
201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
đ August 24
đ California â Remote
đľ $120k - $180k / year
â° Full Time
đĄ Mid-level
đ Senior
âď¸ Business Operations
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201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
⢠Provide direct supervision, coaching, performance management, and professional development for Operations Business Analyst staff ⢠Lead and manage the Operations Business Analyst function supporting operational domains ⢠Establish standards and best practices for requirements gathering, business requirements documentation, process mapping, testing, implementation support, and post-implementation validation ⢠Assign and prioritize Business Analyst resources based on organizational priorities, project complexity, operational risk, and capacity ⢠Ensure Business Analysts develop operational-domain expertise and serve as liaisons between Operations, Information Technology, vendors, and stakeholders ⢠Review business requirements, process documentation, workflows, test plans, and analyst deliverables for quality ⢠Partner with operational leaders to identify business needs, process gaps, risks, and improvement opportunities ⢠Translate strategic and operational objectives into actionable initiatives ⢠Facilitate cross-functional discussions addressing complex requirements, competing priorities, and implementation challenges ⢠Oversee current-state and future-state process analysis and identify automation, standardization, and efficiency opportunities ⢠Support project planning, prioritization, implementation, and post-implementation evaluation ⢠Partner with Data Analysts and Operations Analytics leadership on analytical requirements, KPIs, and reporting needs ⢠Collaborate with Information Technology to translate business requirements into effective technical solutions ⢠Monitor project progress, dependencies, risks, and issues; escalate concerns when appropriate ⢠Ensure support for user acceptance testing, implementation readiness, and solution validation ⢠Track Business Analyst workload, project status, deliverables, and outcomes ⢠Promote collaboration, accountability, continuous improvement, and knowledge sharing ⢠Develop team capabilities through mentoring, training, succession planning, and professional development opportunities ⢠Prepare and present project updates, recommendations, risks, and findings to leadership and stakeholders ⢠Perform other duties as assigned
⢠Bachelor's Degree in Business Administration, Healthcare Administration, Information Systems, Business Analytics, or a related field, or equivalent qualifying experience ⢠6+ years of progressively responsible experience in business analysis, process improvement, healthcare operations, project management, or related work ⢠10 years of progressively responsible experience accepted in lieu of degree ⢠Demonstrated experience gathering and documenting complex business requirements and translating business needs into actionable solutions ⢠Experience partnering with technical and operational stakeholders on system implementations or process improvement initiatives ⢠2+ years of experience leading projects, teams, or employees preferred ⢠Managed care or healthcare operations experience preferred ⢠Medi-Cal/Medicaid managed care experience preferred ⢠Experience leading or supervising Business Analysts preferred ⢠Experience supporting enterprise system implementations and operational transformation initiatives preferred ⢠Knowledge of managed care operational functions preferred ⢠Experience with Agile, Scrum, Waterfall, or hybrid project delivery methodologies preferred ⢠Experience developing business requirements documents, process maps, workflows, user stories, and acceptance criteria preferred ⢠Experience with operational process improvement and automation initiatives preferred ⢠Advanced Microsoft Office skills ⢠Microsoft Visio or equivalent process-mapping tools ⢠Jira, Azure DevOps, or equivalent work-management tools preferred ⢠Power BI or other data visualization tools preferred ⢠Working knowledge of SQL and relational data concepts preferred ⢠Experience with enterprise healthcare systems and business applications preferred ⢠CBAP, PMI-PBA, PMP, Lean Six Sigma, or similar certification preferred
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