Data Analyst - Health, Principal

Blue Shield of California•Oakland, CA

About The Position

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.

Requirements

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

Responsibilities

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