Sr. Manager, Population Health Informatics

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 and contain the rising cost of healthcare. The Population Health Senior Manager, will report to the Director of HQA Analytics.

Responsibilities

• Manage a small to mid-sized team consisting of experienced population health analysts as well as behavioral health analysts
• Oversee the analysis and reporting as well as the design and development of systems based on business requirements and needs
• Own the design and execution of complex population level analytic agendas addressing high priority organizational questions (e.g., cost drivers, utilization patterns, disparities, program impact)
• Define analytic frameworks and methodologies for population segmentation, risk stratification, and evaluation goals that are reusable, scalable, and aligned with enterprise population health strategy
• Serve as a subject matter expert in population health analytics, advising senior leaders on interpretation of findings and strategic implications
• Lead analyses across large, complex healthcare datasets (claims, enrollment, pharmacy, demographic, and community level data) to identify trends, risks, and opportunities at scale
• Develop and oversee member archetypes, clusters, and predictive insights to support targeted interventions, care management, and outreach strategies
• Integrate health equity and social drivers of health into analytic approaches to ensure insights address disparities and underserved populations
• Assess business risks associated with analytical processes and data systems and proactively implements solutions to mitigate risks
• Oversee the reliability of data and the validity and accuracy of analytical results
• Describe the significance of analytic results for business decision-making and makes recommendations to senior management and external entities

Qualifications

• Requires a college degree or equivalent
• Requires 10 years of experience in Health Care (managed care, academic, or government payer) including 4 years of management experience
• Proficient in Python or R for healthcare data analysis, statistical modeling, and visualization
• Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability
• Problem-solving skills balanced between “analytical” and “intuitive”
• 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 establish and maintain effective and collaborative relationships with key stakeholders
• Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint in preparing and making presentations to various levels of management
• Techically proficient having broad background in problem solving tools
• Knowledge of Blue Shield of CA or similar health care organization structure
• Extensive knowledge of CPT, HCPCS, ICD-10s and other related industry codes

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

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. JOB INFO Job Identification : 20260993 Job Category : Business and Data Analysis Posting Date : 2026-06-18T15:19:42+00:00 Job Schedule : Full time Locations : El Dorado Hills, CA, United States CA, United States Long Beach, 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 Woodland Hills, CA, United States Pay Range for California : $148940.00 to $223300.00 Pay Range for Bay Area : $167896.00 to $251720.00 Note : 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 the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship : No