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GENERAL DESCRIPTION OF POSITION

We are looking for a BSA candidate who possesses strong technical skills with a focus on reporting and data analysis. The candidate should be skilled in SQL and have an understanding of programming languages to support code review and interpretation. The position will require adept critical thinking and problem-solving skills. The position will be responsible for developing and maintaining regulatory reports related to Case Management, Utilization Management, Claims, Members, Grievances, and Appeals.

Business Systems Analyst I - The Business Systems Analyst I acts as a liaison between the business units, internal and external, including software development, production support teams, vendors and trading partners; develops and reviews small scale, basic business requirements, functional specifications, and business processes; participates in basic validation and testing of applications and reports, and provides support in the maintenance and improvement of SCFHP information management systems in support of SCFHP objectives and regulatory compliance.

Business Systems Analyst II - The Business Systems Analyst II acts as a liaison between the business units, internal and external, including software development, production support teams, vendors and trading partners; develops and reviews small to medium scale, basic to moderate business requirements, functional specifications, and business processes; participates in basic to moderate validation and testing of applications and reports, and provides support in the maintenance and improvement of SCFHP information management systems in support of SCFHP objectives and regulatory compliance.

Business Systems Analyst III - The Business Systems Analyst III acts as a liaison between the business units, internal and external, including software development, production support teams, vendors and trading partners; develops and reviews small to large scale, basic to complex business requirements, functional specifications, and business processes; participates in basic to complex validation and testing of applications and reports, and provides support in the maintenance and improvement of SCFHP information management systems in support of SCFHP objectives and regulatory compliance.

REQUIREMENTS – Required (R) Desired (D)

The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.

Bachelor’s Degree in Healthcare, Information Systems, or related field, or equivalent experience, training, or coursework. (R) Business Systems Analyst I - Experience in healthcare. (D) Business Systems Analyst II - Minimum two years of experience as a business analyst. (R) Business Systems Analyst III – Minimum four years of experience, training, or coursework. (R) Business Systems Analyst I - Knowledge of healthcare management information systems. (D) Business Systems Analyst II - Minimum one year of experience with healthcare management information systems. (R) Business Systems Analyst III – Minimum of three years of experience with healthcare management information systems. (R) Business Systems Analyst I - Ability to identify, troubleshoot, and resolve small-scale, basic business and systems issues. (R) Business Systems Analyst II - Ability to identify, troubleshoot, and resolve small to medium scale, basic to moderate business and systems issues. (R) Business Systems Analyst III - Ability to identify, troubleshoot, and resolve small to large scale, basic to complex business and system issues. (R) Ability to organize work and present results in a professional manner. (R) Business Systems Analyst I - Knowledge of healthcare business processes. (D) Business Systems Analyst II - Minimum one year of experience working with healthcare business processes. (R) Business Systems Analyst III – Minimum three years of experience working with healthcare business processes. (R) Business Systems Analyst I - Knowledge of healthcare analytics and standard reporting measures. (D) Business Systems Analyst II - Minimum one year of experience working with healthcare analytics and standard reporting measures. (R) Business Systems Analyst III - Minimum three years of experience working with healthcare analytics and standard reporting measures. (R) Business Systems Analyst I - Knowledge of project management standards and functions. (R) Business Systems Analyst II - Minimum two years of experience utilizing project management guidelines and best practice. (R) Business Systems Analyst III - Minimum four years of experience utilizing project management standards and functions. (R)

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.