Business Analyst, Senior

About the Role

The Network Operations team works across business units to streamline workflows, support compliance, and deliver actionable insights that drive organizational success. The Business Analyst, Senior will report to the Senior Manager of Network Operations. In this role, you will support and facilitate seamless mass member moves related to network terminations to ensure timeliness of moves prior to term. This work also includes providing data analytics and project support across Network Operations to help achieve annual goals and priorities.

Responsibilities

• Stay engaged and informed on planned/upcoming large-size network terms and related project meetings across all LOBs.
• Partner closely with business owners to determine business priority and execute sprint planning.
• Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations.
• Identify opportunities for improvement and work cross-functionally to develop business solutions.
• Provide analytical support to multiple projects, establishing project plans and timelines, and coordinating with internal and external resources.
• Develop, prepare, and analyze reports with complex analysis and data for management review, and present to various levels of management.
• Work cross-functionally in analyzing, designing, and developing business solutions.
• Provide analytical support for multiple, complex cross-functional projects simultaneously, establish work plans and timelines, and coordinate with internal and external resources.
• Perform other duties as assigned.

Qualifications

• Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a bachelor’s degree.
• Requires 5 years of prior relevant experience.
• Requires health plan experience (managed care, government payer, academic).
• Experience using Microsoft Access required.
• Advanced Excel skills required, including creating/formatting tables, pivot tables, vLookup, conditional formatting, and cleaning, sorting, and filtering large datasets.
• Experience working with large datasets required.
• SQL or Python experience preferred.
• Department of Managed Healthcare experience preferred.
• Prior experience with PCP crossover and change management preferred.
• Strong analytical and problem-solving skills required.
• Strong interpersonal, verbal, and written communication skills.
• Ability to work independently under limited supervision.
• Detail-oriented with the ability to deal with complexity, compressed timelines, and shifting priorities.
• Advanced proficiency with MS Office products required, including Word, PowerPoint, and Excel; Visio expertise a plus.
• Advanced knowledge and ability to perform process mapping, root-cause analysis, gap analysis, and requirements gathering.
• Practical knowledge of project management preferred.

Pay

Pay Range for California: $81,950.00 to $122,870.00
Pay Range for Bay Area: $92,380.00 to $138,508.00

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Schedule

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Locations

Woodland Hills, CA, United States
Long Beach, CA, United States
El Dorado Hills, CA, United States
Lodi, CA, United States
Oakland, CA, United States
Rancho Cordova, CA, United States
Redding, CA, United States
San Diego, CA, United States