Business Analyst, Experienced

Blue Shield of CA; Lodi (CA); Hybrid; USD 85,000 - 120,000; Full time

Job summary

Blue Shield of CA is seeking a Business Analyst, Experience in the Pharmacy Finance Support team. You will validate payments, coordinate approvals, and research discrepancies to support the pharmacy portfolio budget.

The role requires knowledge of pharmacy benefit claims and strong Excel skills, with 2 days in-office under a hybrid model and collaboration with Finance and external partners.

Qualifications

• Knowledge of pharmacy benefit claims and pharmacy operations.
• Experience in business analysis, financial operations, payment validation, reconciliation, controls, or audit support.
• Ability to analyze discrepancies, maintain accurate financial tracking, and manage recurring operational deadlines.
• Excellent verbal and written communication skills with a solution-oriented approach.
• Proficient in Microsoft Excel.

Responsibilities

• Support day-to-day pharmacy funding and administrative invoice operations by validating payments.
• Coordinate approvals, research discrepancies, and track funding activity.
• Maintain accurate process documentation and assist with audits and controls.

Skills

Analytical thinking

Communication

Education

Bachelor's degree

High School Diploma/GED with 4 years of relevant experience

Tools

Microsoft Excel

Job description

Your Role

The Pharmacy Finance Support team supports Pharmacy Strategy and Operations in managing impacts to the Pharmacy portfolio budget, ensuring proper approvals, and validating invoices from strategic vendors prior to payment. The Business Analyst, Experience will report to the Manager of Pharmacy Finance Support. In this role you will support day-to-day pharmacy funding and administrative invoice operations by validating payments, coordinating approvals, researching discrepancies, tracking funding activity, and maintaining accurate process documentation. This role partners with Finance, Data Analytics, external vendor partners, and business stakeholders to resolve discrepancies, helps ensure financial controls, audit readiness, and timely execution across pharmacy payments activities.

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.

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 3 years of prior relevant experience
• Knowledge of pharmacy benefit claims and pharmacy operations
• Experience in business analysis, financial operations, payment validation, reconciliation, controls, or audit support
• Ability to analyze discrepancies, maintain accurate financial tracking, and manage recurring operational deadlines
• Excellent verbal and written communication skills that exhibit a solution-oriented approach
  Proficient in Microsoft Excel

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.