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Job Details

Business Analyst Senior

Location
Monterey Park, CA, United States

Posted on
Oct 11,2019

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Job Description:
Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. **MEMBERS ONLY**SIGN UP NOW***. is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the **MEMBERS ONLY**SIGN UP NOW***. Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.
**MEMBERS ONLY**SIGN UP NOW***. is seeking a Senior Business Analyst in HCQA Division. The Senior Business Analysts primary responsibility is to guide tactical and strategic actions using the best-in-class analyses and robust analytic tools.
The HCQA Division is responsible for developing, maintaining, and managing the relationship with Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPAs, and medical groups.
Our team (Network Performance Analysis and Contracts) is part of the HCQA Division and focuses on provider network performance analysis, reporting, and consulting. The NPAC team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups.
Our team focuses on network design, maintenance and regulatory support. Some of our key responsibilities are (1) provide analysis and consultative services on new network design in support of corporate strategic roadmap, (2) manages and oversees development and production of regulatory network filing artifacts as required by regulators for all Blue Shield commercial and Medicare networks, (3) provides network analytics, reporting and oversight on existing networks to ensure meeting regulatory access, availability standards as defined by regulators, and (4) provides consultative and analytical support as needed to during contract negotiations, pricing activities and product/network strategy roadmap planning.
This position can be located in our San Francisco, Rancho Cordova or Woodland Hills offices.
RESPONSIBILITIES:
* Collects, analyzes and synthesizes data, develops artifacts and summaries in response to regulatory filings and comment letters.
* Support BSCs key network initiatives using robust analytic tools. Translate data analysis into insightful and actionable items for internal customers.
* Produce geo-access reports and analysis/summaries for regulatory filings.
* Collaborate with internal stakeholders and customers to identify enhancement opportunities to improve data collection, integrity and efficiencies.
* Collaborate with and support other teams such as network managers and Access & Availability workgroup in developing strategies in support of data collection, reporting, network adequacy assessments as it pertains to new and existing networks.
* Manage projects that may involve coordinating a team and working with different stakeholders.
* Independently summarize findings and presents data in formats such as excel pivots, power point, reports, grids and tables.
* Support development of presentations/reports for internal and external customers
* Ad hoc assignments as requested.
**MEMBERS ONLY**SIGN UP NOW***. is seeking a Senior Business Analyst in HCQA Division. The Senior Business Analysts primary responsibility is to guide tactical and strategic actions using the best-in-class analyses and robust analytic tools.
The HCQA Division is responsible for developing, maintaining, and managing the relationship with Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPAs, and medical groups.
Our team (Network Performance Analysis and Contracts) is part of the HCQA Division and focuses on provider network performance analysis, reporting, and consulting. The NPAC team is responsible for developing analytics and supporting materials to assist and guide strategic development and maintenance of Blue Shield's network of physicians, hospitals, ambulatory surgery centers, HMO IPA's, and medical groups.
Our team focuses on network design, maintenance and regulatory support. Some of our key responsibilities are (1) provide analysis and consultative services on new network design in support of corporate strategic roadmap, (2) manages and oversees development and production of regulatory network filing artifacts as required by regulators for all Blue Shield commercial and Medicare networks, (3) provides network analytics, reporting and oversight on existing networks to ensure meeting regulatory access, availability standards as defined by regulators, and (4) provides consultative and analytical support as needed to during contract negotiations, pricing activities and product/network strategy roadmap planning.
This position can be located in our San Francisco, Rancho Cordova or Woodland Hills offices.
RESPONSIBILITIES:
* Collects, analyzes and synthesizes data, develops artifacts and summaries in response to regulatory filings and comment letters.
* Support BSCs key network initiatives using robust analytic tools. Translate data analysis into insightful and actionable items for internal customers.
* Produce geo-access reports and analysis/summaries for regulatory filings.
* Collaborate with internal stakeholders and customers to identify enhancement opportunities to improve data collection, integrity and efficiencies.
* Collaborate with and support other teams such as network managers and Access & Availability workgroup in developing strategies in support of data collection, reporting, network adequacy assessments as it pertains to new and existing networks.
* Manage projects that may involve coordinating a team and working with different stakeholders.
* Independently summarize findings and presents data in formats such as excel pivots, power point, reports, grids and tables.
* Support development of presentations/reports for internal and external customers
* Ad hoc assignments as requested.
* Bachelors degree and/or at least 5 years relevant experience or equivalent combination of education and experience
* Healthcare analytics experience preferred
* Excellent interpersonal skills
* Excellent communication and presentation skills, previous experience in presenting to leaders
* Good business acumen, ability to work in a team environment
* Good math, analytical and problem-solving skills
* Intermediate to Advanced knowledge of MS Excel (able to model, use formula) and Access (link tables, run queries)
* Geo-coding and SAS experience preferred
* Ability to work in a team environment.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
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