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Medical Informatics Analyst, Consultant

Company: Blue Shield of CA
Location: Oakland
Posted on: September 23, 2019

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. Blue Shield of California 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 Blue Shield of California 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.

Our team produces analytics and reports to help drive improvement in clinical quality measures for Blue Shield of California and our medical groups and hospitals. We process, analyze and produce reports monitoring the organizations performance on clinical quality measures including HEDIS, CMS Hospital Compare and the California Maternal Quality Care Collaborative. We have a strong focus on reporting on health care provider, medical group and hospital performance, especially accountable care organizations (ACO). We provide critical analytical support to many internal departments and external organizations. We are looking for a programmer/analyst to help with the development and maintenance of key production reports and future analytical reports for internal departments and medical groups. Responsibilities:

* Works with minimal supervision and collaboratively with team members to develop monthly, quarterly and annual production reports.

* Assist in the improvement in the design, analytics and production of reports.

* Develops innovative analyses and reports using understanding of the business need for information.

* Seeks and provides advice to analysts in other departments and business units regarding standardization of business rules and methods for analysis and reporting.

* Provides coordination and oversight of the peer review of analyses for accuracy and completeness.

* Data extraction from corporate data warehouse and data marts

* Process and integrate different sources of data into a variety of reports

* Data cleansing and QA testing

Our team produces analytics and reports to help drive improvement in clinical quality measures for Blue Shield of California and our medical groups and hospitals. We process, analyze and produce reports monitoring the organizations performance on clinical quality measures including HEDIS, CMS Hospital Compare and the California Maternal Quality Care Collaborative. We have a strong focus on reporting on health care provider, medical group and hospital performance, especially accountable care organizations (ACO). We provide critical analytical support to many internal departments and external organizations. We are looking for a programmer/analyst to help with the development and maintenance of key production reports and future analytical reports for internal departments and medical groups. Responsibilities:

* Works with minimal supervision and collaboratively with team members to develop monthly, quarterly and annual production reports.

* Assist in the improvement in the design, analytics and production of reports.

* Develops innovative analyses and reports using understanding of the business need for information.

* Seeks and provides advice to analysts in other departments and business units regarding standardization of business rules and methods for analysis and reporting.

* Provides coordination and oversight of the peer review of analyses for accuracy and completeness.

* Data extraction from corporate data warehouse and data marts

* Process and integrate different sources of data into a variety of reports

* Data cleansing and QA testing

Qualifications

* 5-7 years experience in Health Care (managed care, academic, or gov't payer) or equivalent experience.

* Intermediate to advanced SAS programming skills.

* Ability to use MS Office, esp. Excel and Access, Unix, SQL/PL-SQL, SAS, SAS/Stat with minimal supervision and support.

Additional Preferred:

* Experience with heath care quality measures, especially HEDIS and hospital measures (like Medicare Hospital Compare).

* Mastery of at least two of the following: clinical coding, large-scale health databases, health statistics (e.g., epidemiology or health services), health insurance business principles. Must have sufficient familiarity with the technical and clinical concepts necessary to adequately perform the duties described above.

* Experience developing SAS/SQL programs and scripts that can be passed on to other analysts to improve their work efficiency.

* Must be able to develop programs and scripts that can be used to repeatedly to generate reliable reports and analytics

* Strong communication skills

* Must exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning,

* Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results).

* Capable of managing deadlines and working simultaneously on a variety of tasks

* Experience in cost-of-healthcare or quality of care assessment in a managed care or academic setting, is preferred.

Education:

* BA/BS with demonstrated equivalent work experience. Master degree in above areas preferred.

Physical Requirements:

* Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork Activity level: Sedentary, frequency most of work day

Qualifications

* 5-7 years experience in Health Care (managed care, academic, or gov't payer) or equivalent experience.

* Intermediate to advanced SAS programming skills.

* Ability to use MS Office, esp. Excel and Access, Unix, SQL/PL-SQL, SAS, SAS/Stat with minimal supervision and support.

Additional Preferred:

* Experience with heath care quality measures, especially HEDIS and hospital measures (like Medicare Hospital Compare).

* Mastery of at least two of the following: clinical coding, large-scale health databases, health statistics (e.g., epidemiology or health services), health insurance business principles. Must have sufficient familiarity with the technical and clinical concepts necessary to adequately perform the duties described above.

* Experience developing SAS/SQL programs and scripts that can be passed on to other analysts to improve their work efficiency.

* Must be able to develop programs and scripts that can be used to repeatedly to generate reliable reports and analytics

* Strong communication skills

* Must exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning,

* Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results).

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.

Keywords: Blue Shield of CA, Oakland , Medical Informatics Analyst, Consultant, Professions , Oakland, California

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