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Medical Informatics Analyst, Consultant

Blue Shield of CA
United States, California, Oakland
601 12th Street (Show on map)
Apr 29, 2025

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 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

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