Medical Informatics Analyst, Principal

Your Role 

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and contain the rising cost of healthcare. The Medical Informatics Analyst, Principal will report to the Director of HQA Analytics. Your focus will be in serving as a senior analytic and thought leader responsible for shaping population health strategy through advanced analytics and cross enterprise influence. This role owns complex, high impact analyses that inform executive decision-making, guide population health investments, and drive improvements in outcomes, equity, utilization, and affordability across lines of business.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work 

In this role, you will:

• Own the design and execution of complex population level analytic agendas addressing high priority organizational questions (e.g., cost drivers, utilization patterns, disparities, program impact)
• Define analytic frameworks and methodologies for population segmentation, risk stratification, and evaluation goals that are reusable, scalable, and aligned with enterprise population health strategy
• Serve as a subject matter expert in population health analytics, advising senior leaders on interpretation of findings and strategic implications
• Lead analyses across large, complex healthcare datasets (claims, enrollment, pharmacy, demographic, and community level data) to identify trends, risks, and opportunities at scale
• Develop and oversee member archetypes, clusters, and predictive insights to support targeted interventions, care management, and outreach strategies
• Integrate health equity and social drivers of health into analytic approaches to ensure insights address disparities and underserved populations
• Establish evaluation strategies to assess effectiveness, ROI, and equity impact of population health programs and interventions
• Translate analytic results into clear, executive ready narratives, recommendations, and decision points
• Support regulatory, accreditation, and contractual population health requirements through evidence-based measurement and reporting
• Partner with clinical quality, behavioral health, care management, product, and strategy teams to align analytics with operational and clinical priorities
• Lead or contribute to multidisciplinary workgroups and governance forums focused on population health improvement
• Mentor and coach analysts, setting standards for analytic rigor, storytelling, and impact

Your Knowledge and Experience

• Requires a college degree or equivalent experience
• Requires 10 years of prior relevant experience in Health Care (managed care, academic, or government payer)
• Certifications: SAS Certified Base Programmer Credential or equivalent required. SAS certified Advanced Programmer Credential or equivalent required
• Requires mastery level knowledge of health data science typically obtained through advanced education combined with experience.  May have dep knowledge of project management
• Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability
• Problem-solving skills balanced between “analytical” and “intuitive” 
• Ability to thrive in ambiguous situations
• Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of executives, directors, managers, and subject matter experts
• Ability to establish and maintain effective and collaborative relationships with key stakeholders
• Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint in preparing and making presentations to various levels of management.  Proficient at using MS Project
• Technically proficient having broad background in problem solving tools
• Knowledge of Blue Shield of California or similar health care organization structure
• Extensive knowledge of CPT, HCPCS, ICD-10s and other related industry codes

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time ba