Data Analyst - Health, Consultant

Job Description

Your Role

The Network Performance Analysis and Contracts (NPAC) team is part of the Network Management and Provider Partnerships department 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 of California and Promise Health Plan's (PHP) network of physicians, hospitals, ambulatory surgery centers, HMO IPAs, and medical groups. The Data Analyst-Health, Consultant role will report to the Director, Provider Services-Network. In this role, you will support various strategic and tactical initiatives and projects. You will conduct complex analysis, provide interpretations needed for insight and recommendations as well as lead key discussions and collaborate with various business units as thought partner and expert.

Responsibilities

Your Work

In this role, you will:

• Lead, facilitate, and/or drive cross-functional network strategy initiatives as it relates to the end-to-end process; scope inclusive of business, infrastructure and operational changes needed to support the effort
• Identify, develop, and implement processes in support of network strategy that enable optimization, efficiency, and standardized reporting/monitoring
• Independently manage projects that may involve coordinating a team and working with different stakeholders
• Collect, analyze, synthesize, and translate data into insightful and actionable items for internal customers. Summarize findings and present data in formats such as excel pivots, PowerPoint, Tableau, reports, grids, and tables
• Conduct complete access assessments inclusive of spatial analysis and fill-the-gap producing summaries for network strategy and/or contracting efforts
• Participate and collaborate with cross-functional workgroups; support other internal teams such as Contracting, Provider Partnerships, Delegation Oversight, and Provider Operations in developing strategies for improving overall processes, data integrity, and new mandates/regulatory requirements impacting provider networks
  
  

Qualifications

Your Knowledge and Experience

• Requires a MPH, MBA, MS, MA in science, social science, public health, MIS, computer science, health services research or business, or BA/BS with demonstrated equivalent work experience
• Requires 7 years experience in Health Care (managed care, academic, or government payer)
• Healthcare analytics experience is preferred
• Excellent interpersonal skills, communication and presentation skills, previous experience in presenting to 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) and Access (link tables, run queries)
• Tableau and SAS experience is preferred
• Ability to work in a team environment
• Ability to work independently, proactively and with little direction
  
  

About The Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. 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 achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield isa U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. 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 listen and communicate effectively, showing empathy by understanding others' perspectives.
• 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:

At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:
• Member-facing and approved out-of-state roles remain remote.
• Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.
  
  

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.

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.