Medical Informatics Analyst, Senior

Blue Shield of CA; Oakland (CA); Hybrid; USD 110,000 - 170,000; Full time

Job summary

Blue Shield of California is seeking a Senior Medical Informatics Analyst to join the Health Plan Operations Analytics and Reporting team. You will collaborate with leaders across Appeals & Grievances and other areas to create data-driven insights, dashboards, and analytics solutions that drive informed decisions and improve member, provider, and broker experiences.

This hybrid role requires in-office presence two days per week, with in-person time determined by business needs and location.

Qualifications

• Bachelor's degree or equivalent with 4+ years of relevant experience.
• 5+ years of relevant healthcare analytics experience preferred.
• Proficient in Python and advanced SQL with complex queries.
• Strong experience with Power BI and Tableau for dashboards.
• Experience with cloud analytics tools like Snowflake/Databricks.

Responsibilities

• Develop data-driven insights, dashboards, and analytics solutions.
• Collaborate with leaders across Appeals & Grievances and other areas.
• Enable informed decisions to improve performance and costs.
• Support business objectives with self-service analytics.

Skills

Python programming

Advanced SQL

Statistical analytics

Modeling/forecasting

Machine learning

Natural language processing

Education

Bachelor's degree or equivalent + 4 years experience

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.