Electronic Data Interchange Business Analyst II at LA Care Health Plan

Job description

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 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)

Requirements

Must-haves

Duties Continued
Perform other duties as assigned.
Education Required
Bachelor's Degree
In lieu of degree, equivalent education and/or experience may be considered.
Master's Degree
At least 3 years of data analysis experience in a health or managed care environment.
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
Required Training
Physical Requirements
Additional Information
L.A. Care offers a wide range of benefits including
Tuition Reimbursement

Nice-to-haves

Education Preferred
Licenses/Certifications Preferred

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: successfactors
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

Pto

Paid Time Off

Wellness