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Medical Informatics Analyst, Consultant

Blue Cross and Blue Shield Association
  • Sacramento, CA
  • Autofill and Review
12 days ago

Job Description

Your Role

The AI & Analytics (AI&A) team sits within the enterprise Growth organization, specifically aligned to the Risk Adjustment vertical. While situated within Risk Adjustment, this is strictly an advanced Medical Informatics and data architecture role. The Consultant will serve as a critical semantic bridge and analytical lead supporting the Individual & Family Plan (IFP) Line of Business under the Government Markets Organization.

Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives. The successful candidate will act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities.

Numbers & Facts

LocationSacramento, CA
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Actuarial Skillsunmatched
  • Analysis Skillsunmatched
  • Artificial Intelligence (AI)unmatched
  • Business Growthunmatched
  • Channel Strategiesunmatched
  • Consultingunmatched
  • Cross-Functionalunmatched
  • Data Structuresunmatched
  • Financeunmatched
  • Government Organizationsunmatched
  • Health Informaticsunmatched
  • Network Administration/Managementunmatched
  • Regulatory Reportsunmatched
  • Riskunmatched

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