LA Care Health Plan

Business Analyst III

LA Care Health Plan$88K — $142K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree or equivalent education/experience
  • Minimum 5 years in a quantitative Business Analyst role
  • Proficient in Microsoft Office and Visio
  • Strong verbal and written communication skills
  • Team-oriented with mentoring abilities
  • Expertise in systems analysis at a high technical level
  • Problem-solving skills with a proven track record.

Responsibilities

  • Facilitate business process improvements through analysis and documentation
  • Develop and coordinate functional and user acceptance testing
  • Provide technical support to I.T. and manage service requests
  • Analyze data for system evaluations and new functionality requirements
  • Mentor junior Business Analysts and assist with their development
  • Produce reports and updates for stakeholders and clients
  • Oversee business process support across multiple client engagements.

Benefits

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision insurance
  • Wellness Program
  • Volunteer Time Off (VTO)
Full Job Description
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)

Job Summary

The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review and documentation of functional business specifications. This position manages the requirements development process through the elicitation, analysis, specification and verification of multiple levels of requirements from an end-to-end perspective and supports the ongoing management of the requirements. This position develops report and analysis for the department. It is responsible in communicating and coordinating with IT on a day-to-day department related efforts. The Business Analyst III manages and coordinates the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the department's inbound and outbound functions. This position acts as mentor to Business Analysts I/ II.

Duties

Develop functional and user acceptance test plans and scenarios. Coordinate functional and user acceptance testing by executing the testing strategy, scheduling resources and tracking test performance. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes. Coordinate activities including on-time delivery, testing and production moves.

Collaborate with I.T. on all department related efforts, including submission of Service Requests and writing BRD's. Coordinate related data requests from internal departments, and/or assist I.T. with definition of criteria. Delegate data and reporting requests to business analysts. Facilitate collaborative system and data design sessions with the user community, technical architecture resources and development resources. Preparation of status updates to enterprise for distribution and communication.

Work as a technical support and liaison to designated I.T. personnel to provide testing, support and feedback on enhancement requests and regular updates/releases; adhere to release schedules. Provide analytical support for critical corporate initiatives including business function support for system migrations and consolidations, significant business area process improvement projects and complex product installations.

Demonstrate a high level of subject matter expertise in functional area to bridge business requirements and I.T. solutions; provide technical direction and ensure compliance with best practice solutions. Practice knowledge transfer and foster change management as the organization changes and new skills are required, focusing on team/individual development to be a valued contributor.

Participate and contribute on the development/ creation of data models and interface design specifications. Support internal/ external stakeholder's roadmap and audits as needed.

Oversee the business process support across multiple client engagements. Communication with internal/ external stakeholders for department's submission requirements. Review submission of data against established benchmarks and coordinate correction and improvement efforts. Monitor timely and accurate outbound data submission to state and federal recipients.

Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project's/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.

Perform other duties as assigned.

Duties Continued

Education Required

Bachelor's Degree
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Experience

Required:

At least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, encounter processing.

Skills

Required:
Competent to work at the highest technical level of most phases of systems analysis.

Excellent verbal and written communication skills.

Coaching, Mentoring and Teaching skills.

Teamwork-focused/collaborative work style.

Demonstrated ability to work successfully on large projects.

Problem solving skills evidenced by demonstrated results in past positions.

Ability to work under tight deadlines and handle multiple/detail-oriented tasks.

Ability to influence at all levels of the organization.

Proficient in Microsoft Office and Vizio.

Preferred:
Ability to work on other programs such as SharePoint and/ or OneNote

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

Department Specifics:

Customer Solution Center Appeals and Grievances:

This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.

This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

About LA Care Health Plan

LA Care Health Plan is a nonprofit health plan provider that serves more than 2 million members in Los Angeles County. The company was founded in 1997 and is dedicated to providing access to quality healthcare for underserved communities. LA Care Health Plan offers a range of health plans, including Medi-Cal, L.A. Care Covered, and Cal MediConnect. The company also provides a variety of programs and services to help members manage their health and wellness, such as disease management, health education, and care coordination.
Learn more about LA Care Health Plan
Size
2,000 employees
Industry
Founded
1994

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