Business Analyst, Consultant
About The Position
The Business Analyst, Consultant works on the Population Health Management (PHM) team, which advances member experience and engagement, improves the health of Blue Shield of California members, and supports affordability and efficiency in healthcare. Reporting to the Director of Population Health Management, the role leads reporting-tool strategy and provides analytical support for technology-enabled business solutions. It leads and collaborates on operational monitoring, performance metrics, and presentations communicating results, and serves as a departmental subject matter expert to project leaders developing solutions and tools. The position provides complex analysis, reporting, forecasting, business cases, and performance measurement to produce actionable insights and improve operational outcomes. It defines business and reporting requirements, translates stakeholder needs into process and technology solutions, and coordinates complex cross-functional initiatives through implementation and validation. The role is hybrid: for most teams, employees work in the office two days each week. Employees living more than 50 miles from an office work with their manager to determine in-office time based on business needs. The office-based and work-from-home/deskwork role has a sedentary activity level for most of the workday. Blue Shield of California is part of the Ascendiun Family of Companies and describes its mission as creating a healthcare system that is worthy of family and friends and sustainably affordable.
Requirements
- Bachelor’s degree, or a high school diploma/GED and four additional years of relevant experience in lieu of a degree.
- At least seven years of prior relevant experience.
- Previous healthcare experience in managed care, academic healthcare, or a government payer environment, with understanding of payer relationships and managed care principles.
- Ability to develop and modify SQL scripts and work with large datasets, including joining multiple datasets.
- Demonstrated expertise translating complex population health clinical and operational needs into actionable business requirements, user stories, workflows, acceptance criteria, data and KPI reporting, and technology solutions, with strong knowledge of Medi-Cal/CalAIM regulatory requirements and ability to partner cross-functionally from requirements discovery through implementation and ongoing monitoring.
Nice To Haves
- Working experience with SAS.
- Experience creating data visualizations to communicate actionable data insights; working experience with Tableau Desktop, Power BI, or Business Objects.
- Practical knowledge of agile or project management skills.
Responsibilities
- Provide highly complex analytical support by analyzing and interpreting 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 different levels of management.
- Define business requirements and analyze opportunities to increase operational efficiency.
- Support multiple complex cross-functional projects simultaneously by establishing work plans and timelines and coordinating internal and external resources.
- Conduct evaluations and studies within limited time frames and produce analyses understandable to non-technical audiences.
- Help identify systems and operational problems and recommend solutions and process 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 findings to internal and external customers to support business continuity and decision-making.
- Participate in internal and external task forces and committees, providing analytical support for implementing new programs, applications, products, and services and enhancing existing systems.
- Develop root-cause analyses and presentations to specifications provided by the team director or manager.
- Develop new perspectives and approaches to existing problems.
- Create and distribute routine and ad hoc reports for various departments.
- Provide thought leadership to support operational excellence and department results.
- Drive analytical insights and trends and improve processes, systems, or products to enhance performance.
- 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 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.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
