Senior Business Systems Analyst

Health Net

(Rancho Cordova, California)
Full Time
Job Posting Details
About Health Net
Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable.
Summary
The Senior Business Systems Analyst serves as a senior-level business systems analyst for a variety of cross-functional business analysis activities. This position identifies and presents business and technical specifications based on customer and business needs, industry best practices and available technology. Responsible for driving moderate to highly complex systems requirements (7+ participants and/or budget of $200K+). May be assigned lower level management functions.
Responsibilities
* Develops and/or reviews departmental business system requirements and business systems design documents, customer acceptance test plans, and post-implementation plans. May include review and audit of deliverables produced by other team members. * Triages and troubleshoots user-reported system defects. Educates users on training or data issues that are not true system defects, performs initial analysis for true defects and turns over to application programmers for resolution. * Provides analytical support for initiatives, including business function support for system migrations and consolidations, business area process improvement projects, and product installations. * Consults with business areas and project managers for development of implementation strategies, departmental desk level procedures, and departmental training materials. * Performs data analysis to support evaluation of system defects or to develop test scenarios. * Acts as a lead over a team of business systems analysts, as necessary, managing analytical resources, scheduling project work, assigning projects and tasks to team members, and reporting overall team status and accomplishments to management. * May assist management in the quarterly and annual evaluation of team members. * Facilitates communication with management to prioritize project work and build detailed business cases. * Prepares and presents detailed business cases for review by management and corporate steering committees. * Works directly with external customers in implementing new technology (e.g., web user interfaces, outsourced vendor arrangements, and EDI interchanges) and resolving customer service issues * Develops standards and protocols for project deliverables of all departmental team activities to ensure quality and timely delivery of documents. * Develops training materials, and conducts training sessions for team members and other interested parties in the department. * Researches new technology and evaluates potential application within the department. * Leads efforts to evaluate the acquisition of 3rd party software. Produces RFI's, facilitates system demonstrations, assists in development of pricing structures, and provides recommendations to management.
Ideal Candidate
* Bachelor's Degree required in Information Systems, Finance/Accounting, Business or other technical/analytical field **Experience Required** * Minimum five years analytical and data processing experience with experience on large-scale business analysis or development projects and proven leadership abilities * IT experience preferred * Health Care or other applicable industry experience preferred * OR * Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position. **Knowledge, Skills & Abilities** * Research, analytical, organization, and time/project management skills required * Ability to work in a self-directed manner with minimal direction and oversight * 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 processes * Strong understanding of regulatory requirements essential to supported functional area * 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, and/or call center administration * Thorough knowledge about Health Net's product portfolio * Ability to conceptualize, and design new methods for practical application; Must identify how changes will impact current processes, and must be adept at proposing options for managing change in a cost-effective manner * Strong communication skills, especially the ability to explain system and technical topics * Ability to train lower level staff or new hires on job duties * Must be detail oriented and maintain the highest productivity and quality quotient * Thorough knowledge of and demonstrated skills in use of word processing and data analysis software such as Microsoft Word, Excel and/or Access is required; Knowledge of other data analysis tools desired; Thorough knowledge of presentation software such as MS PowerPoint and Visio required * Depending on department, position may require competency in data extraction and reporting tools such as MS Access, Focus, Crystal Reports, Interactive Query and Business Objects * Position may require understanding of relational databases

Questions

Answered by on
This question has not been answered
Answered by on

There are no answered questions, sign up or login to ask a question

Want to see jobs that are matched to you?

DreamHire recommends you jobs that fit your
skills, experiences, career goals, and more.