Senior Principal, Medical Informatics Analyst - Behavioral Health

Blue Shield of CA; Los Angeles (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

Blue Shield of California is seeking a Senior Principal in Medical Informatics to support the Network Management team with financial modeling and analytics for behavioral health. This role demands extensive experience in healthcare contracting, particularly within behavioral health, and a strong analytical skill set for reporting and cost measurement.

Qualifications

• 10 years of relevant experience required.
• 5 years' experience in managed care, academic, or government payer sectors.
• Experience with behavioral health financial reporting.

Responsibilities

• Responsible for behavioral health finance analytics.
• Oversight of provider contracting analytics.
• Support care coordination opportunities.

Skills

Healthcare contracting

Financial reporting

Analytical skills

Critical thinking

Team leadership

Education

Bachelor's degree or equivalent experience

MPH, MBA, MS, MA, RN, or RHIA

Tools

SAS Certified Base Programmer

SAS Certified Advanced Programmer

Job description

Your Role

The Network Contracting and Trend Analytics (NTA) team supports the Network Management team with analytical and financial modeling for provider contracting and network development activities for Blue Shield of California. The Senior Principal, Medical Informatics of NTA will report to the Senior Director of NTA. In this role, you will be responsible for behavioral health finance analytics, including measurement of internal healthcare costs, reporting, analytics supporting care coordination opportunities, and oversight of provider contracting analytics.

Our leadership model focuses on developing great leaders at all levels and creating opportunities for personal, professional, and financial growth. We seek leaders energized by creative and critical thinking, building and sustaining high-performing teams, achieving results ethically, and fostering continuous learning.

Your Knowledge and Experience

• Requires a college degree or equivalent experience


• Preferred qualifications include MPH, MBA, MS, MA, RN, or RHIA


• Requires at least 10 years of relevant experience


• Minimum of 5 years' experience in healthcare, including managed care, academic, or government payer sectors


• Experience in healthcare contracting with a behavioral health specialty


• Experience developing programs that lead to CoHC savings, with extensive vendor knowledge of financial healthcare within behavioral health


• Experience with behavioral health financial reporting and modeling


• Comfortable working in a dynamic business environment seeking optimal solutions in behavioral health


• Possession of a SAS Certified Base Programmer Credential or equivalent, or a SAS Certified Advanced Programmer Credential or equivalent