Job Information
L.A. Care Health Plan Lead Systems Configuration Product Analyst in Los Angeles, California
Lead Systems Configuration Product Analyst
Job Category: Information Technology
Department: IT Enterprise Data Management
Location:
Los Angeles, CA, US, 90017
Position Type: Full Time
Requisition ID: 11404
Salary Range: $105,267.00 (Min.) - $139,478.00 (Mid.) - $173,689.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Lead Systems Configuration Product Analyst manages the core system application and affiliated products for Configuration. This position collaborates with product vendors and internal technical resources on implementing product changes, resolving defects, upgrade support and certifies the product is functioning to support the business needs. The Lead Systems Configuration Product Analyst influences change and recommends enhancements to business and system processes to improve quality, functionality and outcomes in support of enterprise objectives. This position provides instruction to end users in the use of the application software, answers questions and assists in resolving problems regarding the methods and procedures for using application software. The Lead Systems Configuration Product Analyst provides technical support, analytical and problem solving expertise, effectively communicates solutions through review meetings, written specifications, workflow diagrams, and/or proof of concept demonstrations. This position is responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.
Duties
Designs, develops and presents proof of concepts of system features and functionalities to support business needs and issues resolution. Reviews technical, planning and product documents to ensure accuracy and to ensure impacts are identified, understood, and communicated.
Leads and facilitates configuration design and business process alignment sessions; solicits, collects and documents critical information from stakeholders related to Custom solutions.
Conducts testing and validation of new features, enhancements and issues for reliability and accuracy, documents results and outcomes. Identifies issues and provides resolutions.
Provides input to leadership for establishing and developing standards, guidelines, and best practices of the system. Documents business and functional requirements, develops configuration requirements, creates and maintains system process documentation.
Oversees and manages the configuration product environments and change management process both internally and at the enterprise level. Submits and tracks product tickets for defects and enhancements.
Manages the maintenance of the master reference data tables, code sets and related updates, file load packages and product subscriptions.
Manages system upgrades and implementations, representing the Core Systems Configuration team and the Enterprise Configuration department.
Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval.
Leads the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training and feedback on performance to department management. Oversees the daily office workflow, develops and recommends enhancements to process and procedures.
Performs other duties as assigned.
Duties Continued
Education Required
Bachelor's Degree
In lieu of degree, equivalent education and/or experience may be considered.
Education Preferred
Experience
Required:
At least 5 years of experience in a Systems Configuration, Claims or other Operational department.
At least 1 year of lead experience (process, program, or staff).
Knowledge of and experience with application development and support life cycle including change management processes.
Experience with methods and techniques of eliciting, analyzing and documenting business requirements and processes.
Experience in analytical methods for studying problems, developing alternatives and recommendations.
Skills
Required:
Excellent planning, organizational and prioritization skills with ability to exercise initiative.
Strong analytical and problem solving skills with the ability to engage in lateral thinking.
Effective interpersonal skills to interact with technical and non-technical audiences and with system users with varying levels of expertise.
Ability to work effectively independently as well as within a team.
Excellent written and verbal communication skills.
Proficient in Microsoft applications, including Access, Excel and Word, SQL.
Proficiency and understanding of the application various coding sets such as in International Statistical Classification of Diseases and Related Health Problems (ICD)-10 CM and ICD-10 PCS, Common Procedural Technology (CPT), Healthcare Common Procedure Coding System (HCPCS), Revenue, Diagnosis Related Group (DRG), Redbook and pricing methodologies.
Knowledge of Commercial Health Insurance, Medicare, Medicaid and benefit administration in a Managed Care Services organization.
Working knowledge of configuring QNXT or similar database management system and applications for various business areas such as eligibility, enrollment, provider contracts, plan benefits and claims.
Knowledge of principles and techniques of software and system quality assurance and testing.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Light
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)