Business Analyst, Consultant

Job DescriptionYour RoleThe Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide our members and clients with access to quality, affordable health care services. The Business Analyst, Consultant will report to the SR Manager, Provider Services. In this role, you will support Blue Shield’s Behavioral Health and selective Ancillary programs including supporting Plan to Plan and vendor operations.Your WorkIn this role, you will:Provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations.Lead the development of annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis).Develop, prepare, and analyze reports with highly 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, highly complex cross-functional projects simultaneously, establish work plans and timelines, and coordinate with internal and external resources.Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand.Assist in identifying systems and operational problems and recommend solutions and changes to streamline procedures for more effective reporting.Create and distribute routine and ad hoc reports for various departments.Develop root cause analyses and presentations per specs provided by team Director or manager.Lead audits of Plan-to-Plan provider data.QualificationsYour Knowledge and ExperienceRequires a bachelor’s degree or equivalent experience.Requires at least 7 years of prior relevant experience.Prefers at least 7 years of experience in Behavioral Health managed care.Experience in analyzing Behavioral Health data, preparing summary reports for presentation.Experience with Behavioral Health data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.Knowledge of Behavioral Health data audits.Pay RangeThe pay range for this role is: $96,470.00 to $144,760.00 for California.NotePlease 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.About The TeamBlue 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 genuinely 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 continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!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.Our Workplace Model:Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.Two ways of working: Hybrid (our default) and officeHybrid – In a business unit approved office a few times per year to 3 days per week, on average.Office – In a business unit approved office 4+ days a week, on average. If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require you to meet the office worker classification.Physical Requirements:Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.Please click here for further physical requirement detail.Equal Employment Opportunity: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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