Medical Informatics Analyst, Senior

Blue Shield of California•El Dorado Hills, CA
•$103,000 - $174,100•Hybrid

About The Position

The Health Plan Operations Analytics and Reporting team delivers trusted analytics, operational reporting, and self-service dashboard solutions that empower business partners to make informed decisions, optimize performance, reduce costs, identify growth opportunities, and improve the experience of members, providers, and brokers. The Senior Medical Informatics Analyst will report to the Senior Medical Informatics Manager. In this role, you will collaborate with business leaders and analysts across Appeals & Grievances and other operational areas to develop data-driven insights, operational reports, dashboards, and analytical solutions that enable effective decision-making, improve performance, and support key business objectives.

Requirements

  • Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
  • 5 years of prior relevant experience
  • Healthcare and appeals and grievances experience a plus
  • Experience programming in Python or equivalent strongly desired
  • Advanced SQL, complex joins, subqueries, CTEs, window functions
  • Experience in data visualization tools like Power BI and Tableau
  • Experience with cloud-based analytics tools like Snowflake or Databricks

Nice To Haves

  • Experience in statistical analytics, modeling/forecasting, machine learning, natural language processing a plus

Responsibilities

  • Deliver high-complexity analyses independently and develop new analyses and reports
  • Translate results into implications and recommendations for business decisions
  • Develop and execute workplans and documentation for high-complexity work
  • Build and enhance data systems, reports, and analytical processes to improve efficiency and quality
  • Lead cross-functional analysis efforts by defining needs, coordinating work, and mentoring junior analysts
  • Present findings clearly, validate data and results, and meet deadlines
  • Eliminate or transition legacy business reporting solutions into automated sustainable solutions leveraging BI tools or other solutions
  • Support and maintain operational reporting needs through automation and creation of self-service options
  • Work with and combine large and complex data sets (both internal and external data) to evaluate, recommend, and support the implementation of business strategies or business needs
  • Create and automate dashboards to replace manual reporting with visualization integration using Tableau and Power BI

Benefits

  • Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light.
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