Business Analyst, Consultant

Blue Shield of California; California; Hybrid; USD 103,000 - 154,000; Full time

Job summary

Blue Shield of California is seeking a Business Analyst, Consultant for the Healthcare Quality and Affordability Strategy, Planning, and Performance team. The role translates business needs into clear requirements, supports intake and prioritization, analyzes processes and data, and ensures solutions align with enterprise strategy.

Hybrid work with in-office two days weekly; location includes multiple CA offices; collaboration with product managers, operations, technology, and vendors in an

Qualifications

• Experience documenting business requirements, user stories, and acceptance criteria for cross-functional initiatives.
• Ability to define user journeys and business process needs within requirements to meet stakeholder needs.
• Experience with Agile delivery environments and coordinating with executives, Product Managers, and operations.
• Healthcare industry knowledge preferred.

Responsibilities

• Define business requirements and analysis to improve KPIs per business case.
• Build business cases for new initiatives (cost/benefit).
• Elicit, document, validate requirements, user stories, acceptance criteria, flows, and rules with PMs, ops, tech, and vendors.
• Analyze current and future state processes to identify gaps and improve efficiency.
• Support intake, discovery, business case development, and prioritization with stakeholders.
• Partner with Agile teams to refine backlogs, plan readiness, track dependencies, ensure alignment.
• Prepare executive summaries, updates, traceability, and decision materials.
• Provide complex analytical support through data interpretation for cross-functional ops.

Skills

Analytical thinking

Problem-solving

Facilitation

Communication skills

Agile delivery

Stakeholder collaboration

Education

Bachelor’s degree or High School Diploma/GED with 4 years of experience in lieu of degree

Tools

Jira

Confluence

Visio

PowerPoint

Excel

Reporting dashboards

Lucidchart

Job description

Your Role

The Healthcare Quality and Affordability Strategy, Planning, and Performance team works with business, operations, technology, and vendor partners to deliver measurable improvements in quality, affordability, compliance, and member and provider experience. The Business Analyst, Consultant will translate business needs into clear requirements, support intake and prioritization, analyze processes and data, and help ensure delivery team’s solutions are aligned with departmental goals and enterprise strategy.

Job Description

The Healthcare Quality and Affordability Strategy, Planning, and Performance team works with business, operations, technology, and vendor partners to deliver measurable improvements in quality, affordability, compliance, and member and provider experience. The Business Analyst, Consultant will translate business needs into clear requirements, support intake and prioritization, analyze processes and data, and help ensure delivery team’s solutions are aligned with departmental goals and enterprise strategy.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

Your Work

In this role, you will:

• Define business requirements and provide analysis to increase key performance indicators as defined by business case
• Help build business cases for new business initiatives (cost/benefit analysis)
• Elicit, document, and validate business requirements, user stories, acceptance criteria, process flows, and decision logic in partnership with Product Managers, Product Owners, operations, technology, and vendor teams
• Analyze current-state and future-state business processes to identify gaps, dependencies, risks, duplication of effort, and opportunities to improve operational efficiency
• Support intake, discovery, business case development, and prioritization activities by gathering stakeholder input, defining scope, and preparing analysis for leadership review
• Partner with Agile teams to refine backlogs, clarify requirements, support PI planning readiness, track dependencies, and ensure deliverables remain aligned to business outcomes
• Prepare executive-ready summaries, operational updates, requirements traceability, and decision materials that communicate progress, issues, impacts, and recommended next steps
• Provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations

Qualifications

Your Knowledge and Experience

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires at least 7 years of prior relevant experience
• Experience documenting business requirements, user stories, acceptance criteria, process flows, and business rules for complex cross-functional initiatives required
• Ability to define user experiences, journeys, and business process needs within business requirements to ensure solutions meet stakeholder, member, provider, and operational needs required
• Strong analytical, problem-solving, facilitation, and communication skills with the ability to translate complex business needs into clear, actionable requirements
• Experience working with Business Stakeholders, Executives, Product Managers, Product Owners, technology teams, operations partners, and vendors in an Agile delivery environment required
• Healthcare, health plan, quality, affordability, regulatory, provider, or member experience domain knowledge strongly preferred
• Experience with Jira, Confluence, Visio, PowerPoint, Excel, reporting dashboards, or other tools used to support requirements management, analysis, and stakeholder communication strongly preferred
• Experience using tools such as Lucid chart, Visio, or similar platforms to define user journeys, process flows, wireframes, and user experience requirements is strongly preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Us

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 is a 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

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• 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.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.

JOB INFO

Job Identification : 20261642

Job Category : Business and Data Analysis

Posting Date : 2026-10-06T21:46:31+00:00

Job Schedule : Full time

Locations :

San Diego, CA, United States

CA, United States

Long Beach, CA, United States

El Dorado Hills, CA, United States

Lodi, CA, United States

Oakland, CA, United States

Rancho Cordova, CA, United States

Redding, CA, United States

Woodland Hills, CA, United States

Pay Range for California : $102850.00 to $154330.00

Pay Range for Bay Area : $115940.00 to $173972.00

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 experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Role can be filled by a candidate requiring sponsorship : No