Lead Business Systems Analyst

SCAN Health Insurance•Long Beach, CA

1d•Hybrid

About The Position

Serve as a strategic liaison among business stakeholders, technical teams, and enterprise architects to define and deliver technology-driven solutions for complex business challenges. Drive alignment between business objectives and technical capabilities, ensuring solutions meet organizational goals and compliance standards.

Requirements

Bachelor’s Degree or equivalent work experience required
5-7 years of related experience
Hands‑on experience with clinical platforms such as care management systems, UM/CM platforms, HEDIS/quality systems, EHR integrations, or interoperability frameworks (FHIR, HL7, X12).
Proven track record of leading enterprise-scale projects.
Expertise in SDLC, Agile methodologies, and integration frameworks.
Advanced proficiency in modeling tools and requirements management platforms.
Advanced Stakeholder Management Ability to influence and align diverse stakeholders across business and IT, including executive leadership. This includes managing expectations, negotiating priorities, and driving consensus in complex environments.
Strategic Requirements Analysis Expertise in translating business objectives into detailed functional and technical specifications, leveraging advanced modeling techniques (e.g., BPMN, data flow diagrams) and ensuring traceability throughout the SDLC.
Technical Acumen with Integration Expertise Deep understanding of enterprise IT landscapes, integration frameworks, and data transformation principles. Ability to collaborate effectively with architects and development teams to design scalable, secure solutions.
Leadership in Governance and Quality Assurance Proven ability to establish and enforce standards, lead validation efforts, and oversee testing strategies to ensure compliance, quality, and alignment with organizational goals.
Understands clinical data across CCD/C‑CDA, ADT, labs, pharmacy, and claims with strong FHIR/HL7/X12 skills and coding‑system expertise for accurate requirements and validation.
Technical expertise - Advanced analytical skills
Problem Solving - Advanced problem-solving skills
Communication - Advanced communication and interpersonal skills
Clinical Workflow & Domain Expertise
Clinical Data & Interoperability
A background check is required.

Nice To Haves

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Responsibilities

Serve as the primary analytical leader for SCAN’s Clinical Applications ecosystem, driving clarity, alignment, and solution design across Care Management, Utilization Management, Pharmacy, Appeals/Grievances, and Population Health platforms.
Translate clinical operations strategy into actionable technology roadmaps, ensuring requirements, workflows, and data models support regulatory compliance, audit readiness, and measurable improvements in member outcomes.
Lead cross functional discovery and solutioning for complex clinical workflows, partnering with clinicians, business owners, architects, and engineering teams to design scalable, interoperable, and future ready capabilities.
Lead elicitation, analysis, and documentation of business and technical requirements for enterprise-level initiatives.
Translate business needs into comprehensive Software Requirement Specifications (SRS), integration mappings, and transformation models.
Deliver advanced artifacts such as Business Process Models, Data Flow Diagrams, BRDs, Requirements Traceability Matrices, and User Stories with Acceptance Criteria.
Ensure adherence to Software and Services department protocols, SDLC best practices, and enterprise architecture standards.
Champion process improvements and enforce compliance with organizational guidelines.
Design and oversee robust test strategies and plans.
Provide deep validation of technical deliverables, ensuring alignment with functional and non-functional requirements.
Partner with technical leads to guide project lifecycle execution, ensuring efficient and scalable platforms.
Communicate complex technical concepts to non-technical audiences and bridge gaps between business and IT.
Maintain proactive relationships with business units, IT teams, and vendors.
Set clear expectations, manage risks, and provide executive-level updates on progress and challenges.
Apply advanced knowledge of industry trends to shape technology strategy and improve service delivery.
Mentor junior analysts and contribute to building organizational capability.
Lead high-impact meetings, including executive briefings and cross-functional workshops.
Drive consensus and decision-making across diverse stakeholder groups.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.

Benefits

Base Pay Range: $106,200 to $182,983 annually
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
A competitive compensation and benefits program
An annual employee bonus program
Generous paid-time-off (PTO)
Eleven paid holidays per year
Excellent Retirement Savings program
A work-life balance
An opportunity to become part of a team that makes a difference to our members and our community every day!