Medical Informatics Analyst, Consultant
Company: Blue Shield of California
Location: El Dorado Hills
Posted on: October 11, 2024
Job Description:
Your Role
The Medi-Cal Analytics team supports the Medi-Cal Business Unit.
The Medical Informatics Analyst, Consultant will report to the
Senior Manager, Medical Informatics. In this role you will support
compliance & regulatory reporting, mandated projects, and clinical
key indicators for Medi-Cal and Dual -Special Need Program (D-SNP).
-
-
Your Work
In this role, you will:
- Conduct independent analysis of high complexity under minimal
supervision and guidance -
- Develop analytical methods so that they may be subsequently
delegated for production to Medical Informatics Analysts at lower
levels
- Produce analysis of high complexity under the guidance and
direction of Medical Informatics Analyst V, supervisor, or
manager
- Develop documentation and create and execute workplans for
analyses of high complexity. Workplans may coordinate the
activities of Medical Informatics Analysts at lower levels and may
involve collaboration with more than one team
- Provide training and mentoring for team members on best
practices for analysis and reporting; assist in the development of
supplemental analytic training tools and materials; conducts formal
training sessions for lower-level analysts and analysts in other
Departments
- Assist in identifying systems and operational problems and
recommend solutions and changes to streamline procedures for more
effective reporting -
- Support design, implementation and maintenance of data logic
and processes to support Medi-Cal data integration into health data
technology platform
- Responible to create system QA processes and
documentation
- Prepare complex reports and studies for a variety of uses
including cost of health care analysis, quality improvement,
enhancing operations and addressing identified issues
- Utilize programming software to efficiently develop process or
tools to analyze relevant data from various sources (e.g., claims,
membership, provider, financial, operation and other ancillary data
sources), interpret and present analytic results for all ad hoc and
ongoing reporting requests
-Your Knowledge and Experience
- Requires an MPH, MBA, MS, MA, RN, or RHIA in health science,
quantitative social science, public health, health services
research or business, or BA/BS with demonstrated equivalent work
experience
- Requires SAS Certified Base Programmer Credential or equivalent
and SAS Certified Advanced Programmer Credential or
equivalent
- Requires at least 7 years of prior relevant experience
- Requires at least 5 years of experience in Health Care (managed
care, academic, or gov't payer)
- Ability to work with all clinical coding systems (e.g., ICD10,
CPT, DRG, LOINC, RxHUB)
- Insight of Managed Care, Medi-Cal/Medicaid and coordination of
Care.
- Excellent verbal and written communication and presentation
skills
- Prepares complex reports and studies for a variety of use
cases, including cost of health care analysis, quality improvement,
enhancing operations and addressing identified issues.
- Practical knowledge of agile and project management
skills
- Excellent verbal and written communication and presentation
skills
-
Pay Range:
The pay range for this role is: $ 118800.00 to $ 178200.00 for
California.
Note:
Please 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.
Keywords: Blue Shield of California, Oakland , Medical Informatics Analyst, Consultant, Healthcare , El Dorado Hills, California
Didn't find what you're looking for? Search again!
Loading more jobs...