Medical Informatics Analyst, Senior

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 90,000 - 120,000; 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 develop data-driven insights, dashboards, and reports, collaborating with Appeals & Grievances and other areas to drive informed decision-making and cost optimization.

In this hybrid role, you will work in-office part-time, balancing collaboration with flexibility. Strong Python, SQL, and data visualization skills are required, with experience in cloud

Qualifications

• Bachelor's degree or 4 years of additional relevant experience in lieu of a degree.
• Minimum 5 years of prior relevant experience, healthcare/appeals and grievances is a plus.
• Experience programming in Python or equivalent is strongly desired.
• Advanced SQL with complex joins, subqueries, CTEs, and window functions.
• Experience with 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; NLP a plus.

Responsibilities

• Develop data-driven insights, operational reports, dashboards, and analytical solutions for decision-making.
• Collaborate with business leaders across Appeals & Grievances and other areas to optimize performance.
• Support key business objectives and improve member, provider, and broker experience.

Skills

Python programming

Advanced SQL

Data visualization

Machine learning concepts

Education

Bachelor's degree or High School Diploma/GED

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.