LA Care Health Plan

Electronic Data Interchange Business Analyst II

LA Care Health Plan$77K — $123K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; Master's degree preferred.
  • Minimum of 3 years of data analysis experience in a health or managed care setting.
  • Proven ability to drive process improvement and management.
  • Understanding of business process life cycle management principles.
  • Strong problem-solving and analytical skills.
  • Proficient in Microsoft Office and database management tools.
  • Exceptional interpersonal, verbal, and written communication skills.

Responsibilities

  • Participate in and oversee multiple projects to manage documentation and project scope.
  • Ensure timely delivery of project tasks while managing customer relationships.
  • Identify and facilitate process design changes based on thorough analysis.
  • Present findings and resolutions to project teams and management.
  • Provide strategic input by decomposing higher-level strategies into actionable initiatives.
  • Monitor progress and efficiencies, adapting plans as necessary.
  • Lead meetings and presentations, communicating effectively with diverse audiences.

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: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)

Job Summary

The Electronic Data Interchange Business Analyst II works closely with business units to gain in-depth business understanding of customer's business strategy processes, services, roadmaps and the content in which the business operates. This position is focus-driven, focusing on strategy, collaboration, prioritization based on value off internal and external customers. The position consults and collaborates with internal and external customers to address any issues that are contributing to inaccurate or inefficient procedures/ processes within the Department. This position is key to understanding the documenting capabilities needed to address business challenges. This position is responsible for reviewing end-to-end business processes to identify, address, and remediate operational and functional risks. This position conducts a strengths, weaknesses, opportunities, and threats (SWOT) analysis to identify opportunities to improve operational efficiency. This position is responsible for a full range of activities leading small to large size projects, assist project managers on complex projects related to operational business functions affecting internal departments and external customers at market level.

Duties

Participate and contribute in multiple projects by completing and updating project documentation; manage project scope; adjust schedules when necessary; determine daily priorities; ensure efficient and on-time delivery of project tasks and milestones; follow escalation process; and manage customer relationships. Ensure data is valid and reliable; develop business process improvement; monitor and update software as needed; partner with internal and external customers to accomplish long-term business strategies and goals. Identify, create, and facilitate process design changes by conducting business and systems process analysis and design at a complex level; focus on quality improvement and data management. Identify improvement opportunities (proactive and reactive).

Oversee customer relationships and expectations through communication process; update others through project paths. Support and align efforts to meet business and customer needs. Facilitate meetings, projects, and presentations to diverse audiences. Provide leadership to team members and peers, collaborate cross-functionally with others; articulate ideas and viewpoints to Senior Management, peers, and others; identify and initiate projects; manage resources; implement resolutions; and hold self-accountable for completing tasks and results. Provide a strategic asset to decompose strategy into value change initiatives.

Maintain an up-to date knowledge of Information Systems to develop, execute, and improve corrective action plans by providing subject matter expertise and guidance to best business practices. Stay current with customer needs and strategies; utilize formal and informal written communication methods (BRDs, emails, PowerPoint presentations, Visio workflows, executive summaries, and project logs). Provide and support business solutions; build relationships with internal/external customers and key stakeholders; monitor project progress and results; provide project analysis and root-cause of operational issues.

Duties Continued

Demonstrate leadership and interpersonal communication skills by working collaboratively and effectively with peers, superiors and subordinates to accomplish objectives. Able to concisely, clearly and formally communicate complex concepts and formulate process solutions. Work as a subject matter expert and review all submitted problem and improvement reports; identify priority issues; evaluate opportunities for improvement, present findings to supervisors for evaluation and prepare resolution work plan as directed. Develop and execute test plans. Monitor all solutions through to resolution.

Perform other duties as assigned.

Education Required

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

Education Preferred

Master's Degree

Experience

Required:
At least 3 years of data analysis experience in a health or managed care environment.

Skills

Required:
Proven ability to significantly impact process improvement and process management.

Ability to document scope, project tasks in a clear and concise manner.

Thorough understanding of relevant industry practices, techniques and standards.

Must have a comprehensive understanding of business process/ life cycle management principles, theories and concepts.

Strong problem-solving/ analysis skills.

Proficiency in Microsoft Office applications, database management.

Articulates relevant information and directions in an organized and concise manner.

Strong interpersonal, verbal, and written communication skills; Understanding of effective communication concepts tools and techniques.

Conform to shifting priorities, demands, and timelines through analytical and problem-solving capabilities.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

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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