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Medicaid & Charitable Health Coverage Business Analyst San Diego, CA



Description

A function within Kaiser Permanente-s Membership Administration & Benefits Administration (MABA) teams perform enrollment, membership maintenance, premium revenue recognition and reconciliation on behalf of Kaiser Foundation Health Plan in its California Service Center (CSC) San Diego. Medicaid & Charitable Health Coverage is a line of business within Membership Administration which is charged with the specific processing related to the federal-state programs for Medicaid/Medi-Cal and Kaiser-s own charitable health coverage program offering subsidies to support purchase of health plans for individuals and families who have no access to public or private coverage.
As Kaiser continues its strategic focus on these areas, Medicaid & Charitable Health Coverage Membership Administration will expand and enhance its analytical capabilities to meet operational demand.



Business Consulting: Includes analysis/evaluation of business and/or system process and functional requirements, development of business cases, client support during system development and implementation, development and maintenance of service level agreements. Develops relationships with upstream and downstream business partners. Develops/maintains and changes business processes, and understands the business processes of assigned partners and how they relate to our functional areas. Develops and recommends changes to business processes.

Essential Functions:
- Knowledge of application of standard principles, theories, and techniques.
- Uses professional concepts and company policies and procedures to solve a wide range of difficult problems in imaginative and practical ways.
- Demonstrates development of positive relationships with peers.
- Understand their functional area business processes.
- Is assigned to investigate, document, and analyze client requirements in project areas such as: new/existing business operating models with innovative approaches to applicable department solutions support, market research of emerging or available product functionality and operational readiness assessment.
- Assesses scope and impact of client business needs.
- Support Business Case Development.
- Participates in the analysis of client business processes and functional requirements and in the preparation of appropriate documentation to communicate and validate the information.
- Participates in workflows, process diagrams and gap analysis.
- May assist in the development of project plans.
- May use the associated project planning tools.

A function within Kaiser Permanente-s Membership Administration & Benenefits Administration (MABA) teams perform enrollment, membership maintenance, premium revenue recognition and reconciliation on behalf of Kaiser Foundation Health Plan in its California Service Center (CSC) San Diego. Medicaid & Charitable Health Coverage is a line of business within Membership Administration which is charged with the specific processing related to the federal-state programs for Medicaid/Medi-Cal and Kaiser-s own charitable health coverage program offering subsidies to support purchase of health plans for individuals and families who have no access to public or private coverage.
As Kaiser continues its strategic focus on these areas, Medicaid & Charitable Health Coverage Membership Administration will expand and enhance its analytical capabilities to meet operational demand.


Qualifications:

Basic Qualifications:
Experience
- N/A
Education
- Bachelor's degree in business/health care administration or related discipline OR four (4) years relevant experience.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- N/A

Additional Requirements:
- Business analysis or project analysis experience.
- Knowledge of platforms assigned to the functional area.
- Identifies and documents functional and/or divisional, requirements, workflow, information sources and distribution paths, and system/process specifications.
- Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:
- Bachelor's degree in business/health care administration or related discipline.


Primary Location: California,San Diego,California Service Center 3840 Murphy Canyon Rd.

Scheduled Hours (1-40): 40

Shift: Day

Working Days: Mon, Tue, Wed, Thu, Fri,

Schedule: Full-time

Job Type: Standard

Employee Status: Regular

Employee Group: Salaried, Non-Union, Exempt

Job Level: Individual Contributor

Job: Consulting Services / Project/Program Management (Non IT)

Public Department Name: Medicaid & Charitable Health Coverage


External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

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