Lead Health Data Analyst job El Dorado Hills California
Lead Health Data Analyst job El Dorado Hills California
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Lead Health Data Analyst Job

Employer Name: SpiderID: 13705291
Location: El Dorado Hills, California Date Posted: 3/22/2024
Wage: Negotiable Category: Insurance
Job Code: 170016Z-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.



The Lead Health Data Analyst 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.

This role is an individual contributor role

Responsibilities include but are not limited :

  • Mastery of Associate, Intermediate and Senior level responsibilities. Independently writes reports and presents data in formats such as abstracts, graphs or summaries.

  • Develops technical specs and develops and executes work plans that may involve collaboration with more than one team.

  • Coordinates the design of reports that integrate data from multiple sources, including design of reporting systems and standardization of metrics and formats across departments and functional areas.

  • Designs, builds and enhances database systems and applications for complex, high level reporting requirements.

  • Critically reviews and revises existing systems and applications for update and enhancement.

  • Identifies systems and operational problems and recommends solutions and changes to streamline procedures for more effective reporting.

  • Manages complex business reporting system design and implementation, including systems for QA and report documentation.

  • Functions as facilitator and/or mentor for data reporting projects, teams and task forces.

  • Provides training and mentoring for team members on best practices for analysis and reporting; assists in the development of supplemental analytic training tools and materials.

  • Supplies consultative advice to analysts in other departments and business units regarding standard business rules and algorithms.

  • Provides coordination and oversight of peer review of accuracy, completeness and report/system design and implementation.

  • Assesses business risks relating to back up for reporting design and production and develops and implements plans to mitigate risks.

  • Coordinates interaction between data analysis teams and support functions including information systems, provider relations and medical management.

  • Collaboration/leadership role in the critical review and ongoing development of data management and systems for strategically important enterprise-wide reporting.

  • Ad hoc assignments as requested.


  • 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.
  • Position requires 5 to 10 years experience in Health Care (managed care, academic, or gov't payer).
  • Extensive SAS experience required. SAS Certification(s) preferred
  • MS Office, esp. advance Excel skills and Access, Unix, SQL/PL-SQL,SAS, Tableau, Business Objects preferred. Must be able to develop new SAS programs and SQL scripts that improve the efficiency of the work of others.
  • Demonstrated ability to work with clinical coding systems (e.g., ICD9, CPT, DRG, LOINC, RxHUB).
  • 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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