Network Analytics Consultant – Regulatory & Strategy (Hybrid)

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

Job summary

The HCQA Data Analytics Consultant at Blue Shield of CA collaborates across the Network Performance Analysis and Contracts teams to analyze provider networks and regulatory filings. You will deliver analytics, reporting, and consultative services to guide network design, pricing, and strategy within a hybrid in-office model.

With 7+ years in health care and strong SAS/SQL skills, you will craft insights, develop data-driven solutions, and support regulatory readiness while partnering with

Qualifications

• Bachelor's degree or equivalent with 4 years of relevant experience in lieu of a degree.
• At least 7 years' experience in Health Care (managed care, academic, or gov't payer).
• Preferred MPH, MBA, MS, MA.
• Ability to develop new SAS programs and SQL scripts to improve efficiency.
• Broad knowledge of project management.
• Experience with MS Office, especially Excel and Access, Unix, SQL/PL-SQL, SAS.
• Familiarity with Tableau for visualization.
• Strong analytics, problem-solving, and presentation skills.
• Excellent time management and ability to handle multiple projects.

Responsibilities

• Provide analysis and consultative services on new network design aligned with corporate strategy.
• Manage and oversee development and production of regulatory network filing artifacts.
• Provide network analytics, reporting and oversight on existing networks to meet regulatory standards.
• Offer consultative and analytical support during contract negotiations, pricing, and product/network strategy planning.

Skills

SAS

SQL/PL-SQL

Tableau

Excel

Access

Unix

Education

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

Tools

SAS

SQL/PL-SQL

Tableau

Job description

The HCQA Data Analytics Consultant at Blue Shield of CA collaborates across the Network Performance Analysis and Contracts teams to analyze provider networks and regulatory filings. You will deliver analytics, reporting, and consultative services to guide network design, pricing, and strategy within a hybrid in-office model.

With 7+ years in health care and strong SAS/SQL skills, you will craft insights, develop data-driven solutions, and support regulatory readiness while partnering with