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Blue Shield of California · 5 hours ago

Data Analyst - Health, Principal

Oakland, CA, United States

Full-time

Hybrid

Senior Level, Lead/Staff

$155K/yr - $233K/yr

10+ years exp

Blue Shield of California is dedicated to transforming healthcare in a sustainable and affordable manner. The Data Analyst – Behavioral Health, Principal will focus on developing behavioral health finance analytics, collaborating with leadership to manage healthcare costs, and supporting stakeholders in the behavioral health insourcing project.

Financial ServicesHealth InsuranceNon Profit

No H1B

Responsibilities

Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand, specifically for Behavioral Health as we move to in-sourced environment

Apply advanced statistical methods, advanced analytics and modeling techniques, visualization techniques, and advanced programming to innovate our products and services

Identify how our customers are using our products to make strategic decisions and generate/implement ideas to improve our products and services to allow even better decision support

Work with business partners to engineer new products/services/analytics that will improve customer satisfaction; estimate the resources needed and provide planning and support for product/service innovation

Conduct proof of concept using techniques that can quickly contemplate the viability of a product/service

Deliver accurate and timely submissions to the Compliance team for mandated Behavioral Health reporting requirements, aligned with regulatory standards

Design and implement ad-hoc models, analyses, and tools to address emerging issues, including initiatives to detect and mitigate Fraud, Waste, and Abuse with a focus on Behavioral Health

Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various departments on resolution

Conduct research and perform data-driven analyses to identify priority areas for Behavioral Health initiatives and strategic improvement

Role will also collaborate with the Corporate Finance department on budget to actual variance analyses and projections

Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various teams on resolution

Qualification

Advanced SQLData ModelingData Visualization ToolsExcelHealth Care ExperienceAnalytical SkillsCustomer Service OrientationProblem-Solving SkillsCommunication Skills

Required

Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience

Requires at least 10 years of prior relevant experience

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

Requires advanced SQL and Excel for data manipulation and analysis

Requires expertise in Data Modeling to support predictive and prescriptive analytics

Requires experience with data visualization tools for creating insightful dashboards

Requires strong analytical and problem-solving abilities to interpret complex datasets and identify actionable insights

Requires the ability to communicate complex findings clearly, using compelling narratives and visual representations to engage technical and non-technical audiences

Requires strong customer service orientation and proven ability to collaborate with individuals at all organizational levels