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Senior Health Data Analysis Job
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| Employer Name: |
SpiderID: 14032570 |
| Location: El Segundo, California |
Date Posted: 7/19/2025 |
| Wage: Negotiable |
Category: Insurance |
| Job Code: 170024R-2191 |
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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.
Description:
There's never been a better time to join Blue Shield!
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 $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.
Job Summary:
The Health Data Analyst works with the managers in Quality Measurement to facilitate the accessibility, understanding, and active use of data required to improve the quality of care, service, and related outcomes.
Scope & Responsibilities:
• Utilizes SAS and SQL to efficiently build usable data marts, automate processes, analyze data and produce reports for business customers.
• Performs rigorous data standardization, cleanses data and ensures excellent data quality to produce accurate data and reports
• Designs, builds, and enhances data systems and applications so that they better serve specific reporting requirements
• Analyzes quality measure data (e.g., HEDIS, hospital quality measures) to support the QI department in identifying opportunities for improvement, e.g., analyzing performance, care gaps.
• Queries from health plan administrative data (e.g., claims, member, provider) to develop and produce reports that monitor and benchmark cost, utilization and other quality and performance indicators
• 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 takes action to implement solutions.
• Conducts independent analysis of high complexity under moderate supervision and guidance, develops novel analyses and reports.
• Communicates analytical results in graphs or summaries with minor editing and input from supervisor or manager.
• Develops documentation and creates and executes work plans for analyses of high complexity
• Participates on internal workgroups and committees to provide analytical insight and support for the implementation and enhancement of new programs, products, and services.
• 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.
• Participates in special projects as needed
• Produces accurate work under tight deadlines
• Manages multiple projects by effectively prioritizing work and communicating workload issues to management
• Performs all other duties as assigned.
Qualifications:
Job required Education/Experience/Education Requirements:
Required Education
Requires a BA/BS in health science, quantitative social science, public health,
Skills / Competencies
• 3-5 years managed care experience
• 1-3 years experience with clinical quality measure (e.g., HEDIS, hospital measures) data collection, analysis and reporting
• Hands on experience with clinical data such as laboratory results, registry data,
• Solid knowledge of Microsoft Office software, particularly Excel, VBA
• Must exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning, Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results).
• Must be able to develop computer programming systems using Base SAS, SAS Macro Processing, and PL-SQL. Must be able to make major modifications to programs to adapt computer programs developed by others for new applications and purposes.
• Ability to communicate effectively
• Capable of managing deadlines and working simultaneously on a variety of tasks
• Strong organizational and problem solving skills
• Self-directed, ability to anticipate and initiate tasks as necessary
• Ability to work in agile environment
Certifications:
• 3-5 years experience as a SAS programmer. Preferred SAS Certified Base Programmer Credential or equivalent.
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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