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Added 1 min ago
Financial Analyst/Planner Specialist (Bilingual – English/Spanish)
Northeastern Illinois University
Chicago, IL
The incumbent serves as the department's primary coordinator for student data systems, federal reporting, program evaluation, institutional assessment, grant compliance, and operational…
Added 5 mins ago
AH
IT Security Analyst
AltaMed Health Services Corp
Commerce, CA
- $88,391.68 to $110,489.6 USD / year
The IT Security Analyst supports AltaMed’s Security Operations by monitoring, analyzing, and responding to security events, service requests, and identity-related activities across the…
Added 12 mins ago
Senior - Retirement and Benefits Analyst
Bread Financial Payments, Inc
Columbus, OH · Chadds Ford, PA · Frisco, TX · Draper, UT · NY · Wilmington, DE
The Senior Retirement and Benefits Analyst will provide comprehensive analysis and oversight of employee retirement and voluntary benefit programs, evaluating plan performance, compliance,…
Added 13 mins ago
Cyber Incident Response Analyst
Texas Capital Bank
Richardson, TX
Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance,…
Added 13 mins ago
Cyber Incident Response Analyst
Texas Capital Bank
Richardson, TX
Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance,…
Added 13 mins ago
Cyber Incident Response Analyst
Texas Capital Bank
Richardson, TX
Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance,…
Added 13 mins ago
Cyber Incident Response Analyst
Texas Capital Bank
Richardson, TX
Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance,…
Added 13 mins ago
Cyber Incident Response Analyst
Texas Capital Bank
Richardson, TX
Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance,…
Added 14 mins ago
EPIC Analyst | 40 hours a week | Informatics
Great River Health System, Inc.
West Burlington, IA · Mt. Pleasant, IA · Fort Madison, IA
…departments to facilitate system usage and acceptance. The analyst handles complex build and configuration tasks, resolves advanced issues, and provides support to ensure reliable…
Added 22 mins ago
2027 Summer Internship Program - Vendor Management Analyst
CareSource Management Services LLC
Remote, United States
…vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain…
Added 23 mins ago
Directed Energy Materials Planning Associate Analyst
AeroVironment, Inc.
Albuquerque, NM
AV has an immediate opening for a Materials Planning Associate Analyst to support our Directed Energy Division in Albuquerque, NM location. The analyst will be responsible for understanding…
Added 23 mins ago
Directed Energy Materials Planning Analyst
AeroVironment, Inc.
Albuquerque, NM
AV has an opening for a Materials Planning Analyst to support our Directed Energy (DE) Division in Albuquerque, NM. The Materials Planning Analyst will be an integral member of the AV DE…
Added 23 mins ago
Directed Energy Materials Planning Analyst
AeroVironment, Inc.
Albuquerque, NM
AV has an opening for a Materials Planning Analyst to support our Directed Energy (DE) Division in Albuquerque, NM. The Materials Planning Analyst will be an integral member of the AV DE…
Added 24 mins ago
Cloud Engineer Senior w/Secret Clearance
TekSynap
Radford, VA
Proven experience in Computer Science, Information Technology, or related technical fields.
Added 24 mins ago
AB
Credit Associate
Axos Bank
Remote, United States
- $55,000 to $70,000 USD / year
…departmental and corporate thresholds, policies, and procedures. The analyst will be responsible for reviewing financial statements, assessing third party credit reports, and finding and…
Added 24 mins ago
Business systems analyst
DRAEGER, Inc.
Telford, PA
Business Systems Analyst 1. **Business Unit:**Draeger, Inc., **Job-ID:**1400 2. Location: Telford 3. **Function:**Service 4. **Work Location:**Hybrid 5. **Employment Type:**Permanent The…
Added 26 mins ago
Business Analyst, Consultant - Quality Performance
BSC
El Dorado Hills, CA · CA · Long Beach, CA · Lodi, CA · Rancho Cordova, CA · Redding, CA · San Diego, CA · Woodland Hills, CA
…prescription medications used by Blue Shield members. The Business Analyst, Consultant, Rx Quality Performance Management will report to the Senior Manager, Rx Member Experience & Quality…
Added 28 mins ago
Management Analyst
Aptive
United States
Aptive Resources is seeking a Management Analyst to support health system transformation, implementation and operations, and healthcare business-enabling services for the Office of Suicide…
Added 28 mins ago
Operations Analyst
Aptive
United States
The Operations Analyst will help design and implement a lean, responsive, and rapid decision-making model supporting Office of Health Informatics (OHI) EHRM within the current VHA…
Added 28 mins ago
ES
IT Analyst 2
Easter Seals Southern California, Inc.
Irvine, CA
- $45 to $55 USD / hour
The IT Analyst 2 conducts business analysis of current processes and business requirements for system selection, process improvement, system implementation, and support of the application…
Added 35 mins ago
WU
Facilities Planning Analyst - Enterprise Physical Operations
Washington University in St Louis
United States
- $58,400 to $99,700 USD / year
…opportunities to improve planning and business processes through technology, automation, standardization, and improved data…
Added 36 mins ago
Quality Data Analyst I
Boston Scientific
Arden Hills, MN
The Quality Data Analyst I role will join the ICVT Data Analytics & Trending team, which supports post-market quality, complaint handling, complaint investigations, and product performance…
Added 37 mins ago
FB
Senior Programmer Analyst - Information Technology
Fort Bend County
Richmond, TX
- $85,009.6 to $106,267.2 USD / year
Creates and maintains program documentation, operations and run documentation, customer documentation, and online help for supported applications.
Added 39 mins ago
NC3 Systems Analyst-Technical Staff
MIT Lincoln Laboratory
Lexington, MA
…national security mission. They prototype state-of-the-art technology solutions and engage across the program lifecycle, leading projects or major/multiple technical workstreams in…
Added 39 mins ago
RF Communications System Analyst-Technical Staff
MIT Lincoln Laboratory
Lexington, MA
…national security mission. They prototype state-of-the-art technology solutions and engage across the program lifecycle, leading projects or major/multiple technical workstreams in…

