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Blue Shield of California

California nonprofit health insurance provider

Manager Data Analyst - Provider Performance Analysis

Data AnalysisPosted on Nov 12
Full-time$111.5k - $188.7kHybrid

About the Job

Requirements

  • A bachelor's degree is required, or a high school diploma/GED with four years of additional relevant experience in lieu of a degree.
  • Seven years of prior relevant experience in business analysis, data analytics, operational performance, network performance, or a related discipline is required.
  • Two years of prior people-management experience gained as a team leader, supervisor, project/program manager, or manager of contingent workers is required, including experience leading professional staff and managing team performance, priorities, and deliverables.
  • An understanding of basic management approaches, including work scheduling, prioritizing, coaching, process execution, work organization, risk management, and delegation, is required.
  • Strong analytical, problem-solving, and critical-thinking skills are required, including the ability to structure ambiguous business problems and develop actionable recommendations.
  • Strong written and verbal communication skills are required, including the ability to communicate complex information clearly.
  • Demonstrated ability to build relationships and influence cross-functional projects and operational decisions is required.
  • Strong organizational, prioritization, coaching, risk-management, delegation, and project-management capabilities are required.

Responsibilities

  • Manage the analytics team to ensure high-quality output for internal and external clients.
  • Lead the analytics team and establish priorities, work plans, deliverables, service expectations, and performance objectives.
  • Ensure analytical products are accurate, timely, actionable, and aligned with stakeholder requirements.
  • Synthesize complex data and business information into meaningful insights, recommendations, strategies, and executive-ready presentations.
  • Develop, prepare, and analyze reports, dashboards, and business analyses for management review and decision-making.
  • Identify and implement opportunities to improve operational performance, analytical processes, reporting practices, data quality, and stakeholder service.
  • Partner with stakeholders to define business requirements and translate business needs into analytical and operational solutions.
  • Lead or provide analytical support for multiple concurrent projects and business initiatives.
  • Monitor project risks, issues, and critical dependencies; resolve issues within the scope of authority or escalate them with recommended solutions.
  • Build trusted relationships with cross-functional partners and influence project and operational decisions through data-driven analysis and subject-matter expertise.
  • Lead, direct, prioritize, and review the work of professional staff.
  • Establish individual and team goals aligned with departmental objectives and business priorities.
  • Coach and develop employees through ongoing feedback, career development, knowledge sharing, and performance management.
  • Support hiring, performance, development, recognition, promotion, and other talent decisions in accordance with organizational guidelines.

Desired Qualifications

  • Experience in healthcare, health plan operations, provider networks, or a related healthcare environment is preferred.
  • A master's degree in Public Health (MPH), Business Administration (MBA), Science (MS), or Arts (MA) is preferred.
  • SAS Base and Advanced Certification is preferred.
  • Broad knowledge of project management is preferred.
  • Demonstrated ability to work with clinical coding systems, including ICD-10, CPT, DRG, LOINC, and RxHUB, is preferred.

About the Company

Blue Shield of California

California nonprofit health insurance provider

Blue Shield of California is a nonprofit health plan provider that offers medical insurance options for individuals, families, and employers within California. It operates as a mutual benefit corporation and maintains a broad network of healthcare professionals and facilities, enabling members to access care and manage claims through an online portal. Its services include preventive care programs and digital health coaching, with prior authorization required for certain medical, surgical, and some prescription drugs to control costs and ensure medical necessity. The company draws a substantial portion of its membership from CalPERS and focuses on delivering stable, affordable access to care within the state. Its goal is to provide members with reliable health coverage, a wide provider network, and tools to manage their health and expenses efficiently.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1939

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