Managed Care, Business Solution Architect
$95.4k - $208.3kDirect Jobs
Description The Managed Care, Business Solutions Architect designs and delivers business intelligence and analytics solutions that support Managed Care related operational and strategic decision-making across UCLA Health’s Faculty Practice Group. This role will be working closely with the Managed Care Department. This role partners with clinical, operational, and business stakeholders to develop dashboards, reports, applied AI and data solutions using Epic Clarity, Tableau, Power BI, and SQL-based reporting tools. Key Responsibilities: Design, develop, and maintain complex dashboards, reports, and data extracts using Tableau, Power BI, Epic Clarity, and Caboodle. Leverage Python for data transformation, automation, and advanced analytics workflows Integrate LLM-based capabilities for summarization, classification, and insight generation (e.g., call center analytics, CRM insights) Analyze healthcare and managed care data, including claims, authorizations, and provider data, to identify trends, performance gaps, and opportunities for operational improvement. Partner with business and clinical stakeholders to gather reporting requirements and translate business needs into scalable analytics and reporting solutions. The position applies advanced knowledge of enterprise analytics tools and healthcare data models, including Epic Clarity, to deliver scalable and reliable reporting solutions. Perform data validation, quality assurance testing, and troubleshooting to ensure accuracy, reliability, and consistency of reporting outputs. Monitor and optimize reporting performance while resolving complex data and system issues. Support cross-functional analytics initiatives by providing insights, documentation, and end-user guidance related to reporting and data interpretation. Salary Range: $95,400 - $208,300 annually Qualifications All items are required: Interprets and models complex healthcare data, including managed care claims, authorizations, and provider datasets Bachelor’s degree in a related field and/or equivalent combination of education and experience. Minimum 8 or more years of progressively responsible experience in Managed Care business intelligence, analytics, or data reporting Applies advanced knowledge of business intelligence practices, analytical methodologies, and industry best practices Utilizes advanced SQL skills in enterprise databases such as MS SQL Server or Oracle Experience using Python for data processing, automation, and analytics workflows Designs and validates complex dashboards and reports using visualization tools such as Tableau or Power BI Translates complex business questions into technical specifications, data models, and analytical solutions Resolves highly complex data quality, integration, and reporting issues using structured problem-solving approaches Communicates complex analytical findings clearly to technical and non-technical audiences Manages multiple analytical initiatives independently under general direction Applies strong organizational and project coordination skills across large, multi-stream analytics efforts Highly Preferred: Epic Clarity or Tapestry certification Tableau Desktop Specialist or equivalent Microsoft Power BI Data Analyst (PL 300) Demonstrates advanced collaboration skills with clinical, operational, and technical stakeholders Applies Epic Clarity reporting knowledge, particularly within managed care related modules #J-18808-Ljbffr Direct Jobs
$95.4k - $208.3k
Description The Managed Care, Business Solutions Architect designs and delivers business intelligence and analytics solutions that support Managed Care related operational and strategic decision-making across UCLA Health’s Faculty Practice Group. This role will be working...Suggested- ...obsession for helping our clients, taking care of our employees, a strong... ...extraordinary customer service. SBA Solutions serves the needs of businesses with annual revenue between $500,00... ...Banking Divisional Director and Market Managers depend on the SBA Solutions...SuggestedBank staff
$95.4k - $208.3k
Direct Jobs is seeking a skilled Business Solutions Architect for UCLA Health in Los Angeles, specializing in Managed Care. This position requires at least 8 years of experience in business intelligence, analytics, or data reporting within a healthcare context. Responsibilities...Suggested- SOLID Surface Care, Inc. is seeking a Sales Associate in Los Angeles, California, to drive customer interactions and manage sales processes from initial contact to closing. The role involves developing business plans, maximizing sales opportunities, and selling consultative...Suggested
$205k - $235k
...San Francisco, Seattle EY-Parthenon – AI Business Solutions – Director The opportunity EY-Parthenon... ...APIs. Data Engineering: Expertise in managing large datasets, building data pipelines... ...Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed...SuggestedWork experience placementSummer holidayWork at officeFlexible hours- A major financial institution in Los Angeles seeks an SBA Solutions Director to lead a team focused on delivering SBA Solutions and Commercial Real Estate products. The role involves managing performance, fostering relationships with regional offices, and ensuring compliance...
$117.04k - $163.86k
The Regional Solutions Manager leads a field team of Endoscopy Support Specialists (ESS), delivering expert repair prevention strategies and... ...with customers and sales team members across Olympus business units. The Regional Solutions Manager creates, and in conjunction...Full timeContract workLocal areaRemote work$205k - $235k
...delivers real-world value – solutions that work in practice, not just... ...'s service line, the AI Business Solutions team focuses on unlocking... ...Engineering : Expertise in managing large datasets, building data... ...breaks, Personal/Family Care, and other leaves of absence...Full timeWork experience placementSummer holidayWork at officeFlexible hours- Insight Enterprises is on the lookout for a Solution Executive (Client Solutions Director) who will manage complex solutions sales within the Los Angeles area. This role offers flexibility to work fully remote, and the ideal candidate will navigate clients' needs and drive...Remote jobFlexible hours
- ...growing global company? As the Principal Solutions Architect you will be responsible for... ...and aligning architectural decisions to business priorities Translate complex business... ...including testing frameworks and repository management We engineer faster, smarter, leaner...Local areaRemote work
$73.8k - $218.8k
...capabilities, customer-centric solutions, and flexible approaches... ...digital transformation and managed services with deep expertise... ...agile, resilient, and scalable businesses. The Navisite team of more... ...: An Enterprise Solution Architect with deep expertise in IBM iSeries...Work experience placementLive inWork at officeLocal areaFlexible hours- Phoenix Contact USA is seeking a Business Development Manager in Energy to drive growth and support strategy execution. This individual contributor... ...with various teams to offer tailored customer solutions, and utilizing CRM for performance tracking. The ideal candidate...
