Analyst Sr, Configuration, Covered

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

We are hoping you will join us as a ITS Analyst Sr, Configuration, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.

This position has been approved to be Full Telework.

- If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The ITS Analyst Sr (Configuration) will formulate and define system configuration scopes and objectives through research and fact-finding based on user needs, business requirements and system parameters. You will frequently interact with department end users, providing core system functionality, analyzing user requirements, procedures and problems to automate or improve existing system capabilities, workflow and limitations. You will lead projects and coordinate work efforts with other project team members.

You will provide consultation to different business areas on handling special assignments, including researching members and provider data, benefits, regulatory requirements and claims pricing and payment rules. You will provide guidance on configuring system requirements, including systematic extract, transform and load (ETL) procedures to supplement or enhance system features. Additionally, you will coordinate business end users testing and acceptance. You will also provide analytical and business expertise across various functions and guide the business in determining the scope of work or project requirements.

You will often work independently and perform more complex analytical and administrative responsibilities. Together, we are building a stronger, more equitable health system.

• 90% - Analytical Support
• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Manages multiple, concurrent projects for completion in a thorough and timely manner.
• Documents system functionalities, reporting requirements, limitations and workflows to address business and operational requirements.
• Facilitates or leads internal project teams to determine the impact of configuration across Facets modules.
• Conducts research, documents findings, works with internal and external subject matter experts (SME) to formulate conclusions or potential solutions and prepares concise reports, presentations and other documentation as needed to present to the management team.
• Creates test scenarios and testing schedules, including time estimates and deadlines, monitors milestone completion, tracks all phases of testing and provides timely reporting of issues that impact the testing progress. This includes documenting, prioritizing and tracking changes on the testing documents.
• Provides analytical support and technical expertise on requests…