Medical Informatics Analyst, Consultant

Blue Shield of California; Cameron Park (CA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Blue Shield of California is seeking a Healthcare Quality Analytics Consultant to lead complex population health analytics and reporting initiatives. The role focuses on translating results into actionable recommendations and supporting investments to improve outcomes, equity, utilization, and affordability across lines of business.

The ideal candidate will demonstrate independence, strong communication with executives, and the ability to work across departments using multiple data sources and

Qualifications

• Bachelor’s degree or equivalent experience.
• 7+ years of healthcare analytics experience.
• Experience leading high-complexity analyses using 5+ data sources and multivariate methods.
• Proficiency with SQL/PL-SQL and SAS Base/Stat/Graph; Excel/Access reporting.

Responsibilities

• Lead complex population health analytics and reporting solutions with minimal supervision.
• Translate analytic results into clear recommendations and decisions.
• Support population health investments and improvements in outcomes, equity, utilization, and affordability.
• Develop and maintain repeatable reporting outputs in Excel and Access.
• Collaborate with executives, directors, managers and SMEs to present findings.

Skills

Analytical reasoning

Communication

Independent worker

Stakeholder collaboration

Education

Bachelor’s degree or equivalent

Tools

SQL/PL-SQL

SAS Base/Stat/Graph

R Studio

Python

Excel

Job description

Your Role

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering insights from large healthcare datasets that can lead to smarter decisions, deliver better service for customers, and contain the rising cost of healthcare. The Medical Informatics Population Health Analyst, Consultant will report to the Principal Medical Informatics Population Health Analyst. In this role you will lead complex population health analytics and reporting solutions with minimal supervision, translate analytic results into clear recommendations and decision points, and support population health investments and improvements in outcomes, equity, utilization, and affordability across lines of business.

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 7 years of relevant experience delivering healthcare analytics, including cost, quality, utilization, and/or outcomes analytics.


• Experience leading high-complexity analyses using 5 or more data sources and multivariate methods, with coordination of analytical approaches across departments.


• Demonstrated proficiency in 6 or more domains, including 2 or more clinical or health domains such as clinical coding/treatment, health databases, epidemiology/health services, econometrics, quality measurement, modeling, statistical graphics, or health insurance/finance.


• Experience developing and maintaining production code using SQL/PL-SQL and SAS Base, Stat, or Graph, and creating repeatable reporting outputs in Excel and Access with minimal supervision.


• Experience building reusable SAS Macro and PL/SQL programs for routine reporting.


• Experience using R Studio, Python, SAS or other relevant statistical software for calculating multivariate statistics, producing complex statistical graphics, and supporting applied clinical study designs such as risk adjustment or provider profiling.


• Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability.


• Ability to thrive in ambiguous situations and balance analytical problem-solving with practical business judgment.


• Excellent verbal and written communication skills, including the ability to interact professionally with executives, directors, managers, and subject matter experts.


• Ability to establish and maintain effective, collaborative relationships with key stakeholders.


• Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint to prepare materials and present to various levels of management.


• Extensive knowledge of CPT, HCPCS, ICD-10, and other related industry codes.

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.