Business Analyst I Managed Care Operations
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Job Location:
Bakersfield, CA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Where Youll Work
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Job Summary and Responsibilities
***This position is remote but will be expected to work PST business hours.
In this Business Analyst I role you will serve as the internal consultant for the Managed Care Operations team providing analysis reporting and operational support across a variety of functions including credentialing contracting claims provider relations quality/risk care coordination utilization management and business development. You will bridge the gap between operational needs and technology solutions ensuring data integrity and actionable insights for key stakeholders. As part of the BA Hub you will also partner closely with the Population Health Analytics function to ensure consistent and accurate reporting across all markets.
Essential functions will include:
- Providing support in analyzing business data processes and defining data and reporting requirements for Managed Care Operations.
- Assisting with less complex custom and third-party business intelligence applications.
- Begining to develop relationships with internal stakeholders in Managed Care Operations and assist in identifying process improvements.
- Assisting in gathering and defining report and data extract requirements for reporting teams.
- Conducting basic data analysis and assist with identifying trends and root causes in business performance.
- Ensuring positive data integrity and assist with data governance procedures.
- Participating in the development of project plans and assist with project documentation and planning.
- Supporting process improvement initiatives through workflow analysis and gap identification.
Job Requirements
Minimum Qualifications:
- 2 years of experience in business analysis within healthcare or managed care environments.
- Experience working with managed care functions including claims credentialing and provider relations.
- Associates degree in healthcare administration managed care business information technology or related fields or equivalent experience.
- Basic understanding of managed care operations data analysis and report generation.
- Database design and querying business information systems business statistics e-commerce systems or related courses.
- Strong proficiency with data analysis tools such as SQL PowerBI or similar.
- Demonstrated ability to support process improvements and manage multiple projects.
- Strong analytical and problem-solving skills with the ability to interpret complex data sets and identify key trends.
- Ability to effectively communicate with stakeholders at all levels translating technical findings into actionable business insights.
- Demonstrated ability to collaborate across functions to deliver operational improvements and strategic initiatives.
- Familiarity with HIPAA regulations and data governance best practices.
Preferred Qualifications:
- 2-4 years of experience in a business analyst role within healthcare managed care or health plan operations preferred.
- Bachelors degree in computer science mathematics management information systems or a closely related field preferred.
- Previous experience with report automation strongly preferred.
- EZCap knowledge/experience a plus.
- Experience with SSRSCrystal Reporting a plus.
Required Experience:
IC
Key Skills
- SQL
- Agile
- Business Analysis
- Visio
- Waterfall
- Business Process Modeling
- Requirements Gathering
- User Acceptance Testing
- Business requirements
- SDLC
- Systems Analysis
- Data Analysis Skills
About Company
Dignity Health provides compassionate, high-quality, affordable health care services throughout Arizona, California and Nevada. Schedule an appointment today!
