Medical Informatics Analyst, Senior

Blue Shield of CA; Los Angeles (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 partner with leaders to develop dashboards, insights, and reports that optimize performance and support key business objectives.

In this hybrid role, you will combine in-office collaboration with flexible work arrangements, contributing to cost optimization and member experience improvements through data-driven decisions.

Qualifications

• Bachelor's degree or equivalent with additional relevant experience is required
• 5+ years of experience in healthcare analytics or appeals & grievances is preferred
• Proficiency in Python and advanced SQL is highly desired
• Experience with Power BI and Tableau for data visualization
• Experience with cloud-based analytics tools like Snowflake or Databricks
• Knowledge of statistical analytics, forecasting, and ML/NLP is a plus

Responsibilities

• Develop data-driven insights, operational reports, and dashboards to support decision-making
• Collaborate with business leaders across Appeals & Grievances and other areas to deliver analytical solutions
• Produce data-driven recommendations to improve performance and reduce costs

Skills

Python programming

SQL (Advanced)

Data visualization

Cloud analytics

Statistical analytics

Machine learning / NLP

Stakeholder communication

Education

Bachelor's degree or equivalent

Tools

Power BI

Tableau

Snowflake

Databricks

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.