Hybrid Data Analytics Consultant: Network & Compliance

Blue Shield of California; Los Angeles (CA); Hybrid; USD 112,000 - 167,000; Full time

Job summary

Blue Shield of California is seeking a Data Analytics Consultant in the HCQA Division to lead network performance analytics and translate regulatory requirements into practical strategies. You will build executive-ready reporting and collaborate across Commercial, Medicare, and Medi-Cal to strengthen member access.

The role emphasizes data-driven insights, rigorous validation, and presentation of complex results to non-technical audiences.

Qualifications

• Bachelor's degree or equivalent in a health, data science, or related field.
• 7+ years in Health Care with data analytics and regulatory reporting.
• Experience developing SAS programs and SQL scripts to improve efficiency.
• Strong MS Office skills, including Excel and Access; Unix and SQL/PL-SQL familiarity.
• Experience with data visualization tools such as Tableau or Power BI.

Responsibilities

• Lead network adequacy and Access & Availability analytics across Commercial, Medicare, and Medi-Cal.
• Translate state and federal requirements into policies, analyses, and compliance assessments.
• Perform complex network analyses to inform strategy, remediation, and expansion.
• Prepare data for regulatory reporting and filings with DMHC, CMS, DHCS, CDI, and NCQA.
• Develop dashboards and executive insights on performance, trends, and compliance risk.
• Collaborate with stakeholders to assess regulatory changes and risk, and implement data-driven solutions.
• Present findings to committees and leadership using Excel, PowerPoint, and visuals.

Skills

Data analysis

Regulatory reporting

Presentation skills

Project management

Stakeholder collaboration

Education

Bachelor's degree in health/related field

MBA / MPH / MS preferred

Tools

SQL

SAS

Power BI

Tableau

Excel

Access

Unix

SQL/PL-SQL

MS Office

Job description

Blue Shield of California is seeking a Data Analytics Consultant in the HCQA Division to lead network performance analytics and translate regulatory requirements into practical strategies. You will build executive-ready reporting and collaborate across Commercial, Medicare, and Medi-Cal to strengthen member access.

The role emphasizes data-driven insights, rigorous validation, and presentation of complex results to non-technical audiences.