Medical Informatics Analyst, Principal

About the role

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers while containing the rising cost of healthcare. The Medical Care Programs division oversees vendor partners to deliver clinical programs for members and providers. The Medical Informatics, Principal, will focus on program and vendor reporting, performance, analysis, and insights. This role reports to the Senior Manager of HQA Analytics.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow—personally, professionally, and financially. We are looking for leaders energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

• Identify, elicit, and document business requirements for vendor program reporting by collaborating with stakeholders and subject matter experts.
• Utilize advanced data visualization and presentation tools to create executive-ready decks, dashboards, and reports, effectively communicating analytical insights to audiences ranging from executives to operational and clinical teams.
• Analyze program, operational, financial, and clinical performance against targets, forecasts, and benchmarks, providing actionable recommendations to improve outcomes and vendor performance.
• Provide thought leadership and analytical expertise in evaluating vendor program effectiveness, identifying opportunities for improvement, and supporting strategic decision-making.
• Serve as a strategic partner and change agent, driving adoption of new processes, technologies, and analytical capabilities across the organization.
• Identify, integrate, and manage complex data sources across multiple systems to support enterprise reporting, analytics, and business intelligence needs.
• Develop and maintain standardized reporting frameworks and templates tailored to line-of-business, client, employer, and stakeholder requirements.
• Design, automate, and continuously optimize reporting processes and data delivery solutions to improve scalability, accuracy, and operational efficiency.
• Drive stakeholder communication; act as a liaison between business teams and technical teams to ensure alignment.

Requirements

• College education or equivalent experience; preferred master’s degree.
• SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalent.
• At least 10 years of prior relevant experience.
• At least 5 years of experience in Health Care (managed care, academic, or government payer).
• 5 years of Data & Analytics experience, including knowledge of interpreting reports, trends, and forecasts to support decision-making.

Skills

• Subject matter expert in enterprise data visualization platforms (Power BI, Tableau), leading the design and governance of scalable analytics solutions, establishing visualization best practices, and enabling data-driven decision-making across the organization.
• Highly proficient in SQL, Snowflake, Databricks, and/or SAS, with the ability to query and analyze large, complex datasets, develop scalable analytical solutions, and translate findings into actionable business and clinical insights.
• Demonstrated expertise in translating complex analytical findings into actionable business, operational, and clinical insights for diverse stakeholder audiences.
• Proven ability to develop executive-level presentations, dashboards, and strategic recommendations that influence decision-making and drive organizational performance.
• Strong understanding of data governance, data quality management, reporting automation, and analytics best practices.
• Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of executives, directors, managers, and subject matter experts.
• Ability to independently lead complex analytical initiatives, manage competing priorities, and deliver high-quality results in a fast-paced environment.

Schedule

This role follows a hybrid workplace model, requiring employees to be in-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.

Pay

Pay Range for California: $148,940.00 to $223,300.00

Pay Range for Bay Area: $167,896.00 to $251,720.00

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 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.

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.

Our 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 by 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 environment. Based in our physical offices and work from home office/deskwork. Activity level: Sedentary, frequency most of the workday.