Business Analyst, Consultant

Your Role

The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationship 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 Work

In this role, you will:

• Provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations
• Develop, prepare, and analyze reports with highly complex analysis and data for management review, and presents to various levels of management
• Provide analytical support for multiple, highly complex cross-functional projects simultaneously, establish work plans and timelines, coordinate with internal and external resources
• Develop root cause analyses and presentations per specs provided by team Director, or manager.
• 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.

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• 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
• Intermediate to advanced SQL skill level