical stakeholders to identify root causes, streamline workflows, strengthen controls, and communicate recommendations.