Business Analyst, Principal- Behavioral Health & Health Plan

About the role

The Behavioral Health Services (BHS) team is responsible for developing and executing a best-in-class behavioral health insurance product for Blue Shield. The Behavioral Health Business Analyst, Principal, will report to the Director of Strategic Planning & Performance.

Responsibilities

• Provide highly complex analytical support through the analysis and interpretation of data in support of behavioral health data while collaborating with cross-functional business operations
• Lead the development of annual BHS system roadmaps, associated budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
• Develop, prepare and analyze reports with highly complex analyzes and data for management review, and presents to various levels of management
• Define business requirements and provide analysis to identify system and process enhancements to increase operational efficiency
• Analyze actual results against plan and forecast, identify root cause of issues and recommend interventions where appropriate
• Partner with the BHS teams and support the operational systems with issue triage, requirement documentation, testing coordination and serving as the teams’ champion and liaison with the technical delivery teams
• Manage the end-to-end BHS system generated letters process including governance, creation/maintenance, and implementation
• Oversee BHS system access provisioning to ensure system compliance and security
• Build, maintain and test the BHS business continuity plan

Qualifications

• Mastery level knowledge of job area typically obtained through advanced education combined with experience
• Bachelor's degree or equivalent experience
• At least 10 years of prior relevant experience
• Experience in health plan experience; having worked within managed care, academic or government payer
• Experience working within behavioral health, substance abuse or a mental health environment
• Experience defining and implementing technologies and tools to support relevant operational process automation and analysis
• Experience driving sustainable change across multiple stakeholders
• Desires experience with behavioral healthcare from any combination of perspectives: plan, vendor, clinical, provider relations, managed behavioral health organization, etc.
• Experience with Facets, AuthAccel and CareConnect preferred

About Us

About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. 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. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest
• Human
• Courageous

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.