Business Analyst, Consultant - Quality Performance
Ascendiun
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- Location
- El Dorado Hills, CA
- Job type
- Full time
- Posted
- Nov 5
- 1 day ago
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Career path
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About the company
Ascendiun
Hospital & health care · 2 to 10 employees
What you'll do
- Support the development, measurement, and continuous improvement of Pharmacy initiatives
- Identify opportunities
- Measure outcomes
- Drive member-centered improvements
What you need
- 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
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Read the full posting here
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.