Business Systems Analyst - Chula Vista, United States - Community Health Group

Community Health Group Chula Vista, United States

3 days ago

Description

Job Description

POSITION SUMMARY

Meets the needs of system users by working with the appropriate staff to determine business requirements; gathering information to define and program reports and applications to meet those business needs; providing technical assistance to Information Systems (IS) staff, developing written documentation such as specifications and operational procedures; coordinating business-critical projects from beginning to end; monitor, maintain, and complete all required regulatory files and processes.

COMPLIANCE WITH REGULATIONS:

Works closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner by CHG policies and procedures and compliance with applicable state and federal regulations including CMS and DHCS.

RESPONSIBILITIES

Provides technical assistance by working independently or with Analysts to design and plan projects; writing, testing, troubleshooting, and implementing application programs using the standards established by the department; providing maintenance support; developing test plans; working with the EDI/Applications Manager, System Manager and Developers to develop necessary databases and table design; Working with users to develop external applications to compliment vendor purchased system: attending on-going meeting related to projects.
Meets with the users to determine business needs; gathering information to define and program reports and applications to meet those business needs.
Provides information by writing documentation such as project overview, current environment assessment, process maps, business rules and constraints, functional requirements/specifications, flowcharts, test plans, and QA process specifications; coordinating the development of items including reports as required by the department, company, state and federal agencies; providing training for users and staff regarding new reports and/or applications; participating in the evaluation of new software systems; providing solutions to users for technical and procedural problems; providing regular status reports to supervisor. The Business Analyst will also be knowledgeable of all Information Systems production processes and will support EDI Data Processors. Provide analysis on enrollment, claims, authorization, and financial data as it pertains to Managed Care and construct necessary reports and datasets using SQL.
Enhances professional growth and development by participating in educational programs; reading current literature; attending in-service training and workshops; attending meetings as required and participating on committees as directed.
Supports the team effort by arranging and conducting meetings; assisting in the care and maintenance of department facilities, computer equipment, and supplies; maintaining departmental policies and procedures, objectives, quality assurance program, and safety, environmental, and infection control standards.
Perform other duties as assigned.
Education:
Bachelor's degree in Information Technology, science, technology, engineering, or mathematics (STEM) field, or other fields with Project Management/Business Analysis work experience
Experience/Skills:
Minimum of five years in system analysis and design, development, and implementation of computer applications.
Experience in database analysis and ability to write advanced SQL queries and understand stored procedures.
Thorough understanding of SQL and Microsoft SQL Server databases, including Integration Services (SSIS), and Reporting Services (SSRS).
Knowledge of Microsoft Azure Dev Ops.
Knowledge of the Software Development Lifecycle (SDLC).
Experience in healthcare preferred.
Certified Scrum Product Owner (CSPO) certification highly desired.
Physical Requirements:
Minimum 20 lb. Lifting.
May be required to work evenings and/or weekends.

**Must have current authorization to work in the USA**

Community Health Group is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment based on any protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Community Health Group makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, see Personnel Policy 3101 Equal Employment Opportunity/Affirmative Action.
Advanced workflow modeling skills utilizing Microsoft Visio required.
Excellent oral and written communication skills
Excellent analytical, logical and organization skills.
Excellent time management; able to work on multiple projects concurrently.

Company DescriptionCommunity Health Group (CHG) is a locally-based nonprofit health plan serving more than 360,000+ members in San Diego County. For 38 years CHG has been dedicated to coordinating quality care and providing exceptional customer service. Our more than 300 committed and well-trained employees do this as stewards of government funds from health-related programs (Medi-Cal and Cal MediConnect) designed to protect the most vulnerable people in our society. Providing access to culturally sensitive, quality care for our members is at the heart of what we do each and every day.

Company Description

Community Health Group (CHG) is a locally-based nonprofit health plan serving more than 360,000+ members in San Diego County. For 38 years CHG has been dedicated to coordinating quality care and providing exceptional customer service. Our more than 300 committed and well-trained employees do this as stewards of government funds from health-related programs (Medi-Cal and Cal MediConnect) designed to protect the most vulnerable people in our society. Providing access to culturally sensitive, quality care for our members is at the heart of what we do each and every day.

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