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Technical Project Analyst II

Job Category:  Claims
Department:  Claims Data and Support Services
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  10410

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 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.
 

Job Summary

The Technical Project Analyst (TPA) II will support projects with Project Managers and/or business partners to ensure quality and completeness of a given task or project in workplace. This position will organize, analyze, and recommend solutions that meets regulatory and operational standards. The TPA will provide small scale technical solutions to streamline operational processes. Doing what is necessary to get the job done accurately and efficiently is imperative to the organization.

Duties

Critical evaluation of information gathered from multiple sources, data conflict reconciliation, dissemination of high-level concepts into details, distinguishing true needs from amongst the collection of requirements, and creating logical and innovative solutions to complex problems. Clearly presenting issues and solution options. Providing statistical analysis to make data driven recommendations.

 

Providing complex metrics and project related reporting support to all relevant stakeholders. Prepare executive summaries, as needed. Communicate task progress to all team members. Must possess the skills to foster a professional relationship at all levels. Fulfill, analyze, and generate report requests by using available tools such as database queries, canned reports, and other data.

 

Proactively identifying potential issues and driving resolution to avoid customer impact and facilitate continuous improvement.  Collaborate with the business partners and technical team to satisfy organizational projects and initiatives.

 

Gather, analyze, verify, define and document actionable Business Requirements. Create clear and meaningful business and functional requirements for business and technical partners. Analyze operations and recommend business process improvements.

 

Engages all relevant participants; particularly during the requirement gathering work sessions, where appropriate. Build internal tools and methodologies to streamline various processes. Willingness to share skills, knowledge, and expertise to team members

 

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 in Related Field

Experience

Required:
A minimum of 5 years of experience as a Project Analyst or business process analyst working with computerized management systems and handling small to large projects with at least  5 years direct experience developing small scale technical solutions to streamline operational processes.

 

Must have Managed Care experience.

 

Preferred:
Medicaid, Medicare experience.

Skills

Required:
Thorough knowledge of Healthcare data elements required.

 

Thorough understanding of relevant industry practices, techniques and standards.

 

Proficiency with process modeling, analysis and simulation tools; Broad working knowledge of business analysis practices and procedures.

 

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

 

Proficiency in Microsoft Office applications (Excel, Visio, Project, Access, and Word) and Project Management tools; Basic understanding of data models and SQL.

 

Strong analytical, problem solving, critical and lateral thinking skills.

 

Values ongoing learning and growth to become fluent with changing business processes, proprietary systems, and software.

 

Clear written and verbal communication skills and the ability to effectively interface with business partners and technical team.

 

Demonstrate the ability to structure analysis and use analysis to help identify root causes versus underlying symptoms and make solid recommendations for improvement; Ability to listen, analyze issues, distinguish true needs, and recommend solutions. 

 

Proven ability to significantly impact process improvement and process management.

 

Ability to work independently and to think outside the box for solutions.

 

Demonstrate ability to work well with others, both inside of the team and across the organization.

 

Ability to document scope, business requirements in a clear and concise manner; Articulates relevant information and directions in an organized and concise manner.

 

Ability to exercise considerable individual judgment and initiative in conducting the necessary operations within a task and/or project; Can conform to shifting priorities, demands, and timelines through analytical and problem-solving capabilities.

 

Ability to be accurate, with a keen attention to detail is critical.

 

Ability to coordinate project activities with diverse groups and individual.

 

Ability to comfortably work with upper management and Leadership team.

 

Ability to work on multiple assignments simultaneously, prioritize tasks and know when to escalate issues.

 

Ability to work under challenging deadlines.

 

Ability to determine details within a project work plan to support next steps.

 

Preferred:
Proficient with Process Improvement Methodology including defining and documenting workflow.

 

Program and project level planning, mobilization and management.

Licenses/Certifications Required

Licenses/Certifications Preferred

Project Management Professional (PMP)

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)

 


Nearest Major Market: Los Angeles

Job Segment: Medicaid, Medicare, Claims, Healthcare, Insurance

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