Senior Business Analyst

  • location: Los Angeles, CA
  • type: Contract
  • salary: $38 - $44 per hour
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job description

Senior Business Analyst

job summary:
Randstad is working with one of our largest non-profits in Los Angeles. They are looking for a Senior Business Analyst. This is a temp position for 6 months.

  • Under the general direction of the Senior Manager of Delegation Oversight, the Senior Business Analyst, Delegation Oversight is a critical thinker who will be responsible for eliciting, analyzing, communicating, testing and verifying requirements for services delivered through contracted, delegated entities (Participating Provider Groups, Management Services Organizations, Vendors, etc.).
  • The Senior Business Analyst is responsible for maintaining a subject matter expertise of the operational, reporting, and accrediting requirements for all lines of business (Medicaid, Medicare, and Commercial) that are delegated to external entities and communicating them clearly to stakeholders, facilitators and partners.
  • This individual will be required to document each delegated requirement and its corresponding authority source(s), in a comprehensive function-based index that codifies contractual, regulatory, accreditation requirements into major categories, stratifies sub-function level requirements for each product line, and leverages the requirements to monitor and oversight all delegated functions.
 
location: Los Angeles, California
job type: Contract
salary: $38 - 44 per hour
work hours: 8 to 5
education: Associate's degree
experience: 5 Years
 
responsibilities:
  • Elicits, documents, analyzes, communicates, tests and verifies requirements for services delivered through contracted, delegated entities. Assess the requirements of the organization with respect to its operations and functions.
  • Reviews the LAC PNM organization, and the LAC contracted Plan Partners entity policies, procedures, internal controls, and training materials as well as transactions, source documents, disclosures, training and outcomes for compliance with contractual, regulatory, and accrediting requirements, and LAC business policies.
  • You will assist with analysis of Reviews the LAC PNM organization, and the LAC contracted Plan Partners entity policies, procedures, internal controls, and training materials. Reviews transactions, source documents, disclosures, training and outcomes for compliance with contractual, regulatory, and accrediting requirements, and LAC business policies.
  • Report analytical performance metrics on requirements, which may be in the form of visualizations such as graphs, charts and dashboards, detailing the significant results they deduced to inform senior-level business stakeholders, so they may make informed decisions.
  • Responsible for the development, implementation, and maintenance of policies and procedures relating to delegation oversight. Monitors, and analyzes remediation and corrective action plans, and uses critical thinking and problem solving skills to help ensure successful, and compliant delegation partnerships and department quality.
 
qualifications:
Bachelor's in a related field of study; or commensurate work experience.

Healthcare/ Managed Care and Research and Legal Writing Experience required.

Proven ability to work with a diverse group of people, including physicians, support staff, coworkers and management. Demonstrated ability to research issues and bring about resolution either directly or with the assistance of others.

Required:

With Bachelor's Degree: 3 - 5 years of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related health care industry; or, 3 - 5 years of healthcare experience in external regulatory or governing entity audit preparation.

With Associate's Degree: 4 - 6 years of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related health care industry; or, 4 - 6 years of healthcare experience in external regulatory or governing entity audit preparation.

With High School Diploma/GED: 7 years of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related health care industry; or, 7 years of experience in external regulatory or governing entity audit preparation.

Skills:

  • Demonstrated critical thinking and problem solving skills.
  • Strong written and verbal communication skills.
  • Strong elicitation and process documentation skills.
  • Strong organizational and communication skills to build and foster effective relationships.
  • Knowledgeable financial and financial risk analysis.
  • 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.
  • Excellent written and verbal communications skills and the ability to communicate effectively with management and non-management personnel, and work in a fast-paced environment.
If interested, please submit resume to Celine.Alcaraz@randstadusa.com

 
skills: Business Analysis
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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