Medical Informatics Analyst, Senior

Blue Shield of CA; San Diego (CA); Hybrid; USD 130,000 - 170,000; Full time

Job summary

Blue Shield of CA seeks a Senior Medical Informatics Analyst to deliver data-driven insights, analytical reports, and dashboards that empower decision-making across Appeals & Grievances and other teams.

You will collaborate with business leaders to develop solutions, improve performance, and support core objectives through advanced analytics, forecasting, and ML/NLP capabilities whenever applicable.

Qualifications

• Bachelor's degree or equivalent and 4 years of relevant experience.
• 5 years of prior relevant experience; healthcare and appeals experience a plus.
• Strong Python or equivalent programming experience.
• Advanced SQL with complex joins, subqueries, CTEs, and window functions.
• Experience with Power BI and Tableau; cloud analytics tools like Snowflake or Databricks.
• Experience in statistical analytics, modeling/forecasting, machine learning, NLP is a plus.

Responsibilities

• Develop data-driven insights, operational reports, and analytical solutions.
• Create dashboards to enable informed decision-making and performance improvements.
• Collaborate with business leaders and analysts across Appeals & Grievances and other areas.
• Support key business objectives through analytics and self-service tools.

Skills

Analytical thinking

Communication

Collaboration

NLP (plus)

Education

Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree

Tools

Python

SQL

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.