Business Analyst, Senior - Regulatory Medi-Cal

at  Blue Shield of California

YOUR WORK

In this role, you will:

• Conduct comprehensive reviews of operational documents, including policies and procedures, desk level procedures, processes, regulatory reports, and internal controls.
• Work with business units on remediations and enhancement of Medi-Cal operational processes to ensure regulatory adherence and operational efficiency.
• Assist operational areas with documenting current state processes.
• Report out on status of operational process reviews, process documentation support, and other projects or initiatives.
• Serve as a Medi-Cal subject matter expert and liaison to operational areas to provide support with regulatory research, new initiatives, strategies, and decisions.
• Participate in cross-functional meetings to discuss operational issues, foster teamwork, and promote collaboration across stakeholders.

QUALIFICATIONSYOUR KNOWLEDGE AND EXPERIENCE

• Requires a bachelor’s degree or equivalent experience
• Requires at least 5 years of prior relevant experience
• Requires at least 3 years of healthcare experience
• Requires at least 1 year of Medi-Cal regulatory and operational experienceRequires experience with documenting and reviewing process documents

PHYSICAL REQUIREMENTS:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

JOB DESCRIPTIONYOUR ROLE

The Medi-Cal Program Support (MPS) team ensures sufficient and complete Medi-Cal operational documentation by reviewing and supporting development of business process documentation; development of regulatory data and files process documentation; and development of employee trainings. The Business Analyst will report to the Senior Manager of the Business Process Unit within MPS. In this role you will, conduct reviews to verify the adequacy and comprehensiveness of business process documents, ensuring they meet regulatory standards, contractual obligations, and business objectives. Additionally, you will assist in developing current state documents and provide oversight for the maintenance of operational process documentation.

In this role, you will:

• Conduct comprehensive reviews of operational documents, including policies and procedures, desk level procedures, processes, regulatory reports, and internal controls.
• Work with business units on remediations and enhancement of Medi-Cal operational processes to ensure regulatory adherence and operational efficiency.
• Assist operational areas with documenting current state processes.
• Report out on status of operational process reviews, process documentation support, and other projects or initiatives.
• Serve as a Medi-Cal subject matter expert and liaison to operational areas to provide support with regulatory research, new initiatives, strategies, and decisions.
• Participate in cross-functional meetings to discuss operational issues, foster teamwork, and promote collaboration across stakeholders