Medical Informatics Analyst, Consultant job in Oakland

Oakland, California - CA Blue Shield Of California

Job Ref:	300001656571047
Employer:	Blue Shield Of California
Sector:	Health Insurance
Qualifications:	Unclassified
Software:	SAS
Job Type:	Full Time
Salary and Benefits:	$118,800 - $178,200 per year
Remote:	No
Location
Country:	United States
State/Province/County:	California - CA
City:	Oakland
Post Code:	Not specified
Map:	(Show on map)
Description
Job Description Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical methods so that they may be subsequently delegated for production to Medical Informatics Analysts at lower levels Produce analysis of high complexity under the guidance and direction of the Actuarial Manager Develop documentation and create and execute workplans for analyses of high complexity. Workplans may coordinate the activities of analysts at lower levels and may involve collaboration with more than one team Provide training and mentoring for team members on best practices for analysis and reporting; assist in the development of supplemental analytic training tools and materials; conducts formal training sessions for lower level analysts and analysts in other Departments Have overall responsibility and accountability for leading and managing pharmacy support work products related to target setting, reconciliation, and reporting (internal and/or external) for Pharmacy related programs. Lead and/or support other general program operations work, ranging from savings projection, accrual setting, addressing data issues and developing solutions, executing program renewals/conversions, iterative model design changes, improving and streamlining operations efficiency Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports Lead, coordinate and/or develop strategic, market and competitive analysis Ensure team follows existing, validates, and/or develops new work-flow procedures or policies Qualifications Your Knowledge and Experience Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience Requires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalent Requires at least 7 years of prior relevant experience Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer) Requires health insurance data background including ICD-10 codes, utilization measurement, and service type categorization Prior experience related to pharmacy claim data preferable Pay Range: The pay range for this role is: $ 118800.00 to $ 178200.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-CS4 About the Team Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen. Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us! Our Values: Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes. Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model: Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work. Two ways of working: Hybrid (our default) and office Hybrid - In a business unit approved office a few times per year to 3 days per week, on average Office - In a business unit approved office 4+ days a week, on average. If the role you're applying for is deemed an "Essential Role," the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification. Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity: 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.

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Medical Informatics Analyst, Consultant job in Oakland

Oakland, California - CA Blue Shield Of California

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