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Blue Shield of California · 8 hours ago

Product Insights and Reporting, Principal - Healthcare Data Science

California, United States

Full-time

Hybrid

Lead/Staff

10+ years exp

Blue Shield of California is a nonprofit organization focused on transforming healthcare to be more affordable and of higher quality. The Principal Analyst in the Product Strategy Insights Analytics team will analyze healthcare data, develop financial models, and provide insights to support strategic decision-making in product development activities.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

Responsibilities

Collect and evaluate data, develop and maintain financial models, analyze results and conduct scenario analyses to estimate the cost of healthcare savings and to support cost /benefit analyses to understand the relative benefits of alternative courses of action

Reconcile data results from different sources and combine them into integrated reports spanning cost, quality, utilization, and risk profile metrics

Participate in internal workgroups and stakeholder meetings to provide analytical insight and support for the implementation and enhancement of new programs, products, and services

Collaborate with key operational leaders to establish credible assumptions to support modeling of proposed initiatives to mitigate cost of healthcare trend while maintaining/improving the quality of care

Analyze data to identify opportunities to improve healthcare quality, reduce costs and enhance member outcomes

Present complex insights to executive leadership and key stakeholders in a clear, actionable manner

Develop predictive models to guide the product development and enhancement

Qualification

Healthcare economicsData analysisStatistical methodsSQL ProgrammingPredictive modelingTableauSASPythonA/B testingCommunication skillsCollaborationProblem-solving

Required

Requires a bachelor's degree or equivalent experience in healthcare economics, actuarial science or a related field; Master's degree preferred

Requires at least 10 years of prior relevant experience

Requires at least 5 years' experience in Health Care (managed care, academic, or gov't payer)

Advanced knowledge of healthcare data and managed health plan operations

Strong analytic and independent problem-solving skills with proficiency in data analysis tools

Understanding of statistical methods and advanced modeling techniques (e.g., SVM, K-Means, Random Forest, Boosting, Bayesian inference, natural language processing)

Requires proficiency in following technical skills

High proficiency in scalable data transformation techniques, using SQL Programming – preferably with Netezza, Oracle

Tableau

SAS (Advanced Programmer Credential or certification preferred)

Proficiency in applied statistics, data mining, or other quantitative discipline using Python and/or R Programming

Proficient in experimentation design and A/B testing

Excellent communication and presentation skills with the ability to convey complex information to executive leadership and other stakeholders

Ability to partner, collaborate with, and lead relevant stakeholders across diverse functions and experience levels

Preferred

Master's degree preferred

SAS (Advanced Programmer Credential or certification preferred)

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)