Health Data Analyst, Lead Consultant job San Francisco California
Health Data Analyst, Lead Consultant job San Francisco California
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Health Data Analyst, Lead/Consultant Job

Employer Name: SpiderID: 13140224
Location: San Francisco, California Date Posted: 12/23/2022
Wage: Negotiable Category: Insurance
Job Code: 17001DF-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.


We seek to add a Health Data Analyst, Lead/Consultant to the Medicare Risk Adjustment team.

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.

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 can be based in the El Segundo or San Francisco office.


  • Lead vendor management efforts around member engagement.

  • 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.


Education/Requirements: Requires an MPH, MBA, MS, MA in science, social science, public health, health svcs research or business, or BA/BS with demonstrated equivalent work experience. PhD preferred. Position also requires five to 10 years experience in Health Care (managed care, academic, or gov't payer), demonstrated ability to work with all clinical coding systems (e.g., ICD9, CPT, DRG, LOINC, RxHUB). MS Office, esp. Excel and Access, Unix, SQL/PL-SQL,SAS.Must be able to develop new SAS programs and SQL scripts that improve the efficiency of the work of others. SAS Base and Adv. Certification preferred Minimum Experience Level: Typically has 5 or more years experience as a Health Data Analyst, Medical Economist or related role in a managed care setting.

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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