Job Description

ENGAGEMENT AND STRATEGY BUSINESS ANALYST III

LOS ANGELES, CA

3-MONTH CONTRACT

JOB ID 2021-5189

Solugenix is assisting a client, a prestigious health insurance company, in their search for an Engagement and Strategy Business Analyst III. This is a 3-month contract opportunity based out of Los Angeles, CA.

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) and strategy services delivered through or coordinated by Provider Network Management (PNM) organization. 

QUALIFICATIONS:

• Bachelor's Degree in Related Field In lieu of degree, equivalent education and/or experience may be considered.
• 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.
• 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.
• 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. 
• 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.  
• Strong critical thinking and problem-solving skills to help ensure.
• successful partnerships and department quality.

RESPONSIBILITIES:

• 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 are 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 PNM organization is compliant.
• Partnering with the business leaders from within PNM, the Engagement and Strategy Business Analyst III is responsible for coordinating reviews and preparing for internal and regulatory audits of the PNM organization, and its delegated provider groups; examining audit findings and responding to cited deficiencies; and, making recommendations for corrective actions and monitoring internal and external corrective action plans, as it pertains to engagement materials and updates any strategies as necessary.    
• Elicits, documents, analyzes, communicates, tests, and verifies requirements for engagement and strategy department responsibilities.
• Assesses the requirements of the organization concerning to its operations and functions for improved provider engagement. 
• Reviews the client PNM organization, the client contracted Plan Partners, and client 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 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.

ABOUT THE CLIENT

Our client is one of the world's leading health insurance company based out of Los Angeles, CA.

Company Description

For over 50 years, Solugenix has been a global technology development and services firm with locations in California, Arizona, India and the Dominican Republic. As a pioneer in professional staffing services and IT Consulting, we’ve partnered with some of the biggest global corporations across many industries. Our history was built on a foundation of partnerships with global brands like McDonald’s, Microsoft, CIT Group, Johnson & Johnson, Herbalife, Sony Pictures Entertainment, and many others who look to Solugenix to be their trusted partner in providing professional staffing, non-IT and IT solutions. In addition to generating ground-breaking, industry-defining solutions for our clients and our own projects, we partner with clients with whom we share core values and a common professional culture to help them find talent for their valuable opportunities. At Solugenix, we invest in the personal development and growth of every individual. While this is a position with one of our esteemed clients, Solugenix will continue to invest in your personal growth and development, providing you with a successful career as well as ensuring client success.