Business Systems Analyst (Hybrid)

$80,428 - $120,642/Yr

Santa Clara Family Health Plan - San Jose, CA

Full-time - Entry Level

San Jose, CA

101-250 employees

About the position

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 SCFHP DualConnect (HMO D-SNP) health care plans. 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.

Responsibilities

• 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.
• 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.

Requirements

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

Benefits

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