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

#LI-AD3

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model:

At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above). Exceptions:

o Member-facing and approved out-of-state roles remain remote.

o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.