$186k - $255k
...advisory, implementation, and/or managed offers and best practices... ...matter expertise. Assist Business Development with vetting of... ...and differentiation. Architect solutions that will help our partners... ...ancestry, color, family or medical care leave, gender identity or...Remote workVisa sponsorshipWork visa$124.74k - $254.5k
...Advisory. KPMG is currently seeking a Lead Specialist, AI Solution Architect to join our KPMG Managed Services practice. Responsibilities:... ...production-ready, operational platforms. Translate complex business needs into pragmatic technical solutions by partnering...H1bLocal area$99k - $232k
...developing cutting-edge software solutions and driving product... ...transformation and enhance business performance. In this field,... ...member's unique strengths, and managing performance to deliver on client... ...practice, we're the architects of that future. We help the...Full timeH1bShift work$175k - $265k
Qumulo's cloud data platform manages exabytes of the world's most demanding data, unifying... ...of Sales Professionals and Pre-Sales Solutions Architects lead our product into new markets and... ...customer needs and build strong business cases for our solutions. They will not...Local areaFlexible hours$88.85k
...in days) to receive an alert: Product Solutions Manager II Job Category: Provider Relations Department... ...6.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public... .... The position works with management, business owners and other key stakeholders to...Full time$95.68k - $158.23k
Actively design and develop ETL solutions that transform data for decision-making with Microsoft... ...to create packages that handle complex business workflows and that can independently... ...‑service behavior. Organization/time‑management skills. Excellent analytical, problem‑solving...Full timeWeekend work- ...Solution Key Account Manager - Health, Corporate, Performance (Los Angeles) Location: Los Angeles (California), CA, US Function/Branch: Sales... ...Los Angeles area and boasts variety with a key focus on new business development and account management. In this position you will...Permanent employmentContract workWork experience placementLocal area
- Business Solutions Manager - Sales & Recruiting Elevate Your Career While Making a Difference - Join the #1 Staffing Firm to Work for in the U.S.! Adams & Martin Group, one of the largest privately held staffing firms in the U.S., focuses on placing legal staff, attorneys...Part timeLive inWork at officeRemote workWork from home
- ...provider in Los Angeles is seeking a Product Solutions Manager II to lead product management... ...enhance member experience and align with business goals, conducting analyses for product... ...comprehensive healthcare and retirement plans. #J-18808-Ljbffr L.A. Care Health Plan
$117.04k - $163.86k
Olympus Corporation of the Americas is seeking a Regional Solutions Manager to lead a team of Endoscopy Support Specialists in Los Angeles... ...include team leadership, operations management, and driving business growth through strong customer relations. The ideal candidate...$60k - $90k
A leading staffing firm is looking for a Business Solutions Manager to drive business development and recruitment efforts in San Diego, California. This fully remote role allows for flexibility in working arrangements, offers a competitive salary range of $60,000-$90,0...Remote job$99k - $232k
...implementing seamless integration solutions and robust platform... ...infrastructure for enhanced business performance. Those in solution... ...member’s unique strengths, and managing performance to deliver on... ...modernization initiatives - Architecting Kubernetes-based container...Full timeH1b- ...Overview Seeking a senior solutions architect with strong solution engineering background to lead architecture, prototyping, and delivery... ...across four high-impact initiatives: Immigration & Minors Case Management, Global Ethics & Compliance Management (GECM), AI-enabled...
- ...Inc. is currently seeking an experienced Business Development professional to join a high... ...Gross Profit and Start goals as set by your manager. Maintain strong Gross Profit margins... ...creating successful staffing and hiring solutions for a variety of industries and company...Permanent employmentContract workLocal area
- ...ServiceNow Solution Architect Sonsoft, Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft... ...Service Now for ITSM, Discovery, Orchestration, PPM, Demand Management and other modules Provide advanced support for Service...Full timeH1b
$185k - $215k
...pivotal position resides with one of our Talent Solutions client where we have established a strong partnership. The Director of Business Systems will own the end-to-end system... ...California Status: MHI is a successful managed services partner and now assisting with their...Remote job- The Hanover Insurance Group is seeking a Technical Manager to support their Risk Solutions team. This role involves collaborating on underwriting and technical support related to construction, providing training, monitoring industry trends, and ensuring quality in account...Remote job
- ...Health Economics Solutions Manager - Western US Health Economics Solutions Manager... ...economic and clinical value of our wound care portfolio across health systems, IDNs,... ...health policy, health administration, business, or related field ~6+ years of experience...Local areaWorldwideFlexible hours
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