Business Analyst, Senior

Blue Shield of CA; Oakland (CA); Hybrid; USD 120,000 - 160,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Business Analyst for Pharmacy Finance Support to own and oversee Pharmacy funding and related finance operations. You will collaborate with Finance, Data Analytics, and external vendors to resolve discrepancies, improve processes, and analyze funding trends.

The role emphasizes strong communication and problem-solving skills, with advanced Excel use for reporting and data analysis in a hybrid workplace.

Qualifications

• Bachelor's degree or HS Diploma with 4 years of relevant experience in lieu of degree.
• Requires at least 5 years of prior relevant experience.
• Advanced knowledge in pharmacy benefit claims and pharmacy operations.
• Excellent verbal and written communication with a solution-oriented approach.
• Strong analytical and problem-solving skills.
• Proficient in Excel and pharmacy claim data reporting.

Responsibilities

• Provide ownership and strategic oversight of Pharmacy funding and finance operations.
• Partner with Finance, Data Analytics, external vendors, and stakeholders to resolve discrepancies and strengthen processes.
• Analyze pharmacy funding claim trends and outlier drivers; ensure accurate tracking and approvals.

Skills

Financial analysis

Process improvement

Communication skills

Problem solving

Microsoft Excel

Education

Bachelor's degree or High School Diploma/GED + 4 years 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, Senior will report to the Manager of Pharmacy Finance Support. In this role you will provide ownership and strategic oversight of Pharmacy funding and finance operations. This role partners with Finance, Data Analytics, external vendor partners, and business stakeholders to resolve discrepancies, strengthen processes, analyze and communicate pharmacy funding claim trends and outlier drivers, and ensure the accurate tracking and approval of Pharmacy funding.
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 5 years of prior relevant experience
• Advanced knowledge in pharmacy benefit claims and pharmacy operations
• Demonstrated ability to analyze financial discrepancies, improve processes, and coordinate work across multiple teams and external partners
• Excellent verbal and written communication skills that exhibit a solution-oriented approach
• Excellent problem-solving and analytical skills
• Strong proficiency with Microsoft Excel and pharmacy claim data reporting

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.