Business Systems Analyst

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

This posting is for one position and will be filled as either a Business Systems Analyst I, Business Systems Analyst II, or a Business Systems Analyst III depending on the candidate's qualifications and experience.

We are looking for a BSA candidate who possesses strong technical skills with a focus on reporting and data analysis. The candidate should be skilled in SQL and have an understanding of programming languages to support code review and interpretation. The position will require adept critical thinking and problem-solving skills. The position will be responsible for developing and maintaining regulatory reports related to Case Management, Utilization Management, Claims, Members, Grievances, and Appeals.

• Business Systems Analyst I - Troubleshoot small-scale, basic production system issues, including thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable.
• Business Systems Analyst II - Troubleshoot small to medium scale, basic to moderate production system issues, including thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable.
• Business Systems Analyst III - Troubleshoot small to large scale, basic to complex production system issues, including thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable.

Day to Day:

• Business Systems Analyst I - Process improvement and documentation for small-scale, basic projects and components of medium-scale projects; writing formal requirements and functional specifications following industry standards and departmental templates; creating process flow diagrams; overseeing implemented changes; communicating impact to affected business areas.
• Business Systems Analyst II - Process improvement and documentation for small to medium scale, basic to moderate projects and components of large scale projects; writing formal requirements and functional specifications following industry standards and departmental templates; creating process flow diagrams; overseeing implemented changes; communicating impact to affected business areas.
• Business Systems Analyst III - Process improvement and documentation for small to large scale, basic to complex projects; writing formal requirements and functional specifications following industry standards and departmental templates; creating process flow diagrams; overseeing implemented changes; communicating impact to affected business areas.

About You:

• Bachelor’s Degree in Healthcare, Information Systems, or related field, or equivalent experience, training, or coursework.

Business Systems Analyst I

• Experience in healthcare and Knowledge of healthcare management information systems.
• Knowledge of healthcare business processes and knowledge of healthcare analytics and standard reporting measures.
• Knowledge of project management standards and functions and ability to analyze data for the purpose of informing business decisions.

Business Systems Analyst II

• Minimum two years of experience as a business analyst. Minimum one year of experience with healthcare management information systems.
• Minimum one year of experience working with healthcare business processes.
• Minimum one year of experience working with healthcare analytics and standard reporting measures.
• Minimum two years of experience utilizing project management guidelines and best practice.
• Minimum two years of experience analyzing data for the purpose of informing business decisions.
• Minimum two years of experience creating industry-standard business requirements and process documentation.

Business Systems Analyst III

• Minimum four years of experience, training or coursework.
• Minimum three years of experience with healthcare management information systems.
• Ability to identify, troubleshoot, and resolve small to large scale, basic to complex business and system issues. Ability to organize work and present results in a professional manner.
• Minimum three years of experience working with healthcare business processes.
• Minimum three years of experience working with healthcare analytics and standard reporting measures.
• Minimum four years of experience utilizing project management standards and functions.
• Minimum four years of experience analyzing data for the purpose of informing business decisions.
• Minimum four years of experience creating industry-standard business requirements and process documentation.

Please review the full job description on our Career’s page:

https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=1072

Job Type: Full-time

Pay: $80,428.00 - $120,642.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Do you have a minimum of two years of experience as a business analyst?

Education:

• Bachelor's (Preferred)

Experience:

• Health information management: 1 year (Required)

Work Location: In person