Medical Informaticist III job San Francisco California
Medical Informaticist III job San Francisco California
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Medical Informaticist III Job

Employer Name: SpiderID: 13250190
Location: San Francisco, California Date Posted: 2/22/2023
Wage: Negotiable Category: Insurance
Job Code: 17001TV-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.


Collects, analyzes and synthesizes data; develops information to guide business decision making for BSC populations' health management, cost of health care management, quality of care, and network design and strategies. Responsibilities Low Complexity: one or two sources of data, descriptive statistical methods, one or two clinical areas. No coordination with analysts in other Departments is required Moderate Complexity: three or four sources of data, univariate statistical methods, statistical graphics, three or four clinical areas. Requires consultation and coordination with analysts in other Departments but not reconciliation of analytical approaches High Complexity: more than four sources of data, multivariate statistical methods, statistical graphics more than four clinical areas. Requires consultation and coordination with analysts in other Departments and reconciliation of analytical approaches Mastery of Medical Informaticist I & II responsibilities. Conducts independent analysis of high complexity under moderate supervision and guidance, develops novel analyses and reports. Communicates analytical results in abstracts, graphs or summaries with minor editing and input from supervisor or manager. Develops documentation and creates and executes workplans for analyses of high complexity Produces analysis of high complexity under the guidance and direction of Medical Informaticist IV, supervisor or manager. Prepares presentation materials that clearly and succinctly convey information to appropriate internal and external Blue Shield audiences. Makes oral presentations to internal customers. Participates on internal workgroups and committees to provide analytical insight and support for the implementation and enhancement of new programs, products, and services. Designs, builds, and enhances data systems and applications so that they better serve specific reporting requirements. Critically reviews and revises existing analytical processes for currency, efficiency, and sufficiency. Identifies existing inefficiencies and problems and takes action to implement solutions. Anticipates unrealized problems and recommends solutions. Facilitates data reporting and analysis projects involving team members from multiple departments. Interacts with internal and external customers to define analytical needs and specifications. Assists junior team members through informal training and mentoring. Seeks and provides advice to analysts in other departments and business units regarding standardization of business rules and methods for analysis and reporting. Identifies business risks relating to report design and production. Provides training to designated team members to mitigate risk and provide back up for report production. Uses appropriate technical, clinical, and financial knowledge to assess the completeness and reliability of data and the validity and accuracy of analytical results. Produces accurate work under tight deadlines Communicates analytical results so that they are easily understood by non-technical persons. Continuously refines and expands the technical, clinical, and financial content knowledge required to successfully complete these duties. Other duties as assigned


Education/Requirements Requires an MPH, MBA, MS, MA , RN, or RHIA in health science, quantitative social science, public health, health svcs research or business, or BA/BS with demonstrated equivalent work experience. PhD or MD preferred. Knowledge: Requires mastery of at least two of the following and facility with at least three additional of the following (must include one of the health/clinical knowledge categories): clinical coding, clinical treatment, large-scale health databases, health statistics (e.g., epidemiology or health services), program evaluation methods, data management methods, econometrics, quality measurement methods, mathematical/statistical modeling, statistical graphics, process control statistics, health insurance business principles, general business/finance principles. Must have sufficient familiarity with the technical, clinical, and financial concepts necessary to adequately perform the duties described above. Skills: Requires ability to use MS Office, esp. Excel and Access, Unix, SQL/PL-SQL, SAS, SAS/Stat with minimal supervision and support. Competencies: Must be able to develop novel computer programs and scripts using Base SAS and PL-SQL. Must be able to develop programs and scripts that can be passed on to other analysts to improve their work efficiency Must be able to calculate multivariate statistics and to prepare complex statistical graphics (star plots, diagnostic regression plots, etc.). Requires accomplished knowledge of clinical risk adjustment, burden of illness scoring, episode analysis, and provider profiling. Must exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning, Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results). Certifications: SAS Certified Base Programmer Credential or equivalent required. SAS Certified Advanced Programmer Credentials strongly preferred. Minimum Experience Level Requires 3-5 years experience in Health Care (managed care, academic, or gov't payer). Typically has experience in cost-of-healthcare or quality of care assessment in a managed care or academic 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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