Product Insights and Reporting, Principal - Healthcare Data Science

Your Role

The Product Strategy Insights Analytics team supports the Product Strategy and marketing team with analytical and financial modeling for product development activities for Blue Shield of California. The Senior Principal analyst will report to the Senior manager, Insights.  The team provides valuable insights to strategists to devises strategies and supports work to make healthcare affordable through data analysis, cost of healthcare modeling and forecasting in a healthcare environment. The role includes developing insights into healthcare costs, trends, utilization and risks to support strategic decision making.  

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:

• Collect and evaluate data, develop and maintain financial models, analyze results and conduct scenario analyses to estimate the cost of healthcare savings and to support cost /benefit analyses to understand the relative benefits of alternative courses of action
• Reconcile data results from different sources and combine them into integrated reports spanning cost, quality, utilization, and risk profile metrics 
• Participate in internal workgroups and stakeholder meetings to provide analytical insight and support for the implementation and enhancement of new programs, products, and services 
• Collaborate with key operational leaders to establish credible assumptions to support modeling of proposed initiatives to mitigate cost of healthcare trend while maintaining/improving the quality of care
• Analyze data to identify opportunities to improve healthcare quality, reduce costs and enhance member outcomes 
• Present complex insights to executive leadership and key stakeholders in a clear, actionable manner
• Develop predictive models to guide the product development and enhancement

Your Knowledge and Experience 

• Requires a bachelor's degree or equivalent experience in healthcare economics, actuarial science or a related field; Master's degree preferred
• Requires at least 10 years of prior relevant experience
• Requires at least 5 years’ experience in Health Care (managed care, academic, or gov't payer)
• Advanced knowledge of healthcare data and managed health plan operations
• Strong analytic and independent problem-solving skills with proficiency in data analysis tools
• Understanding of statistical methods and advanced modeling techniques (e.g., SVM, K-Means, Random Forest, Boosting, Bayesian inference, natural language processing)
• Requires proficiency in following technical skills 
  • High proficiency in scalable data transformation techniques, using SQL Programming – preferably with Netezza, Oracle 
  • Tableau
  • SAS (Advanced Programmer Credential or certification preferred)
  • Proficiency in applied statistics, data mining, or other quantitative discipline using Python and/or R Programming
• Proficient in experimentation design and A/B testing
• Excellent communication and presentation skills with the ability to convey complex information to executive leadership and other stakeholders
• Ability to partner, collaborate with, and lead relevant stakeholders across diverse functions and experience levels

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