Electronic Data Interchange Business Analyst II

Job Category: Claims

Department: Claims Data and Support Services

Location:

Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 7459

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 in five health plans, 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.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

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 will consult and collaborate with internal and external customers to address any issues that are contributing to inaccurate or inefficient procedures/ processes within the Department. This position will be 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.

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 3-5 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.

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

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

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)

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.