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Senior Business Systems Analyst, Medicare Advantage Plan

$95.4k - $208.3k

UCLA Health

Job Title

Work Location: Los Angeles, CA, USA

Onsite or Remote Flexible Hybrid Work Schedule Monday-Friday, 8:00am - 5:00pm PST

Salary Range: $95400 - 208300 Annually

Employment Type: 2 - Staff: Career Duration Indefinite

Job #: 31146

Primary Duties and Responsibilities

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Job Qualifications

We're seeking a detail-oriented analyst with:

Required:
  • A Bachelor's degree in Information Systems, Health Sciences, Data Analytics, Statistics, or related field, and/or equivalent combination of education and experience
  • 5 or more years of experience in business systems analysis, data analysis, or reporting experience supporting healthcare operations, health plans, or regulated environments
  • 5 or more years of experience translating business and regulatory requirements into technical specifications, data definitions, and reporting solutions
  • 5 or more years of experience working with healthcare data sources such as claims, encounters, membership, provider, utilization management or vendor data
  • 2-4 years of experience developing regulatory, compliance, or performance reporting (e.g. CMS, NCQA, DMHC, audit support)
  • SQL or Data Analytics certification at hire or within reasonable time
  • Tableau, Power BI, or equivalent BI certification at hire or within reasonable time
  • Advanced SQL development and data querying skills (MS SQL Server preferred)
  • Strong knowledge of healthcare data structures (claims, encounters, membership, providers)
  • Proficiency in BI and analytics tools (Tableau)
  • Ability to translate business questions into technical solutions
  • Strong analytical, problem-solving, and documentation skills
  • Effective written and verbal communication across technical and non-technical audiences
Preferred:
  • A Master's Degree in Computer or Data Science
  • 2-4 years of experience supporting data marts, data warehouses, or enterprise reporting environments in collaboration with analytics or IT teams
  • 1-3 years of experience working in cross-functional environments involving Compliance, Operations, Product, Analytics, or IT stakeholders
  • Healthcare or Regulatory Reporting Certification (e.g. NCQA, CMS-related training)
  • Serve as technical mentor to experienced Business Systems Analysts and reporting professionals
  • Knowledge of data warehouse concepts, dimensional modeling, and data governance
  • Experience with CMS, NCQA, and regulatory healthcare measures
UCLA Health
Vacancy posted 5 days ago
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