Your Role

The Blue Shield of California Growth and Servicing analytics organization is part of the centralized Data and Analytics organization and oversees Channel Analytics including Digital, Marketing, Claims, Appeals, Grievances, Disputes and Line of Business. The role of Medical Informatics Analyst – Consultant would report to the Manager of Medical Informatics and would be responsible for supporting the growth and retention of members in the Individual & Family Plan (IFP) Line of Business. You will have a strong understanding of the various IFP products and excited about improving the member health outcomes through data & analytics as you engage directly with stakeholders to help frame business problems, participate in recommending analytic frameworks to address those problems and deliver high quality/high impact solutions. On top of having a product-oriented mind set, the ability to influence & impact outcomes in a matrixed environment are essential to being successful in this role.

Your Work

In this role you will:

• Analytics & Modeling: Perform in-depth membership & claims analyses and models to understand and predict member behavior, changes in trends, and uncover actionable insights to improve member acquisition, engagement, health, retention, and experience.
• Data Profiling & Reporting: Utilize appropriate tools to analyze large datasets, focusing on membership, claims & revenue along dimensions such as broker & provider performance related to BSC’s Individual Market product administered through California Health Exchange (Covered California) and direct sales.
• Analyze structured and unstructured data to uncover pain points, establish causality/identify the root causes and recommend and size improvements for prioritization.
• Build reports and dashboards to empower stakeholder decision making. 
• Be enthusiastic about figuring out how to attract new members, keep existing members, deepen our relationships with members, serve them efficiently, keep them healthy and ensure they have a great experience.
• Enjoy solving thorny problems and developing data-driven solutions. 
• Thrive in a highly matrixed environment.