Business Analyst Healthcare

Must be a US Citizen, US Resident, or EAD living in Los Angeles.

This is a direct fulltime position (NO Third Party Candidates)

Position Summary:

The Senior Business System Analyst position is responsible for designing and testing system enhancements, modifying workflows to improve production, and expanding systems to serve new purposes.  This position formulates/defines systems scope and objectives based on user needs, prepares design specifications, test plans and flowcharts, and coordinates system installation with user departments. Analyzes all assigned business unit functions to determine application, integration and optimal use of information systems. Ability to work under general direction with minimal guidance.

Essential Duties and Responsibilities include the following:

1. Responsible for providing analytical support for existing in house and vendor supplied support systems. 

2. Perform analysis, design and support of data interfaces and data migrations.

3. Develop detailed specifications that can be used to support research and development of future projects and/or correct system related issues.

4. Coordinates efforts with other IS staff to support IS initiatives.

5. Provides development of solutions to achieve strategic objectives and improve support delivery.

6. Establishes and maintains effective, consistent reporting to IS and Executive management as needed.

7. Perform analysis and support for any of the functional areas that are currently in use at Regal Medical across all lines of business:

1. Eligibility

2. Accounts Payable

3. Provider Contracting

4. Capitation

5. Medical Management

6. Claims

1. Provides recommendations for IS initiatives that support the user community.

2. Ensure all process are completed in a timely manner and performs random audit on IS practices, reports on support delivery.

3. Provides day to day support, including but not limited to: Application training, trouble shooting and assistance for all systems.

4. Acts as subject matter expert for development projects.

5. Thorough knowledge and experience with system development methodology; with the ability to tie these into the use of department standards and policies and procedures.

6. Will be required to communicate technical issues throughout all levels within the organization and within the department

7. Will be required to be knowledgeable on HIPAA privacy and security regulations and able to assist in implementation and enforcement of these regulations and be able to incorporate them into the development of new and existing projects.

8. May lead the individual development of lower level analyst by providing training, encouragement and opportunities to learn the technical skills and tools needed to support the corporation’s initiatives.

9. Ability to manage own workload

10. Performs other duties as necessary

Education and/or Experience:

1.     A bachelor’s degree from a four-year college or appropriate industry experience and/or certification or equivalent industry experience.

2.     Excellent written and verbal communication skills.

3.     In-depth knowledge, experience of the following Microsoft applications:

MS Word, MS Excel, MS Access, MS Project and MS Visio.

4.     Experience with SQL 2000 and SQL 2005 preferred.

5.     Demonstrable understanding of  SQL databases and at least 2 years of  experience working with MS Enterprise Manager 

6.     Experience with EZ Cap preferred.

7.     Experience with Access Express preferred.

8.     Experience with Crystal reports or other reporting tools

9.     Experience with implementation and support of Document Management Systems.

10.  Understanding and practice of development life cycle management.

11.  Requires minimum of 5 years experience in the support of the following functional areas in  an IPA, Medical Group and/or HMO setting.

a.     Eligibility

b.     Accounts Payable

c.      Provider Contracting

d.     Capitation

e.     Medical Management

f.       Claims

12.  Understanding of the various lines of business and their impact in processing through the various functional areas of an IPA, Medical Group and/or HMO.

13.  In depth knowledge of impact on development projects to infrastructure and ongoing support and security.

14.  Experience with clinical applications preferred.

15.  Understanding of Project Management methodologies

16.  Excellent problem solving and organizational skills

17. Strong ability to communicate across entire organization in a professional manner.

Organizational Responsibilities :

1. Proactively support and practice company mission, vision and values.

2. Follow Employee Handbook guidelines and company policies and procedures.

3. Follow established departmental dress code.

4. Appropriately and accurately maintain time keeping records.

5. Adhere to attendance policy and time off requests.

6. Follow safety policies and procedures.

7. Be flexible and adaptable and courteous and promote professionalism.

8. Communicate verbally and in writing through appropriate channels.

9. Maintain confidentiality at all times in compliance with company policy and HIPAA requirements.

10. Employee has completed all required annual Compliance training and signed attestation form is attached for each module.