Business Systems Analyst

Position Summary:

The 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:

• Responsible for providing analytical support for existing in house and vendor supplied support systems.
• Perform analysis, design and support of data interfaces and data migrations.
• Develop detailed specifications that can be used to support research and development of future projects and/or correct system related issues.
• Coordinates efforts with other IS staff to support IS initiatives.
• Provides development of solutions to achieve strategic objectives and improve support delivery.
• Establishes and maintains effective, consistent reporting to IS and Executive management as needed.
• Perform analysis and support for any of the functional areas that are currently in use at Regal Medical across all lines of business:
  • Eligibility
  • Accounts Payable
  • Provider Contracting
  • Capitation
  • Medical Management
  • Claims
• Provides recommendations for IS initiatives that support the user community.
• Ensure all process are completed in a timely manner and performs random audit on IS practices, reports on support delivery.
• Provides day to day support, including but not limited to: Application training, trouble shooting and assistance for all systems.
• Acts as subject matter expert for development projects.
• Thorough knowledge and experience with system development methodology; with the ability to tie these into the use of department standards and policies and procedures.
• Will be required to communicate technical issues throughout all levels within the organization and within the department
• 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.
• 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.
• Ability to manage own workload
• Performs other duties as necessary

The pay range for this position at commencement of employment is expected to be between $70,304 - $75,000 annually; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Education and / or Experience:

• A Bachelor's Degree from a four-year college or appropriate industry experience and/or certification or equivalent industry experience.
• Excellent written and verbal communication skills.
• In-depth knowledge, experience of the following Microsoft applications:
• MS Word, MS Excel, MS Access, MS Project and MS Visio.
• Experience with SQL 2000 and SQL 2005 preferred.
• Demonstrable understanding of SQL databases and at least 2 years of experience working with MS Enterprise Manager
• Experience with EZ Cap preferred.
• Experience with Access Express preferred.
• Experience with Crystal reports or other reporting tools
• Experience with implementation and support of Document Management Systems.
• Understanding and practice of development life cycle management.
• Requires minimum of 5 years experience in the support of the following functional areas in an IPA, Medical Group and/or HMO setting.
  • Eligibility
  • Accounts Payable
  • Provider Contracting
  • Capitation
  • Medical Management
  • Claims
• 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.
• In depth knowledge of impact on development projects to infrastructure and ongoing support and security.
• Experience with clinical applications preferred.
• Understanding of Project Management methodologies
• Excellent problem solving and organizational skills
• Strong ability to communicate across entire organization in a professional manner.