Medical Informatics Analyst, Consultant

Blue Shield of California•Long Beach, CA

2d•$123,090 - $208,320•Hybrid

About The Position

The AI & Analytics (AI&A) team, within the enterprise Growth organization and aligned to the Risk Adjustment vertical, is seeking an advanced Medical Informatics and data architecture Consultant. This role will serve as a critical semantic bridge and analytical lead supporting multiple Government Lines of Business (LOBs) within Senior Markets, with a distinct focus on Special Needs Plans (SNPs). Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across Medicare, Med Supp, Actuarial, and Finance to achieve their Growth-related business objectives. The successful candidate will act as a "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities.

Requirements

Advanced Medical Informatics and data architecture skills.
Experience supporting Government Lines of Business (LOBs) within Senior Markets, with a focus on Special Needs Plans (SNPs).
Experience acting as an AI & Analytics partner to key leaders and cross-functional stakeholders.
Ability to translate complex business problems into structured analytical approaches.
Experience designing analytical tools.
Proficiency in leveraging internal data structures.
External hires must pass a background check/drug screen.

Responsibilities

Serve as a critical semantic bridge and analytical lead supporting multiple Government Lines of Business (LOBs) within Senior Markets with a distinct focus on Special Needs Plans (SNPs).
Act as an AI & Analytics partner to key leaders and cross-functional stakeholders across Medicare, Med Supp, Actuarial, and Finance to achieve their Growth-related business objectives.
Act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals.
Translate complex business problems into structured analytical approaches.
Design smart analytical tools.
Leverage internal data structures to uncover CoHC optimization and member acquisition opportunities.