L.A. Care Health Plan · 16 hours ago
Lead Systems Configuration Technical Analyst
Los Angeles, CA
Full-time
Onsite
Mid, Senior Level
$105K/yr - $174K/yr
5+ years expL.A. Care Health Plan is the nation’s largest publicly operated health plan, dedicated to providing health coverage to low-income residents of Los Angeles County. The Lead Systems Configuration Technical Analyst will manage complex system configurations and health plan implementations, ensuring accurate interpretation of requirements and mentoring team members in the process.
FitnessGovernmentHealth Care
Responsibilities
Implementing complex system configuration changes to the managed care core system
Evaluating, testing, and validating configuration changes ensuring they meet service levels and quality standards
Ensuring completeness of requirements for the design and implementation of system business solutions
Triaging system issues and implementing applicable remediation to resolve issues
Developing solutions to resolve problems and making recommendations for improvements to process, configuration and products
Developing complex business requirement specifications to complete configuration analysis and design
Analyzing user requirements, evaluating functionality and configuration options available to improve business results
Mentoring and training team members, providing guidance and solutions to system users and technical resources
Providing technical advice on business impact and opportunities
Creating and developing training documentation and presentations
Attending and collaborating cross-functional meetings to develop, document and present system solutions
Lead the translation of business requirements into configuration requirements
Lead the formulation and definition of system scope and objective based on users’ needs and understanding of business processes
Participating in solution design by preparing and evaluating alternative solutions
Developing and presenting proposals for modifications
Managing complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval
Lead the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training and feedback on performance to department management
Overseeing the daily office workflow, develops and recommends enhancements to process and procedures
Perform other duties as assigned
Qualification
Required
Bachelor's Degree
At least 5 years of experience in benefit, contract configuration and product interpretations in a healthcare/ health plan environment with 5 years of claims experience and 3 years in medical coding initiatives and guidelines
Minimum of 3 years of lead experience (process, program, or staff)
Expert level of knowledge of QNXT
Requires excellent analytical, organization and communication skills
Requires in-depth knowledge of system analysis and configuration
Able to breakdown raw information and undefined problems into specific, workable components that in-turn clearly identifies the issues at hand
Ability to understand a customer's business needs and translate needs into specific requirements
Ability to plan and account for configuration impacts across business processes and applications
Demonstrated ability to collaborate with other members of formal and informal groups in the pursuit of common missions, vision, values and mutual goals
Preferred
Master's Degree
Benefits
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)
Company
L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A.
1001-5000 employees
H1B Sponsorship
L.A. Care Health Plan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2021 (3)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Melanie Rainer
Chief Strategy and Transformation Officer
Recent News
2026-01-17
MarketScreener
2025-08-27
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