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Engagement and Strategy Business Analyst III

A

AgreeYa Solutions

Engagement and Strategy Business Analyst III

Los Angeles, CA
Full Time
Paid
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  • Responsibilities

    Job Description

    JOB TITLE            :             ENGAGEMENT AND STRATEGY BUSINESS ANALYST III

    LOCATION            :             REMOTE

    DURATION           :             13 WEEKS (POSSIBLE CONVERSION)

    JOB SUMMARY:

    • The Engagement and Strategy Business Analyst III is a critical thinker who is responsible for eliciting, analyzing, communicating, testing and verifying requirements for engagement (i.e. required and general communications; training; manuals; etc.) and strategy services delivered through, or coordinated by Provider Network Management (PNM) organization.
    • The Engagement and Strategy Business Analyst III will use strong organizational and communication skills to build and foster effective relationships to support the elicitation and communication of business requirements from and to leadership  lines of business (Medi-Cal; Medicare; and Commercial).
    • The Engagement and Strategy Business Analyst III is responsible for maintaining a subject matter expertise of the operational, reporting, and accrediting requirements for all lines of business (Medicaid, Medicare, and Commercial) and support his or her team in ensuring the Provider Network Management (PNM) organization is compliant.  
    • Partnering with the business leaders from within Provider Network Management (PNM), the Engagement and Strategy Business Analyst III is responsible for coordinating reviews and preparing for internal and regulatory audits of the Provider Network Management (PNM) organization, and its delegated provider groups; examining audit findings and responding to citied deficiencies; and, making recommendations for corrective actions and monitoring internal and external corrective action plans, as it pertains to engagement materials and update any strategies as necessary.

       

    DUTIES:    

    • Elicits, documents, analyzes, communicates, tests and verifies requirements for engagement and strategy department responsibilities.
    • Assesses the requirements of the organization with respect to its operations and functions for improved provider engagement.
    • Reviews the client’s Provider Network Management organization, the client’s contracted Plan Partners, and client’s delegated entity policies, procedures, internal controls, and materials.
    • Reviews transactions, source documents, disclosures, and outcomes for compliance with contractual, regulatory, and accrediting requirements, and client’s business policies.
    • Conducts needs assessments and instructional analysis to ensure conformity with all engagement, training, and strategy objectives, and develop corresponding work plans and project schedules as needed.
    • Conducts performance-based measurement assessments for objective evaluation of engagement and strategy processes in support of organizational and departmental strategy and engagement initiatives.      
    • Designs and documents business process requirements for all related business, and operational systems critical to core business functions of engagement and strategy within client’s  Provider Network Management.  
    • Researches and analyzes data in support of business functions, process knowledge, and systems requirements.
    • Analyze the business processes in an organization for inefficiencies.
    • Make recommendations for solutions or improvements that can be accomplished through new process or technology, or alternative uses of existing processes or technology.
    • Track the Client’s Provider Network Management organization, and the Client’s contracted Plan Partners, and Client’s delegated entity audit or other regulatory findings and ensure corrective action taken is appropriate and effective.     
    • Responsible for conducting monitoring and oversight assessment activities to review the ongoing performance of processes and controls conducted and implemented within the Provider Network Management Engagement and Strategy department, and the Client’s contracted Plan Partners; assesses these and other activities for compliance with contractual, regulatory, and accrediting requirements, and client’s business policies.       
    • Develops, implements, and maintains engagement and strategy content reports, and technical procedures as required.
    • Responsible for evaluating, updating, maintaining, and archiving all engagement and strategy criteria and versions, in accordance with department information retention requirements.

       

    EDUCATION REQUIRED: 

    • Bachelor's Degree in Related Field  In lieu of degree, equivalent education and/or experience may be considered.

       

    EXPERIENCE REQUIRED:  

    • At least 3-5 years responsible work experience in provider engagement specifically in communications, marketing, education or public relations and in managed care or health care industry.      
    • Proven ability to work with a diverse group of people, including physicians, support staff, coworkers and management.     
    • Demonstrated ability to research issues and bring about resolution either directly or with the assistance of others.

       

    SKILLS REQUIRED:  

    • Expert in Microsoft Office applications.     
    • Demonstration of both qualitative and quantitative analytical skills.     
    • Demonstrated critical thinking and problem solving skills.     
    • Strong written and verbal communication skills.     
    • Strong elicitation and process documentation skills.     
    • Strong organizational and communication skills to build and foster effective relationships.     
    • Must possess a robust knowledge of all contracted PNM entities, including provider groups (PPG’s), Management Service Organizations (MSO’s), Vendors, Subcontractors, and directly contracted practitioners.     
    • Strong critical thinking and problem solving skills to help ensure.     
    • successful partnerships and department quality.

    WHAT ARE THE 3-4 NON-NEGOTIABLE REQUIREMENTS OF THIS POSITION?

    Ability to:

    • Database administration
    • Data consolidation
    • Data analysis and management reporting
    • Collaborates with users to gather report requirements and ensure proper testing and validation
    • Performs technical and analytical work to support the functional and reporting requirements of the department
    • Plays an active role in identifying requirements and workflow associated with department business needs
    • Demonstrates communication skills to translate reporting needs to accurately meet the actual information and deadline of the department needs
    • Must have solid understanding of report development methodologies and be able to assess appropriate methodologies for the work assigned to the department and appropriate cross-functional teams
    • Must have the ability to perform extensive root cause analysis of problem areas and recommend alternative solutions
    • Must be able to work in an environment where critical time constraints exist
    • Presents report data in a way that is most meaningful and readily accessible to

    ABOUT US: AgreeYa is a global systems integrator delivering competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,850 staff across offices. AgreeYa works with 500+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public sector, Pharma & Biotech, and others. Please visit us at www.agreeya.com for more information. AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics. Visit our website to learn about our Career & Culture. For more information, visit www.agreeya.com

    Sincerely yours,

    Vashu Sharma                             (916) 605-4617  Direct                                                                                                                                  vashu.sharma@agreeya.com

     

    Company Description

    AgreeYa is a global systems integrator delivering competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,850 staff across offices. AgreeYa works with 500+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public sector, Pharma & Biotech, and others. Please visit us at www.agreeya.com for more information. AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics. Visit our website to learn about our Career & Culture.