Inland Empire Health Plan - Los Angeles, CA
posted about 2 months ago
The Analyst II Product System Configuration at IEHP plays a crucial role in managing complex system configurations within the Business System. This position is under the direction of the Supervisor of Product System Configuration and is responsible for accurately interpreting state, federal, and contractual guidelines related to benefits, fee schedules, contracts, division of financial responsibility (DOFR), codification of services, and business requirements. The Analyst will translate these guidelines into configurable parameters within the Business Systems, acting as a subject matter expert to drive decisions related to system configuration. In this role, the Analyst II will develop and maintain comprehensive documentation of business and technical specification requirements, utilizing best practice configuration guidelines established by the Application Architects. Effective communication is key, as the Analyst will facilitate discussions and formally report findings to various department heads and staff, tailoring the communication style to the audience's skill level and technical expertise. Training and educating team members within the unit will also be a necessary part of the job. The Analyst will assist in developing configuration standards and best practice guides to maintain efficiency, accuracy, and successful integration with internal and external systems. They will analyze business specifications, perform product system error root cause analysis, track incoming requests, and monitor system configuration inventory to ensure compliance with service level agreements and regulatory timelines. Additionally, the Analyst will configure and maintain complex product-related system builds, assist the Contracting team with drafting contract fee schedule language, and develop business requirements for automation of coding updates. Regular audits of check run products will be performed to proactively identify potential system configuration issues before product releases. Overall, this position is integral to ensuring that the system configurations align with the organization's goals and regulatory requirements, contributing to the quality and efficiency of services provided by IEHP.