BA/ BSA with Medicare/Medicaid and EDI exp

Job Title: Solution Analyst III (3 C2H and 3 Contract positions)

Los Angeles, CA (Hybrid)

Need Someone Who Is Local To CA

12- months contract (with possible extension)

The Enterprise Portfolio Management Office Solutions Analyst III is accountable for the intake, execution, management the oversight of strategic programs and projects approved and budgeted by the client's Leadership and the Board of Governors. These programs and projects span multiple functions and departments and are enterprise investments in infrastructure and process excellence. The portfolio, program, and project management resources within the ePMO are uniquely positioned to support business units in the planning and delivery of large-scale programs and projects.

The Shared Services team within the ePMO operates as a center of excellence for portfolio management and will provide leadership and support in ensuring the ePMO leverages project management best practices when initiating projects, and while monitoring and reporting the status of those projects to project and business leadership.

Under the general direction of the Manager, and following best practices based on BABOK and other authoritative bodies, the Solutions Analyst is a critical thinker who is responsible for eliciting, analyzing, communicating, testing, and verifying functional and non-functional business requirements for strategic initiatives, assisting with the definition of Acceptance Test Criteria, and ensuring requirements are specific, testable, and in alignment with business goals and architecture. The Solutions Analyst will work with business and technology resources to temper and align preferences to develop collective and valuable solutions to business needs. This position will perform these duties on large, complex projects and programs that require collaboration across many business units. The requirements, solutions, and testing for these larger projects will require a complete understanding of all impacted processes and work teams. This position will be skilled in negotiating between business units to find the best overall solutions and outcomes.

This position not only works on complex and difficult projects but also mentors' other analysts both within the ePMO and within the business units, to strengthen the client's business analysis capability. This very experienced individual also helps to define and implement best practices for solutions and business analysis for the organization, based on industry-standard authorities. is accountable for intake, execution, and management of the oversight of strategic programs and projects approved and budgeted by the client's Leadership and the Board of Governors. These programs and projects span multiple functions and departments and are enterprise investments in infrastructure and process excellence. The portfolio, program, and project management resources within the ePMO are uniquely positioned to support business units in the planning and delivery of large-scale programs and projects.

Qualifications

• Education Required: bachelor's degree in Related Field Instead of a degree, equivalent education and/or experience may be considered.
• Education Preferred: master's degree in Related Field.
• Experience Required: Minimum of 5-7 years of experience eliciting and documenting business and systems requirements using techniques such as JAR/JAD, SCRUM, etc. OR minimum of 5-7 years of experience developing, implementing, and evaluating workflow processes, policies, and procedures.
• Minimum of 7 years of experience in a managed healthcare environment with strong domain expertise in at least one of the following disciplines: Claims/EDI, Membership, Provider, Care Management, or Finance.
• Preferred: Experience with Tableau and Requirements Management software.
• Proven ability to work with a diverse group of people, including leadership, support staff, coworkers, and department management.
• Proven ability to lead cross-functional discussions to reach collaborative outcomes.
• Proven ability to produce outstanding analysis deliverables on complex, multi-disciplinary projects and programs.
• Demonstrated ability to research complex issues and bring about resolution.
• Demonstrated mentoring and coaching skills to develop other team members.
• Excellent critical thinking and problem-solving skills.
• Strong elicitation and process documentation skills.
• Strong organizational and communication skills to build and foster effective relationships.
• Excellent computer skills: MS Office Suite (Word, Excel, Visio, PowerPoint) skills required.
• Excellent customer service skills with the ability to make independent judgments, handle multiple projects simultaneously, adapt to shifting priorities and utilize time management skills to meet deadlines.
• Must have excellent written and verbal communication skills and the ability to communicate effectively with management and non-management personnel.
• Ability to always maintain a professional and mature demeanor.
• Ability to work in a fast-paced department independently or in a team and handle multiple tasks with competing priorities; work with interruptions and deal effectively with confidential information.
  
  

Responsibilities

• Leads analysis and requirements gathering sessions on large, complex programs and projects using methodologies such as JAD, JAR, SCRUM, etc., to define, analyze, and document business needs and requirements in support of strategic initiatives.
• Collaborates across multiple business units ensuring that all parties get the best possible outcomes for the client and its members and providers.
• Documents functional and non-functional business needs and requirements, ensuring requirements are usable, specific and testable, and in alignment with business goals and overall business architecture.
• Assists in defining Acceptance Test Criteria, tracing back to documented business requirements.
• Creates and updates complex as-is and future state business workflows to enable the documentation of business process needs and production of requirements for all related business, and operational systems critical to the project or program.
• Makes recommendations for solutions or improvements that can be accomplished through new processes or technology, or alternative uses of existing processes or technology.
• Researches and analyzes data in support of business functions, process knowledge, and systems requirements.
• Tracks maintenance of business needs and requirements to ensure they are not attenuated or discarded during the execution and delivery phases.
• Supports the Project Manager by providing more detailed project objectives; clear structured, and usable requirements; tradeoff analysis; requirement feasibility; and risk analysis to improve the execution of the project plan.
• Mentors other Solutions Analysts and Business Analysts to strengthen the client's solution and business analysis capability.
• Defines and follows best practices for the organization based on BABOK or other authoritative bodies of knowledge.
• Analysis in support of the entire ePMO.
• Perform other duties as assigned.