Job Description

Your Role

The Behavioral Health Services (BHS) team is responsible for developing and executing a best-in-class behavioral health insurance product for Blue Shield. The Behavioral Health Business Analyst, Principal, will report to the Director of Strategic Planning & Performance. In this role you will serve as a critical partner between the BHS team and the technical teams, through cross-functional collaboration, to identify and implement solutions that enhance efficiency, quality and value.

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 behavioral health data while collaborating with cross-functional business operations
• Lead the development of annual BHS system roadmaps, associated budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
• Develop, prepare and analyze reports with highly complex analyzes and data for management review, and presents to various levels of management
• Define business requirements and provide analysis to identify system and process enhancements to increase operational efficiency
• Analyze actual results against plan and forecast, identify root cause of issues and recommend interventions where appropriate
• Partner with the BHS teams and support the operational systems with issue triage, requirement documentation, testing coordination and serving as the teams’ champion and liaison with the technical delivery teams.
• Manage the end-to-end BHS system generated letters process including governance, creation/maintenance, and implementation
• Oversee BHS system access provisioning to ensure system compliance and security
• Build, maintain and test the BHS business continuity plan

Your Knowledge and Experience

• Requires mastery level knowledge of job area typically obtained through advanced education combined with experience.
• Requires a bachelor's degree or equivalent experience
• Requires at least 10 years of prior relevant experience
• Requires experience in health plan experience; having worked within managed care, academic or government payer
• Requires experience working within behavioral health, substance abuse or a mental health environment
• Requires experience defining and implementing technologies and tools to support relevant operational process automation and analysis
• Must have experience defining technology and business requirements and User Acceptance Testing (UAT) to support and sustain business applications
• Requires experience driving sustainable change across multiple stakeholders
• Desires experience with behavioral healthcare from any combination of perspectives: plan, vendor, clinical, provider relations, managed behavioral health organization, etc.
• Experience with Facets, AuthAccel and CareConnect preferred

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.