Pharmacy Quality & Member Experience Analyst (Hybrid)

Blue Shield of CA

Lodi (CA)

Hybrid

USD 120,000 - 160,000

Full time

9 days ago

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Job summary

Blue Shield of California is seeking a Business Analyst, Consultant, Rx Quality Performance to join our Clinical Pharmacy Programs team. You will support development, measurement, and continuous improvement of Pharmacy initiatives across Commercial and Medicare lines, using performance analytics, program management, and executive reporting to drive member-centered improvements.

The role requires a bachelor's degree, 7+ years of relevant experience, and strong analytical skills with knowledge of

Qualifications

Bachelor's degree or equivalent experience.
7+ years of prior relevant experience.
Minimum of 3 years' experience in managed care preferred.
Strong analytic and problem-solving skills with knowledge of pharmacy data elements and related standards (claims, e-prescriptions, real time pharmacy benefits).
Excellent written, verbal, and interpersonal communication skills.
Experience working independently in a fast-paced environment.

Responsibilities

Support development, measurement, and continuous improvement of Pharmacy initiatives across Commercial and Medicare lines.
Utilize performance analytics, program management, member experience insights, and executive reporting to identify opportunities and drive improvements.
Collaborate with Pharmacy Strategy & Operations to deliver member-centered outcomes.