Business Analyst II (ALD) Job Category: Administrative, HR, Business Professionals Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11476 Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nations largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Cares mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Business Analyst II works closely with business units to gain in-depth business understanding of customers business strategy processes, services, roadmaps and the content in which the business operates. The Business Analyst 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. It 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. It 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; managing project scope; adjusting schedules when necessary; determining daily priorities; ensuring efficient and on-time delivery of project tasks and milestones; follow escalation process; and managing 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; focusing on quality improvement and data management. Identify improvement opportunities (proactive and reactive). Oversee customer relationships and expectations through communication process; updating 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, collaborating 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. 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; evaluates opportunities for improvement, presents findings to supervisors for evaluation and prepares resolution work plan as directed. Develop and execute test plans. Monitor all solutions through to resolution. 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 Master's Degree Experience Required: At least 3 years of experience in data analysis 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. Ability to 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. This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits. 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)

Business Analyst III - Encounters Data Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11523 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nations largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Cares mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. 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 projects/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)

Business Analyst III Job Category: Administrative, HR, Business Professionals Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11386 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nations largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time. Mission: L.A. Cares mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. 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 projects/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 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)

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

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Product Business Analyst II is responsible for review and/or development of business requirements (BRD), POR solution definition, needs assessment, critical path, phase gate management and implementation support for commercial & group product concepts/portfolio strategic initiatives.

Duties

Provide subject matter expertise through market trends, competitive analysis, regulatory developments, system feasibility and cross-functional feedback.

Collaborate with Product Leadership to provide findings and conclusions from industry, market and legislative reports in order to influence new product innovations, ideas, concepts and / or product enhancements.

Define functional, technical and operational business requirements needed to support new innovation development, and/or implementation of particular components of products, network and/or services enhancements.

Compose and maintain library of content and configuration requirements needed to implement particular product initiatives. Work with cross functional business partners to understand strategic drivers (administrative costs, costs of care and membership) and align with implementation cycle or Core Transformation initiatives.

Develop high-level work plans, including tasks, required staff and project timetable and works with Product Solutions Managers for successful execution.

Collaboration with business owners and Information Technology (I.T) to ensure right solution designs, implementation scope and necessary tradeoffs. Partnership with 3rd party vendors on new requirements, existing scope, implementation and support.

Research data operations workflow problems and system irregularities. Evaluate critical paths for all upstream and downstream processes. Develop, test, present process improvement solutions and other operational improvements.

Perform other duties as assigned.

Duties Continued

Education Required

Bachelor's Degree in Business Administration or Related Field
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Master's Degree in Health Administration or Related Field

Experience

Required:

At least 3 years of relevant experience in product marketing analysis.

Skills

Knowledge and ability to apply principles of the product development life cycle (PDLC) discipline and process for development and implementation of new products and/or enhancements.

Must be familiar with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives.

Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio and Access.

Excellent written and verbal communication and presentation skills.

Ability to serve as member on cross-functional implementation or project teams.

Working knowledge of the company's healthcare products, functions and regulatory guidelines.

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)

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Business Analyst L.A. Care Health Plan Jobs

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