Surround Systems Configuration Analyst III

L.A. Care Health Plan•Los Angeles, CA

1d•$91,536 - $151,034

About The Position

The Surround Systems Configuration Analyst III performs complex technical and analytical work related to maintaining and updating the configuration of L.A. Care Health Plan’s surround systems, applications, and databases, including Clinical Care Advance (CCA), Process Communication Tracking (PCT), and SyntraNet. The role serves as a subject matter expert who proactively identifies and independently resolves issues and configuration improvement opportunities, conducts peer reviews, and applies advanced skills to ensure high-quality work. The analyst collaborates with department peers and management and with partners across and outside the organization to troubleshoot complex configuration issues, maintain and update system modules, and support end-to-end interdepartmental and enterprise projects. The role also develops recommendations for vendor product enhancements, supports configuration change management and testing practices, evaluates business operations and processes, and provides training and mentorship to junior staff and interns as needed.

Requirements

Bachelor’s degree in business or a healthcare-related field; equivalent education and/or experience may be considered in lieu of a degree.
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, and appeals and grievances systems and applications.
Knowledge of and experience using Milliman care guidelines (MCGs) and standards.
Knowledge of and experience with SDLC and related configuration change management methodologies, standards, and best practices.
Advanced understanding of managed care operations, including health services, medical management, population health management, and appeals and grievances, and the systems that support these operations.
Knowledge of Systems Development Life Cycle (SDLC) procedures in planning system configuration.
Strong communication, analytical, organizational, and time-management skills.
Ability to manage projects and initiatives end-to-end.
Ability to meet strict, tight deadlines with a high level of accuracy.
Ability to prioritize multiple tasks.
Ability to work collaboratively with peers and management at various levels throughout the organization.

Nice To Haves

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.

Responsibilities

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 system edits and response-time issues; conduct advanced root-cause analysis and recommend resolutions.
Identify and facilitate implementation of system and process improvements and best practices.
Collaborate across and outside the department and organization on configuration management practices, system enhancements, system configuration life-cycle plans, and tracking and resolving operational issues.
Perform peer reviews for staff at all levels and ensure the quality of work products.
Evaluate business operations and processes and identify where technical solutions could improve performance.
Ensure project and program deliverables meet departmental and organizational needs and applicable legislation, policies, standards, and best practices.
Provide training, recommend process improvements, and mentor junior staff and department interns as needed.
Provide recommendations for vendor enhancements to surround systems products.
Perform other duties as assigned.