Data Analyst - Health, Senior

About the Role

The Consultative Support and Project Management team provides analytical support for provider contract negotiations and oversees competitive intelligence data for the organization. The Data Analyst, Senior will report to the Manager of Data Analysis. In this role, you will partner cross-functionally with Actuary, Network Compliance, Contracting Network Managers, and other Provider Network stakeholders to evaluate the health, performance, and strategic positioning of contracted entities. You will analyze utilization, financial, regulatory, and market trends; investigate anomalies; and translate complex data into clear, actionable insights that support network planning, contract strategy, and business decision-making. You will also support the development, validation, and distribution of reports and dashboards critical to Provider Network leadership and the financial health of the organization.

Our leadership model focuses on developing great leaders at all levels and creating opportunities for personal, professional, and financial growth. We seek leaders energized by creative and critical thinking, building high-performing teams, achieving results ethically, and fostering continuous learning.

Responsibilities

• Develop and conduct evaluations and studies within limited time frames, producing analyses that are easy for non-technical persons to understand.
• Assist in identifying systems and operational problems and recommend solutions to streamline procedures for more effective reporting.
• Interact with internal and external customers to define complex reporting needs and specifications; design and implement complex report programming according to specifications.
• Present effectively to internal and external customers on analytics, reports, and presentations critical for their business continuity and decision-making.
• Participate in internal and external task forces and committees to provide analytical insights and support for the implementation of new programs, applications, products, and services, as well as enhancements to existing systems.
• Develop dossiers for provider negotiations, including analyses of financial, regulatory, and quality performance.
• Lead and manage projects that may involve coordinating a team and working with different stakeholders.
• Manage reporting and dashboards in support of SVP network planning, including data validation, testing, and documentation.
• Identify and implement areas for process improvement and automation.
• Complete ad hoc assignments as requested.

Requirements

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree. Master’s Degree (MPH, MBA, MS, or MA) is preferred.
• 5 years of experience in Health Care (managed care, academic, or government payer).
• Experience with MS Office, especially Excel and Access, Unix, SQL/PL-SQL, SAS. SAS Base and advanced certification is preferred.
• Familiarity with visualization tools such as Tableau.
• Strong analytical and problem-solving skills.
• Strong communication (written and verbal) and presentation skills; previous experience presenting to leaders.
• Practical knowledge of project management is preferred.

Schedule

This role follows a hybrid workplace model, requiring in-office presence 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.

Pay

Pay Range for California: $90,860.00 to $136,290.00

Pay Range for Bay Area: $102,424.00 to $153,636.00

Note: This range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Salaries are based on candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

About Us

As of January 2025, Blue Shield of California became a subsidiary of Ascendium. Ascendium 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 Ascendium 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 healthcare to lower costs, improve quality, and enhance the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to addressing the needs of the communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is recognized as 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.

Values

• Honest: We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and acknowledging and correcting where we fall short.
• Human: We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous: We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Physical Requirements

Office Environment – roles involving part to full-time schedule in an office setting. Based in our physical offices and work from home office/desk work. Activity level: Sedentary, frequency most of the workday.