Care Coordination Business Analyst at Partnership HealthPlan of California in Fairfield, California, United States

Care Coordination Business Analyst at Partnership HealthPlan of CaliforniaFairfield, California, United States — full-time

Overview

The Care Coordination Business Analyst will design, produce, and analyze Care Coordination
Department operational data in support of department objectives and goals. Works closely with
business users and Configuration to write business requirements, test plans, implementation plans,
and other project documentation. Utilize knowledge of numerous applications, databases,
information systems, statistical tools and analytical principles to monitor and analyze information
related to department operations. May assist Care Coordination Senior Program Manager on
more complex projects.

Responsibilities

▪ Serves as a liaison for Care Coordination to Configuration, IT, Analytics teams and
external stakeholders to define business requirements and identify data needs.
▪ Maintains in-depth knowledge of PHC systems from a technical and end-user
perspective.
▪ Performs analysis, design, configuration, and testing of assigned systems.
▪ Uses various resources to troubleshoot and resolve system issues.
▪ Collects business requirements and creates flow charts to illustrate the process flow.
▪ Under the direction of the Care Coordination Senior Program Manager, works on complex
business problems, analyzing and documenting current business processes and systems to
determine process or system needs that will improve performance and/or increase
efficiency.
▪ Tests and takes part in implementation of new releases and upgrades.
▪ Analyzes new systems and functionality and makes recommendations to business
users, configuration, and IT.
▪ Communicates system changes and processes to appropriate personnel, documenting
any processes as necessary.
▪ Writes processes and procedures.
▪ Coordinates with Care Coordination Program Managers and Department leaders to prepare
and validates DHCS and/or NCQA reports for Health Services.
▪ Participates or leads the creation of report requirements to be ran to identify department
trends and compliance.
▪ Runs ad hoc reports and dashboards as requested and use to support business requirement
recommendations.
▪ Monitors health plan policies and procedures and assist with documenting Care
Coordination related business requirements and decisions that result from
configuration, system implementation, and other change driven sources.
▪ Participates in system upgrade/update testing as needed
▪ Develops short and/or long-term resolutions by identifying root causes using reporting
and other data files available.
▪ Maintains regular and consistent contact with operations management, clinical
leadership, and appropriate health plan leaders.
▪ Performs other tasks as assigned to ensure integrity of data and accurate reporting