Roles & Responsibilities:
- Leads analysis and requirements gathering sessions on large, complex programs and projects using methodologies such as JAD, JAR, SCRUM, etc., to define, analyze, and document business needs and requirements in support of strategic initiatives.
- Collaborates across multiple business units ensuring that all parties get the best possible outcomes for L.A. Care and its members and providers.
- Documents functional and non-functional business needs and requirements, ensuring requirements are usable, specific and testable, and in alignment to business goals and overall business architecture.
- Assists in defining Acceptance Test Criteria, tracing back to documented business requirements.
- Creates and updates complex as-is and future state business workflows to enable the documentation of business process needs and production of requirements for all related business, and operational systems critical to the project or program.
- Makes recommendations for solutions or improvements that can be accomplished through new process or technology, or alternative uses of existing processes or technology.
- Researches and analyzes data in support of business functions, process knowledge, and systems requirements.
- Tracks maintenance of business need and requirements to ensure they are not attenuated or discarded during the execution and delivery phases.
- Supports the Project Manager by providing more detailed project objectives; clear structured, and useable requirements; tradeoff analysis; requirement feasibility; and risk analysis to improve the execution of the project plan.
- Mentors other Solutions Analysts and Business Analysts to strengthen L.A. Care's solution and business analysis capability.
- Defines and follows best practices for the organization based on BABOK or other authoritative bodies of knowledge.
- Conducts analysis in support of the entire ePMO.
- Perform other duties as assigned.
Must Have:
- Minimum of 5-7 years of experience eliciting and documenting business and systems requirements using techniques such as JAR/JAD, SCRUM, etc.
- Minimum of 5-7 years of experience developing, implementing, and evaluating workflow processes, policies, and procedures.
- Minimum of 7 years of experience in managed healthcare environment with strong domain expertise in at least one of the following disciplines:
- Claims/EDI, Membership, Provider, Care Management, or Finance.
Preferred: Experience with JIRA, Confluence, Tableau and Requirements Management software.