Data Analyst - Health, Consultant

Blue Shield of CA; Long Beach (CA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Blue Shield of CA is seeking a Data Analytics Consultant to support provider network performance analysis and regulatory filings. The role focuses on analytics, reporting, and consulting to guide network design in support of strategic roadmaps.

The successful candidate will manage and oversee analytics for regulatory filings across Commercial, Medi-Cal and Medicare networks, and provide consultative support during contract negotiations and pricing activities. A hybrid in-office model applies.

Qualifications

• Bachelor's degree or higher required; 4 years experience in lieu of degree accepted.
• 7+ years in Health Care (managed care, academic, or gov't payer).
• Experience developing SAS programs and SQL scripts.

Responsibilities

• Develop analytics and supporting materials for network performance analysis.
• Support regulatory network filing artifacts for regulators (Commercial, Medi-Cal, Medicare).
• Provide analytics, reporting, and oversight of provider networks to meet access and availability standards.
• Assist in contract negotiations, pricing activities, and product/network strategy planning.

Skills

Analytics

Time management

Presentation skills

Problem solving

Collaboration

Education

Bachelor's degree

Tools

SAS

SQL

Tableau

Excel

Access

Unix

Job description

Your Role

The HCQA team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups. Our team (Network Performance Analysis and Contracts) is part of the HCQA Division 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's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups. In this role you will (1) provide analysis and consultative services on new network design in support of corporate strategic roadmap; (2) manages and oversees development and production of regulatory network filing artifacts as required by regulators for all Blue Shield and Promise Health Plan Commercial, Medi-Cal and Medicare networks; (3) provides network analytics, reporting and oversight on existing networks to ensure meeting regulatory access, availability standards as defined by regulators; and (4) provides consultative and analytical support as needed to during contract negotiations, pricing activities and product/network strategy roadmap planning. The Data Analytics Consultant will report to the Manager. This role serves as a critical analytical and strategic partner to the organization, connecting network performance data with regulatory requirements and business priorities. Your ability to identify access trends, communicate meaningful insights, and collaborate across teams will help drive regulatory readiness, strengthen network performance, and support sustainable solutions for member access.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of relevant experience in lieu of a degree
• Requires at least 7 years' experience in Health Care (managed care, academic, or gov't payer)
• Preferred MPH, MBA, MS, MA
• Ability to develop new SAS programs and SQL scripts that improve the efficiency of the work of others
• Broad knowledge of project management
• Experience with MS Office, especially Excel and Access, Unix, SQL/PL-SQL,SAS
• Familiarity with visualization tools such as Tableau
• Strong analytics skills, strong problem-solving skills. Strong Presentation skills.
• Must possess excellent time management and organizational skills to be able to handle multiple complex projects simultaneously

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.