Blue Shield of CA is hiring: Business Analyst, Consultant in Woodland Hills

Your Role

The Provider Dispute Resolution (PDR) team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business. The team also partners with an offshore vendor to complete provider disputes and other strategic projects. The Business Analyst, Consultant will report to the Director of PDR. In this role you will work closely with the CalPERS product and account management team as well as the Commercial PDR team to develop strategy for the CalPERS product line and Commercial line of business. This role will also convert data obtained from various internal systems into actionable insights to guide business decision making for the PDR and CalPERS teams.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Requires experience validating the quality and integrity of incoming data
• Requires prior experience in data analysis and reporting, including Excel, SQL, BI tools, and data visualization
• Requires excellent communication, presentation, and interpersonal skills, with the ability to communicate complex technical concepts to both technical and non-technical audiences
• Requires expertise in at least one of the following lines of business - Commercial, Medi-Cal and/or Medicare

Pay Range:

The pay range for this role is: $ 96470.00 to $ 144760.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.