Senior Business Analyst - Clinical Access Programs

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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 Blue Shield of California Promise Health Plan Clinical Access Programs team ensures that new Medi-Cal members have access to safe, high quality providers and able to schedule an appointment and establish care with a Primary Care Physician within 120 days of enrollment. The Senior Business Analyst will report to the Senior Manager of the Clinical Access Programs. In this role you will provide project management, analytical and data reporting support to the Clinical Access Program's projects and business operations. The Senior Business Analyst will support department leadership with initiatives by defining business requirements, conducting analysis and reporting and assisting with operational and implementation plans.

Your Work

In this role, you will:

• 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 complex analytical support through the analysis and interpretation of data in support of multiple cross-functional business operations
• Provide project management support to multiple projects, establishing project plans and timelines and coordinating on projects with internal and external resources
• Develop annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
• Work cross-functionally in analyzing, designing, and developing business solutions
• Analyzes actual results against plan and forecasts and identifies opportunities for improvement in operational performance and recommends interventions where appropriate

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 5 years of prior relevant experience
• Requires at least 3 years of experience in data and analytics: developing, preparing and analyzing reports from multiple data systems including SAS software
• Requires experience working with pivot table in Excel
• Requires project management and/or program management experience
• Requires previous experience completing requirement and operational documents, reports, specifications, plans and analysis
• Health Plan experience preferred
• Project management certification preferred

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