Sr. Manager, Medical Informatics

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. 

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.

Please click here for further physical requirement detail. 

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.

Your Role 

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and contain the rising cost of healthcare. The Population Health Senior Manager, will report to the Director of HQA Analytics. Your focus will be leading a team of population health and behavioral health analysts while also contributing directly to complex, high-impact analytics initiatives. This role is responsible for translating business and clinical priorities into actionable analytic strategies, developing team capabilities, and delivering insights that inform population health investments, executive decision-making, and improvements in outcomes, utilization, equity, and affordability across lines of business.

 

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: 

• Manage a small to mid-sized team consisting of experienced population health analysts as well as behavioral health analysts

• Oversee the analysis and reporting as well as the design and development of systems based on business requirements and needs

• Own the design and execution of complex population level analytic agendas addressing high priority organizational questions (e.g., cost drivers, utilization patterns, disparities, program impact).

• Define analytic frameworks and methodologies for population segmentation, risk stratification, and evaluation goals that are reusable, scalable, and aligned with enterprise population health strategy. 

• Serve as a subject matter expert in population health analytics, advising senior leaders on interpretation of findings and strategic implications.

• Lead analyses across large, complex healthcare datasets (claims, enrollment, pharmacy, demographic, and community level data) to identify trends, risks, and opportunities at scale.

• Develop and oversee member archetypes, clusters, and predictive insights to support targeted interventions, care management, and outreach strategies. 

• Integrate health equity and social drivers of health into analytic approaches to ensure insights address disparities and underserved populations

• Assess business risks associated with analytical processes and data systems and proactively implements solutions to mitigate risks

• Oversee the reliability of data and the validity and accuracy of analytical results

• Describe the significance of analytic results for business decision-making and makes recommendations to senior management and external entities

Your Knowledge and Experience 

• Requires a college degree or equivalent

• Requires 10 years of experience in Health Care (managed care, academic, or government payer) including 4 years of management experience

• Proficient in Python or R for healthcare data analysis, statistical modeling, and visualization

• Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability

• Problem-solving skills balanced between “analytical” and “intuitive” 

• Ability to thrive in ambiguous situations

• Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of executives, directors, managers, and subject matter experts

• Ability to establish and maintain effective and collaborative relationships with key stakeholders

• Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint in preparing and making presentations to various levels of management.  

• Technically proficient having broad background in problem solving tools

• Knowledge of Blue Shield of CA or similar health care organization structure

• Extensive knowledge of CPT, HCPCS, ICD-10s and other related industry codes

 

 

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into office two days each week. 

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.