Job Description
Job Description Your Role The Medicare Quality organization is recruiting for a Principal Analyst (P5) to support enterprise-level analytics within Medicare Quality, applying advanced statistical, modeling, and data engineering techniques to drive strategic decision support across HEDIS, Medicare Stars, CAHPS, clinical programs, and health equity initiatives. This role will play a critical part in synthesizing data, translating analytical findings into actionable insights, and supporting the operational performance of Medicare Quality programs. While this position partners closely with the Clinical Quality Analytics (CQA) team, it remains embedded within and directly aligned to the Medicare Quality organization. This role is ideal for an experienced analyst who can operate with independence, manage moderately complex analytical work, interpret findings for business partners, and support cross-functional quality workstreams with strong analytical rigor and thoughtful communication. The Principal Analyst will report directly to the Senior Director, Clinical Quality (Medicare Quality Leader). 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. Responsibilities Your Work In this role, you will: Apply advanced statistical methods, modeling, machine learning, and data mining techniques to innovate analytics products and services. Lead end-to-end design and implementation of multi-source reporting systems, ensuring metric standardization and enterprise alignment. Provide strategic consultative guidance to executive and functional leaders regarding methodologies, algorithms, and analytic design. Evaluate business risks related to data, reporting, and analytics design and develop enterprise mitigation strategies. Drive development of new analytics capabilities for Medicare Quality (e.g., predictive models, simulation tools, optimization frameworks). Lead complex cross-functional workgroups, representing Medicare Quality as senior analytics expert. Conduct rapid proof-of-concept prototypes assessing viability of new quality improvement methodologies and analytics solutions. Partner with teams such as CQA, Enterprise Analytics, Provider Partnerships, and Clinical Programs to ensure consistency, validity, and scalability of analytic assets. Mentor senior, consultant, and experienced analysts enterprise-wide; provide expert-level technical and analytic leadership. Translate advanced analytic output into actionable insights for operational, clinical, and executive audiences Qualifications Your Knowledge and Experience MPH, MBA, MS, MA, or equivalent experience OR BA/BS with demonstrated mastery-level expertise. 10+ years of relevant healthcare analytics experience (managed care, academic, government payer). Mastery in SAS, SQL/PL-SQL, R, Python, and analytic modeling. Expertise in advanced statistical and machine learning methods. Experience designing and validating large-scale reporting and analytics systems. Deep familiarity with healthcare coding systems (ICD-10, CPT, DRG, LOINC, pharmacy codes). Extensive experience in Medicare Stars, HEDIS methodology, CAHPS/member experience analytics, clinical quality, and health equity studies. 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 the 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. About Us 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 enhanc