Medical Informatics Analyst, Senior

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

Job summary

Blue Shield of CA is seeking a Senior Medical Informatics Analyst to join the Health Plan Operations Analytics and Reporting team. You will collaborate with business leaders to develop data-driven insights, operational reports, dashboards, and analytical solutions that enable informed decisions and improved performance.

Based in California with a hybrid schedule, you will work with Appeals & Grievances and other areas to deliver solutions that support business objectives and optimize member,

Qualifications

• Bachelor's degree or HS diploma with 4 additional years of relevant experience in lieu of a degree.
• Minimum 5 years of relevant healthcare analytics or Appeals & Grievances experience.
• Proficiency in Python and advanced SQL concepts.
• Experience with Power BI and Tableau for data visualization.
• Experience with Snowflake or Databricks in cloud analytics.
• Experience in statistical analytics, modeling/forecasting, ML and NLP is a plus.

Responsibilities

• Develop data-driven insights, operational reports, dashboards, and analytical solutions to support decision-making.
• Create dashboards and analytical solutions across business units to improve performance.
• Collaborate with leaders to optimize costs and identify growth opportunities for members, providers, and brokers.
• Support key business objectives for the health plan with accurate analytics and reports.

Skills

Python

SQL

Power BI

Tableau

Snowflake

Databricks

Machine learning

Natural language processing

Education

Bachelor's degree or equivalent

Job description

Your Role

The Health Plan Operations Analytics and Reporting team delivers trusted analytics, operational reporting, and self-service dashboard solutions that empower business partners to make informed decisions, optimize performance, reduce costs, identify growth opportunities, and improve the experience of members, providers, and brokers. The Senior Medical Informatics Analyst will report to the Senior Medical Informatics Manager. In this role, you will collaborate with business leaders and analysts across Appeals & Grievances and other operational areas to develop data-driven insights, operational reports, dashboards, and analytical solutions that enable effective decision-making, improve performance, and support key business objectives.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• 5 years of prior relevant experience. Healthcare and appeals and grievances experience a plus
• Experience programming in Python or equivalent strongly desired
• Advanced SQL, complex joins, subqueries, CTEs, window functions
• Experience in data visualization tools like Power BI and Tableau
• Experience with cloud-based analytics tools like Snowflake or Databricks
• Experience in statistical analytics, modeling/forecasting, machine learning, natural language processing a plus
  

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.