Job Description
Job Description
The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.
Work Culture :
GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work – Together.
GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).
GCHP’s focuses on 5 Core Values in the workplace :
- Integrity
- Accountability
- Collaboration
- Trust
- Respect
Disclaimers :
Flexible work schedule is based on job duties, department, organization, or business need.Gold Coast Health Plan will not sponsor applicants for work visas.POSITION SUMMARY
The Senior Business Systems Analyst is responsible for solving cross-functional organizational information problems through identification and presentation of business and technical specifications based on customer and business needs, industry best practices and available technology. The incumbent for this role will work across the organization to define the functional, usability, reliability, performance and support requirements of a system, serving as a business subject matter expert, providing a link between the technical and business views of the system to ensure the solutions being developed will satisfy the needs of the business.
Amount of Travel Required : 0-5%
Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
ESSENTIAL FUNCTIONS
Job Function & Responsibilities
Provides analytical support for systems projects, including business function support for system migrations and consolidations, business area process improvement projects, and product installations.Consults with business to identify and document current operational procedures, problems, system input and output requirements, data scope, functional usage, formatting, user screen layout design, workflows and security requirements.Leads system requirements definition, design, testing, training and implementation support. Applies use of tools to define requirements and documentation.Writes and maintains functional specifications for new or modified business systems.Consults with programmers to design and develop automated business toolsCommunicates business requirements and technical specifications to programming / development resources.Assists business in the creation of user documentation, instructions, and procedures.Documents and monitors post-implementation issues and coordinates through resolution.Develops and / or reviews departmental business system requirements and business systems design documents, customer acceptance test plans, and post-implementation plans.Works with external technology partners in implementing new reporting capabilities, systems enhancements and technology.Provides analysis of efficiencies related to system enhancements / automation.Develops use cases and test cases.Executes system testing.Leads user acceptance testing.MINIMUM QUALIFICATIONS
Education : Bachelor's Degree (four year college or technical school) Required, Field of Study : Information Systems, Finance / Accounting, Business or other technical-analytic field.
Equivalent In lieu of degree :
Or any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.
Experience : 8 plus years of experience in analytical and data processing with experience on small to medium scale business analysis.
KNOWLEDGE, SKILLS & ABILITIES
Preferred Qualifications :
Ability to develop functional requirements and documentation for technical staff.Ability to develop data process modeling / mapping. Ability to develop system test plans.Possess a very high level of subject matter expertise in a functional area, which may require expertise in benefits, claims adjudication, provider or employer contract administration, member and provider demographic management, QI (HEDIS reporting), UM / CM.Demonstrated experience in creation of business process diagrams, data flow diagrams, non-complex data models.Ability to drive positive results in difficult circumstances with ability to cope with rapid change. Possess an understanding of health industry data elements, and understanding of how elements are used within departmental processesTechnology & Software Skills : Proficient in Word, Excel, Access, Project, Visio, and Windows operating systems.
Certifications & Licenses : A valid and current Driver's License, Auto Insurance, and professional licensure(s)
Competency Statements
Management Skills - Ability to organize and direct oneself and effectively supervise others.Business Acumen - Ability to grasp and understand business concepts and issues.Decision Making - Ability to make critical decisions while following company procedures.Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.Interpersonal - Ability to get along well with a variety of personalities and individuals.Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.Time Management - Ability to utilize the available time to organize and complete work within given deadlines.Consensus Building - Ability to bring about group solidarity to achieve a goal.Relationship Building - Ability to effectively build relationships with customers and co-workers.Presentation Skills - Ability to effectively present information publicly.Delegating Responsibility - Ability to allocate authority and / or task responsibility to appropriate people.Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.Strategic Planning - Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved.Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.Judgment - The ability to formulate a sound decision using the available information.Communication, Oral - Ability to communicate effectively with others using the spoken word.Communication, Written - Ability to communicate in writing clearly and concisely.Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.