Medical Informatics Analyst, Consultant - UM

Blue Shield of CaliforniaEl Dorado Hills, CA
$123,090 - $208,320Hybrid

About The Position

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and contain the rising cost of healthcare. The Medical Informatics, Consultant will report to the Manager of HQA Analytics. In this role you will be supporting Utilization Management Operations, with a strong emphasis on post-service analysis to assess cost of healthcare outcomes, identify opportunities for improvement, and inform decision-making. You will also lead the transformation of complex post service data into structured, high-quality datasets and actionable intelligence, enabling effective operational oversight and continuous performance optimization. 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

  • External hires must pass a background check/drug screen.

Responsibilities

  • Supporting Utilization Management Operations, with a strong emphasis on post-service analysis to assess cost of healthcare outcomes, identify opportunities for improvement, and inform decision-making.
  • Lead the transformation of complex post service data into structured, high-quality datasets and actionable intelligence, enabling effective operational oversight and continuous performance optimization.
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