Hlth Data Analysis Cons Lead job Monterey Park California
Hlth Data Analysis Cons Lead job Monterey Park California
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Hlth Data Analysis Cons/Lead Job

Employer Name: SpiderID: 13011384
Location: Monterey Park, California Date Posted: 11/24/2022
Wage: Negotiable Category: Insurance
Job Code: 170024U-2191

Job Description:
Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California's Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution.

We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.


The Health Data Analyst provides essential support to all functions within the risk adjustment program, which includes interaction with various cross-functional teams within Blue Shield/Care1st, as well as vendors supporting our member engagement program. The ideal candidate possesses excellent customer service skills, project management skills, organizational skill, and high attention to detail. The ideal candidate will also possess a desire and ability to learn specialized healthcare payment expertise. This position will have significant responsibilities involving Care1st revenue management efforts.

In order to create an effective team, every individual must have
• Excellent interpersonal/communication skills across various mediums (written, verbally in meetings and over-the-phone)
• The ability to drive/engage others outside the team in order to successfully complete projects
• Healthcare background, particularly knowledge of the Medicare Market.
• The desire to help our team, Blue Shield/Care1st, and our members
• The ability to manage projects/timelines to achieve successful outcomes.

This position will be based in Monterey Park.


Responsibilities include:
• Coordinate the implementation of risk adjustment programs between BSC and Care1st.
• Lead vendor management efforts around member engagement and provider outreach.
• Ability to synthesize different pieces of information, and effectively communicate that information.
• Develops and produces timely and actionable reporting for internal and/or external use.
• Knowledgeable about healthcare-related governmental regulations, procedures, and requirements. Continuous learning as additional information is released.
• Special Projects as requested.

-Requires minimum of a bachelor's degree in a technical or quantitative field (GPA: 3.0+) or equivalent combination of experience and education.
-Requires a minimum of 7+ years of healthcare industry experience

-Excellent interpersonal, verbal and written communication and presentation skills - especially presentations of complex, technical information to non-technical audiences.

-Programming experience
-Programming knowledge required.
-SQL knowledge required.

-Independent problem solver, proactive, able to multitask. Patience for working on large scale problems.

-Basic proficiency with MS Office assumed (including Excel, Access, Word, PowerPoint, and Visio).

Preferred experience:
-Medicare or Commercial Risk Adjustment Experience
-SAS programming knowledge preferred.
-VBA programming knowledge preferred.
-Finance experience, including revenue and expense accounting.
-Healthcare Enrollment and Claims processing experience.
-Other healthcare experience, especially technical experience.

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Contact Information:
Contact Name: Blue Shield of California Company Type:
Company: Blue Shield of California

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