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Business Analyst, Senior

Company: Blue Shield of California
Location: Oakland
Posted on: September 18, 2022

Job Description:

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen. Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us Your Role The Encounters Performance team is responsible for driving compliance and performance with Blue Shield's Encounters submissions. This includes addressing quality issues, working with providers to improve performance, and executing on transformative changes to better positions Encounters in the future. The Encounters Business Analyst role will report to the Encounters Director. In this role you will partner with our provider network, help them improve their submission quality, and ultimately drive down timeliness measures to hit regulator expectations. Your Work In this role, you will: Provide complex analytical support through the analysis and interpretation of data in support of cross-functional business operations. Develop annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis). Develop, prepare, and analyze reports with complex analysis and data for management review, and present to various levels of management. Define business requirements and provide analysis to increase operational efficiency. Provide analytical support for multiple, complex cross-functional projects simultaneously; establish work plans and timelines. Meet with Providers to discuss their Encounters performance, drive corrective action plans, and educate them on billing responsibilities. Identify and execute on efficiency suggestions to improve performance. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 5 years of prior relevant experience Our Values Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals PDN-967d3641-1059-4d00-884f-d85ab8f02072

Keywords: Blue Shield of California, Oakland , Business Analyst, Senior, Professions , Oakland, California

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