Business Analyst, Consultant at Blue Shield of CA in Oakland, California

Job Description:

Job Summary

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, not-for-profit 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 are 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.

Blue Shield of California is seeking a Business Analyst, Consultant in Growth and Solutions Division. The Consultant Business Analyst's primary responsibility is to provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations.as well as guide tactical and strategic actions using the best-in-class analyses and robust analytic tools.

The HCQA Division is responsible for developing, maintaining, and managing the relationship with Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPAs, and medical groups.

Our team (Network Performance Analysis and Contracts) is part of the Growth and Solutions Division and focuses on provider network performance analysis, reporting, and consulting. The NPAC team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPAs, and medical groups.

Our team focuses on provider network performance analysis, reporting, and consulting. Some of our key responsibilities are (1) provide consultative services to Blue Shield's key hospital contract negotiations using robust analytic tools and analyses--strategic contract roadmap, negotiation factsheets, and presentations of key market and performance indicators; (2) summarize and distribute competitive benchmarking reports (3) produce performance guarantees for employer accounts; (4) develop and maintain centralized databases and reports to measure network performance; and (5) manage the nuts & bolts of standardized Model Contracts and amendments..

This position can be located in our Oakland headquarter or in Woodland Hills.

Responsibilities

• Develops, prepares, and provides highly complex analysis and analytical support through the analysis and interpretation of different data sources to support different cross-functional business operations.


• Collects, analyzes, and synthesizes data; develops information to guide business decision making for BSC's cost of health care management and provider network strategies.


• Responsible for all aspects of Competitive Intelligence. Be able to support and produce highly complex competitive intelligence analyses and presentations using different sources and make recommendations on outcomes to different stakeholders.


• Support BSC's key hospital negotiations using robust analytic tools. Translate data analysis into insightful and actionable items for internal customers.


• Produce hospital and IPA negotiation checklists using a variety of analytic tools and data sources.


• Collaborate with and support other teams such as network managers in developing provider negotiation strategies.


• Continuously collaborate with internal stakeholders and customers to identify enhancement opportunities to improve efficient and quality.


• Manage projects that may involve coordinating a team and working with different stakeholders.


• Assist in designing, maintaining, and updating of the provider contracting roadmap.


• Provide a consultative support for cost of healthcare program (providing analysis, building tools, etc.)


• Independently writes reports and presents data in formats such as abstracts, graphs, or summaries.


• Produce executive level presentations/reports for internal and external customers.


• Ad hoc assignments as requested.


• Provide leadership and mentoring to less experienced analysts.

Knowledge and Experience

• Bachelor's degree preferred.


• 7 years relevant (data analysis) experience or equivalent combination of education and experience.


• Healthcare analytics experience, experience and knowledge with provider reimbursement and negotiation a plus.


• Excellent interpersonal skills.


• Excellent communication and presentation skills, previous experience in presenting to mid to senior leaders.


• Good business acumen, ability to work in a team environment.


• Good math, analytical and problem-solving skills.


• Intermediate to Advanced knowledge of MS Excel (able to model, use formula).


• Word, Access (link tables, run queries), and PowerPoint.


• SAS and SQL knowledge preferred.


• Ability to work in a team environment.


• Ability to work independently, proactively and with little direction and limited oversight.

Additional Information

• About Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Weare excited to share Blue Shield of California has received awards and recognition for a" LGBT diversity, quality improvement, most influential women in corporate America, Bay Areaas top companies in volunteering & giving, and one of the worldas most ethical companies. Here at Blue Shield of California, weare striving to make a positive change across our industry and the communities we live in a" Join us!










• Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
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• EEO Footer: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.











• Requisition ID: 210022Z













• Posting Date: Jul 20, 2021











• Schedule: Full-time

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