Director Medical Informatics Jobs in California (NOW HIRING)

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 Medical Care Programs division oversees vendor partners to deliver clinical programs for members and providers. The Medical Informatics, Principal, will focus on program and vendor reporting, performance, analysis and insights. This role reports to the Senior Manager of HQA Analytics.
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:

• Identify, elicit, and document business requirements for vendor program reporting by collaborating with stakeholders and subject matter experts
• Utilizes advanced data visualization and presentation tools to create executive-ready decks, dashboards, and reports, effectively communicating analytical insights to audiences ranging from executives to operational and clinical teams
• Analyze program, operational, financial, and clinical performance against targets, forecasts, and benchmarks, providing actionable recommendations to improve outcomes and vendor performance.
• Provide thought leadership and analytical expertise in evaluating vendor program effectiveness, identifying opportunities for improvement, and supporting strategic decision-making
• Serve as a strategic partner and change agent, driving adoption of new processes, technologies, and analytical capabilities across the organization
• Identify, integrate, and manage complex data sources across multiple systems to support enterprise reporting, analytics, and business intelligence needs
• Develop and maintain standardized reporting frameworks and templates tailored to line-of-business, client, employer, and stakeholder requirements
• Design, automate, and continuously optimize reporting processes and data delivery solutions to improve scalability, accuracy, and operational efficiency
• Drive stakeholder communication; acting as a liaison between business teams and technical teams to ensure alignment

Qualifications
Your Knowledge and Experience

• Requires college education or equivalent experience
• Preferred master's degree
• Requires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalent
• Requires at least 10 years of prior relevant experience
• Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
• Requires 5 years of Data & Analytics - Knowledge of interpreting reports, trends, and forecasts to support decision-making
• Serves as a subject matter expert in enterprise data visualization platforms (Power BI, Tableau), leading the design and governance of scalable analytics solutions, establishing visualization best practices, and enabling data-driven decision-making across the organization
• Highly proficient in SQL, Snowflake, Databricks, and/or SAS, with the ability to query and analyze large, complex datasets, develop scalable analytical solutions, and translate findings into actionable business and clinical insights
• Demonstrated expertise in translating complex analytical findings into actionable business, operational, and clinical insights for diverse stakeholder audiences
• Proven ability to develop executive-level presentations, dashboards, and strategic recommendations that influence decision-making and drive organizational performance.
• Strong understanding of data governance, data quality management, reporting automation, and analytics best practices
• 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 independently lead complex analytical initiatives, manage competing priorities, and deliver high-quality results 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 the Team
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.