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Blue Shield of California · 4 hours ago

Business Analyst, Senior

California, United States

Full-time

Hybrid

Senior Level

5+ years exp

Blue Shield of California is a nonprofit organization focused on transforming healthcare to be more affordable and effective. The Senior Business Analyst will analyze data and collaborate with internal teams and vendors to improve healthcare costs and outcomes, particularly in the Behavioral Health program.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

Responsibilities

Provide complex analytical support through the analysis and interpretation of data in support of cross-functional business operations

Develop annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)

Develop, prepare, and analyze reports with complex analysis and data for management review, and present to various levels of management

Define business requirements and provide analysis to increase operational efficiency

Provide analytical support for multiple, complex cross-functional projects simultaneously; establish work plans and timelines

Identify novel avenues of pursuit for the improvement of payment accuracy for behavioral health claims

Work with internal teams and external vendors on complex initiatives aimed at achieving cost savings and increased effectiveness

Validate payment integrity concepts for behavioral health claims through interpretation of provider contracts, review of regulatory guidelines, and system configuration

Identify root causes of issues through data analysis and collaborate with other teams to reduce payment errors

Participate in issue resolution by providing analytic support and collaborating with various internal stakeholders

Qualification

SQLBehavioral health claimsPayment integrity practicesData analysisFacets claims processingFinancial experienceProcess experience

Required

Requires a bachelor's degree or equivalent experience

Requires at least 5 years of prior relevant experience

Ability to write SQL queries from scratch to accurately pull data required

Knowledge and experience with behavioral health claims required

Possess strong data/analytic, financial, and process experience

Preferred

In depth experience with payment integrity practices and related operations preferred

Experience with Facets claims processing system is desired

Company

Blue Shield of California

Glassdoor3.8

Blue Shield of California is a health insurance service provider.

Founded in 1939

San Francisco, California, USA

5001-10000 employees

https://www.blueshieldca.com

H1B Sponsorship

Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (1)

2022 (41)

2021 (20)

2020 (31)