BSC

Business Analyst, Consultant - Quality Performance

El Dorado Hills, CA, United States
CA, United States
Long Beach, CA, United States
Lodi, CA, United States
Rancho Cordova, CA, United States
Redding, CA, United States
San Diego, CA, United States
Woodland Hills, CA, United States

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Job details

Experience: Requires at least 7 years of prior relevant experience
Posting language: English
Posted: Nov 5, 2026

Original job description

Your Role

The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department is a team of pharmacy professionals responsible for defining and executing strategies to address clinical quality, member experience, and affordability of prescription medications used by Blue Shield members. The Business Analyst, Consultant, Rx Quality Performance Management will report to the Senior Manager, Rx Member Experience & Quality Performance. In this role you will support the development, measurement, and continuous improvement of Pharmacy initiatives across the Commercial and Medicare lines of business. This role combines performance analytics, program management, member experience insights, and executive reporting to identify opportunities, measure outcomes, and drive member-centered improvements.

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:

Provide highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations
Lead the development of annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
Develop, prepare, and analyze reports with highly complex analysis and data for management review, and presents to various levels of management
Define business requirements and provide analysis to increase operational efficiency
Provide analytical support for multiple, highly complex cross-functional projects simultaneously, establish work plans and timelines, coordinates with internal and external resources
Expand subject matter expertise on performance monitoring of drug quality and member experience measures to support program improvement and enterprise goals
Establish and sustain strong, collaborative relationships and operating model with data and technology partners internally and externally to ensure robust management of drug quality performance
Work independently with limited oversight to achieve goals and objectives

Your Knowledge and Experience

Requires a bachelor’s degree or equivalent experience
Requires at least 7 years of prior relevant experience
A minimum of 3 years' experience in managed care is preferred
Requires strong analytic and problem-solving skills with intermediate to advanced knowledge of pharmacy data elements and related technical standards/concepts (e.g. claims, e-prescriptions, e-prior authorization, real time pharmacy benefits, etc.) Experience with HEDIS, CAHPS, NPS and Medicare Stars data preferred.
Requires advanced proficiency in Microsoft applications including Word, Excel, Power Point, OneNote, SharePoint
Requires excellent written, verbal, and interpersonal communication skills
Requires experience working independently in a fast-paced environment

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 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

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• 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.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.

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