Business System Analyst


Community Health Group is a locally based non-profit health plan that ensures access to high quality, culturally sensitive health care for underserved communities throughout San Diego County. We treat our 300-member, multi-lingual staff like family, encouraging an atmosphere of collaborative teamwork, continuous learning, personal growth, and promotion from within. Recognized as one of the Top Workplaces in San Diego, CHG offers its employees such benefits as tuition reimbursement, a meditation room and yoga classes, a monthly Breakfast With The CEO, and memorable events throughout the year. 

We know that by serving our employees well, they, in turn, will better serve our nearly 300,000+ membership. We have been recognized consistently for the excellence and sensitivity of our customer service by members, physicians, vendors, and a full range of health care providers. We are accredited by the National Committee for Quality Assurance and proud of our continuing company-wide Quality Initiatives.

We are currently recruiting for:

Business System Analyst

POSITION SUMMARY

Meets the needs of system users by meeting with the appropriate staff to determine business needs; gathering information in order to define and program reports and applications to meet those business needs; providing technical assistance to Information Systems (IS) staff, developing written documentation such as specifications and operational procedures; coordinating business critical projects from beginning to end; monitor, maintain, and complete all required regulatory files and processes.

 

COMPLIANCE WITH REGULATIONS:

Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including the Department of Health Care Services (DHCS) and the Centers for Medicare & Medicaid Services (CMS).

 

RESPONSIBILITIES

  • Provides technical assistance by working independently or with Analysts to assist users in the design and planning of projects; writing, testing, troubleshooting, and implementing application programs using the standards established by the department; providing maintenance support; developing test plans; working with the EDI/Applications Manager or System Manager and Developers to develop necessary databases and table design; working with users to develop external applications to compliment vendor purchased systems; attending on-going meetings related to projects; working on multiple projects concurrently. Will be assigned business critical projects.

  • Provides information by writing documentation such as project overview, current environment assessment, process maps, business rules and constraints, functional requirements/specifications, flowcharts, test plans, and QA process specifications; coordinating the development of items including reports as required by the department, company, state and federal agencies; providing training for users and staff regarding new reports and/or applications; participating in the evaluation of new software systems; providing solutions to users for technical and procedural problems; providing regular status reports to supervisor. The Business Analyst will also be knowledgeable of all Information Systems production processes and will support EDI Data Processors.

  • Provide analysis on enrollment, claims, authorization, and financial data as it pertains to Managed Care and construct necessary reports and datasets using SQL.

  • Enhances professional growth and development by participating in educational programs; reading current literature; attending in-service training and workshops; attending meetings as required and participating on committees as directed.

 

  • Supports the team effort by arranging and conducting meetings; assisting in the care and maintenance of department facilities, computer equipment, and supplies; maintaining departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards; performing other related duties as requested or assigned.

     

    Education:              

  • Bachelors Degree or equivalent experience

 

Experience/Skills: 

  • Three years of system analysis and design, development and implementation of computer applications.
  • Knowledge of SQL Server and relational databases
  • Prefer knowledge of SDLC and Health Care
  • Excellent oral and written communication.
  • Good analytical, logical and organization skills.

Excellent time management; able to work on multiple projects concurrently