About this role
Salary Range: $91,536.00 (Min.) - $121,286.00 (Mid.) - $151,034.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The System Analyst III is responsible for bridging the gap between business needs and Information Technology (IT) solutions in the Health Plan Payer environment. This position ensures that business intent is clearly captured, documented, and translated into technical implementation. The Analyst will support solution design, validation, and delivery for operational enhancements, compliance mandates, and system modernization initiatives. This position requires collaboration across cross-functional teams to ensure solutions are effective, compliant, and aligned with enterprise strategy. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.
Duties
Collaborate with business stakeholders to gather and analyze requirements.
Translate business needs into functional and technical specifications.
Partner with internal teams to ensure accurate solution delivery.
Support User Acceptance Testing (UAT) and production issue analysis by identifying root causes and corrective actions. Perform advanced system testing and validate data accuracy.
Document technical requirements, business workflows, data mappings, standard operating procedures, and integration points. Lead complex end-to-end business and technical analysis for workflows and enterprise applications.
Ensure compliance with Protected Health Information (PHI)/ Personally Identifiable Information (PII) handling, Health Insurance Portability and Accountability Act (HIPAA), and healthcare data security standards.
Ensure alignment with Agile delivery frameworks and Continuous Integration and Continuous Delivery (CI/CD) practices.
Provide subject matter expertise on Health Plan systems and processes. Monitor and troubleshoot complex system issues and coordinate resolution.
Support staff by assisting with troubleshooting difficult issues related to deployment.
Evaluate and recommend system enhancements, configurations, integrations, and data flows to improve operational performance.
Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training and recommend process improvements as needed.
Perform other duties as assigned.
Duties Continued
Education Required
Education Preferred
Experience
Required:
At least 4 years of experience as a System Analyst, Business Analyst, or Quality Assurance Engineer.
Preferred:
Experience with claims, enrollment, or provider systems.
Skills
Required:
Excellent analytical, problem-solving, and documentation skills.
Proficient in Agile methodology.
Excellent verbal, written communication and presentation skills.
Strong understanding of data mapping and data quality.
Ability to create process diagrams, data flows, and technical documentation.
Ability to manage multiple priorities in a fast-paced environment.
Preferred:
Knowledge in SQL, Jira, Confluence, and healthcare compliance.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Required:
Training in Agile/Scrum and system analysis best practices.
Physical Requirements
Additional Information
Required:
May require occasional after-hours support during major deployments or incidents.
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
Other facts
About L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A. County’s low-income communities, and to support the safety net required to achieve that purpose. As a publicly operated health plan, L.A. Care Health Plan serves more than 2.6 million members in Los Angeles County, making it the largest publicly operated health plan in the country. L.A. Care offers four health coverage plans including Medi-Cal, L.A. Care Covered™, L.A. Care Medicare Plus and the PASC-SEIU Homecare Workers Health Care Plan, all dedicated to being accountable and responsive to members. L.A. Care prioritizes quality, access and inclusion, elevating health care for all of L.A. County. For more information, follow us on X, Facebook, LinkedIn, Instagram and YouTube.
To learn more, visit www.lacare.org.
*For urgent inquiries: 1-888-4LA-CARE (1-888-452-2273)
What you'll do
- The System Analyst III is responsible for bridging the gap between business needs and IT solutions, ensuring that business intent is captured and translated into technical implementation. This role involves collaboration with cross-functional teams to support solution design, validation, and delivery for operational enhancements and compliance mandates.
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