Health Data Consultant job San Francisco California
Health Data Consultant job San Francisco California
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Health Data Consultant Job

Employer Name: SpiderID: 13138787
Location: San Francisco, California Date Posted: 12/23/2022
Wage: Negotiable Category: Insurance
Job Code: 1700164-2191

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 is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 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 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.



Our Transparency Analytics team provides negotiation support, network assessment/analysis, the cost of healthcare data reporting, financial forecasting/projections, performing financial and risk analysis in changes to provider contracts in order to help Blue Shield of California meet its goals of providing low-cost healthcare and meeting earnings objectives.

The team seeks a Health Data Consultant who is well versed in healthcare/health plan analytic to serve as a subject matter expert, liaison, and advisor in order to build effective relationships with external business partners and with the Blue Shield of California to the Blue Cross and Blue Shield Association.

This is an individual contributor role that reports to and works as partners with the Transparent Analytics Manager-Finance.

Responsibilities include:

  • Developing, interpreting and implementing financial and medical concepts for financial tools and model

  • Designing and producing analyses/reports for department and/or management

  • Overseeing the end to end process (from data creation, fulfilling compliance requirement to member experience)

  • Creating, maintaining and producing timely various standard analytic reports for internal and/or external use.

  • Researching and preparing evaluations on a variety of projects/problems (financial, statistical, operational and cost/benefit analyses)

  • Analyze changes in provider reimbursement terms and recommends more cost efficient alternatives and explain to the provide

  • Analyze product designs and their impact on Blue Shield's health transparency tool

  • Provide peer review and technical training to junior staff


Bachelors degree required with at least a minor in mathematics, statistics, computer science
  • 5+ years of healthcare/health plan analytic experience
  • 2+ years of SAS experience
  • VBA/Python programming preferred
  • Actuarial experience is a plus

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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