Sr Business Systems Analyst

Monterey Park, CA 91754

Posted: 12/21/2018 Industry: Business Analyst Job Number: 733

2rbConsulting is seeking an experienced Sr. Business Systems Analyst for a contract role with a well-known health insurance provider in Monterey Park, CA.

Our client is a nonprofit health plan provider dedicated to providing Californians with access to high-quality health care at an affordable price. It's the third-largest health plan provider in the state and is dedicated to transforming the healthcare industry. Headquartered in San Francisco, with 18 additional offices across California, they are proud to service over 4 million members and employ more than 6,000 people.

This role requires the successful candidate to be eligible to work in the US without sponsorship and work with 2rbConsulting as a W-2 employee.  

Overall Responsibilities:

  • Responsible for analyzing, gathering, and validating business and functional requirements
  • Create complex SQL queries to conduct comprehensive data analyses, identify all gaps among submissions, internal exclusions, and regulators’ responses
  • Responsible for accurately reconciling all volume charts and all submissions in a timely manner
  • Responsible for unit test planning and unit testing, as well as project documentation

Qualifications Include:

  • Minimum of 7+ years of related experience working in a managed care environment, preferably in a data analysis, operation management, or informatics position
  • Minimum of 7+ years of prior experience with State and Federal regulatory data standards and requirements
  • Strong knowledge of healthcare management in IPA, Hospital, Provider Network Operations, Member Enrollment, Claim Process, Medical Payment and Revenue Reporting, and Encounter submissions and measures
  • Must be proficient in MS Access and Oracle database, SQL, and MS Office
  • Strong ability to conduct data analyses, find the root causes of the rejections and issues, and interpreting business requirements
  • Exp. leading, managing, and assisting all aspects of the project, including gathering business and system requirements and translating to functional requirements
  • Strong ability to write analytical reports and comprehensive summaries
  • Minimum Bachelor’s degree in Computer Science, IT or related discipline that includes technology concentrations from an accredited university

If this opportunity sounds like a good match for you, please submit your resume for immediate consideration.

Candidates selected for these contract opportunities will be required to take a background check and drug screen.  

Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

You will also be required to work directly with 2rbConsulting as a W-2 employee, no 1099 or 3rd Party Candidates will be accepted. 

Aaron Wolfe

Aaron is a Technical Recruiter whose core focus is to build interpersonal relationships with everyone he works with. Along with his dedication to matching his candidates with the best opportunity, his ability to understand their interests and skills has helped him gain the trust of every candidate he places!

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