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Surround Systems Configuration Analyst III

2 months ago

Los Angeles, California, United States L.A. Care Health Plan Full time

Salary Range: $91, Min.) - $121, Mid.) - $151, 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 Surround Systems Configuration Analyst III is responsible for the more complex technical and analytical work related to the maintenance, update, etc. of the configuration of the L.A. Care Health Plan Surround Systems, applications, and databases (e.g., Clinical Care Advance (CCA), Process Communication Tracking (PCT), SyntraNet, etc.). This position serves as a subject matter expert who has the ability to proactively identify and independently rectify issues and opportunities for configuration improvements. As the subject matter expert, this position performs peer review and applies advanced skillset to ensure quality of the work product. This position collaborates closely with peers and management within the department as well as throughout and outside of the organization to trouble-shoot and facilitate the maintenance and update of the most complex configuration of the various modules of our surround systems, applications, and databases as well as facilitate end-to-end interdepartmental and enterprise projects. This position also provides well thought-out recommendations for vendor enhancement of the surround systems products.

Duties

Manage complex surround systems configuration and related documentation. Serve as a subject matter expert for configuration change management testing and related best practices. Facilitate production controls and system configuration data codification.

Monitor and review systems edits, response time issues, etc. and conduct related advanced root cause analysis to identify issues and provide well thought-out recommendations for resolution. Identify and facilitate the implementation/enhancement of systems, process improvements, and best practices.

Interface and collaborate with peers within and outside of the department and the organization to support configuration management best practices, systems enhancement processes, management of the system configuration life cycle management project/program plans, tracking of configuration change operational issues and resolution.

Perform peer review for all levels of staff and apply advanced skillset to ensure quality of the work product.

Perform other duties as assigned.

Duties Continued
Education Required
Bachelor's Degree in Business or Healthcare Related FieldIn 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 Operations department in a healthcare organization.

Advanced knowledge of and experience with health plan configuration (especially for health services/medical management/population health management as well as appeals and grievances systems, applications, etc.) and Milliman care guidelines (MCGs) and standards.

Knowledge of and experience with utilizing SDLC and related configuration change management methodologies, standards and best practices.

Preferred:

At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.

Skills

Required:

Advanced understanding of managed care operations (including, but not limited to, health services/medical management/population health management, appeals and grievances, etc.) and the systems that support these operations.

Advanced knowledge of and experience with health plan systems configuration (especially for health services/medical management as well as appeals and grievances systems, applications, etc.)

Knowledge of Systems Development Life Cycle (SDLC) procedures in planning system configuration.

Strong communication, analytical, organization, and time management skills.

Able to manage projects and initiatives end-to-end.

Able to meet strict, tight deadlines with a high level of accuracy.

Able to prioritize multiple tasks.

Able to work collaboratively with various levels of peers and management throughout the organization.

Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
LightAdditional 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)