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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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily.

Business Systems Analyst I - Project and task management for small scale projects including: facilitate stakeholder and project team meetings, track actionable items, send regular project communications to team members and stakeholders, and escalate identified risks. Business Systems Analyst II - Project and task management for small to medium scale projects including: facilitate stakeholder and project team meetings, track actionable items, send regular project communications to team members and stakeholders, and escalate identified risks. Business Systems Analyst III – Project and task management for small to large scale projects including: facilitate stakeholder and project team meetings, track actionable items, send regular project communications to team members and stakeholders, and escalate identified risks. Business Systems Analyst I - Troubleshoot small scale, basic production system issues, including: thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable. Business Systems Analyst II - Troubleshoot small to medium scale, basic to moderate production system issues, including: thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable. Business Systems Analyst III - Troubleshoot small to large scale, basic to complex production system issues, including: thoroughly reviewing the initial service request, efficiently gathering additional information as needed from the service requester and subject matter experts, performing comprehensive critical thinking to identify root cause, documenting findings and resolution, and working with manager to determine appropriate escalation path, if applicable. 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)

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.