Network Analytics & Strategy Consultant (Hybrid)

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Blue Shield of California is seeking a Data Analytics Consultant within the HCQA division to support network performance analysis and regulatory readiness. You will drive analytics to inform strategic design for physician networks, hospitals, and medical groups, and oversee regulatory filing artifacts as required by regulators.

The role partners with contract negotiations, pricing activities and product/network strategy, delivering actionable insights.

Qualifications

• Bachelor's degree or equivalent with 4 years of relevant experience
• 7+ years in Health Care (managed care, academic, or gov't payer)
• Proficiency developing SAS programs and SQL scripts
• Knowledge of project management principles and practices
• Experience with Excel and Access; SQL/PL-SQL; SAS
• Familiarity with Tableau for visualization
• Strong analytics, problem-solving, and presentation skills

Responsibilities

• Provide analysis and consultative services on new network design aligning with strategic roadmap
• Oversee development and production of regulatory network filing artifacts for Commercial, Medi-Cal and Medicare networks
• Deliver network analytics, reporting and oversight to meet regulatory access and availability standards
• Support contract negotiations, pricing activities and product/network strategy planning

Skills

SQL scripting

SAS programming

Project management

Tableau

Excel

Access

Unix

Data visualization

Strong analytics

Presentation skills

Education

Bachelor's degree or equivalent

MPH

MBA

MS

Tools

Tableau

SAS

SQL/PL-SQL

MS Office

Excel

Access

Unix

Job description

Blue Shield of California is seeking a Data Analytics Consultant within the HCQA division to support network performance analysis and regulatory readiness. You will drive analytics to inform strategic design for physician networks, hospitals, and medical groups, and oversee regulatory filing artifacts as required by regulators.

The role partners with contract negotiations, pricing activities and product/network strategy, delivering actionable insights.