Salary Range: $67,186.00 (Min.) - $82,108.00 (Mid.) - $107,498.00 (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 in five health plans, we make sure our members get the right care at the right place at the right time.
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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 Managed Long Term Services and Support (MLTSS) Program Analyst II is responsible for activities related to creating, interpreting, analyzing and presenting MLTSS, Palliative Care and CalAIM program reports that are used for program management and oversight. Reporting capabilities range from executive presentations, operational summary level to detailed tracking of specific data attributes by extracting, loading, and reconciling large amounts of data across multiple system platforms and sources; reviewing data to determine operational impacts and needed actions; escalating issues, trends, areas for improvement and opportunities to management.
The Program Analyst II will timely develop reports and satisfy deliverables for management to ensure the department's compliance with federal and state reporting requirements. Generates data to identify inefficiencies and other business challenges that need to be addressed, enabling management to make informed decisions. Performs data quality audits and analysis to ensure data integrity. Participates in the planning, development, implementation, and administration of reporting and systems projects to improve and maintain MLTSS, Palliative Care and CalAIM program performance.
Performs research and data analysis, operational and conceptual problem-solving, building partnerships, and project planning, implementation, and monitoring. Applies technical skills to support Business Leads on systems and operational projects from concept to implementation stages, solves complex problems, and receives minimal guidance from an experienced staff member or manager. Sustains strong interpersonal relationships with both internal L.A. Care staff, external MLTSS, Palliative Care and CalAIM key business partners in order to facilitate joint decision-making and successful outcomes for various business processes
Duties
Supports quality and process improvement activities by monitoring program performance indicators that are used for internal and external reporting, the tasks includes data quality assurance, process programming, specification documentation and report developing.
Generates ad hoc or production reports that may evolve into complex data analysis/ data integration projects that this position may be responsible for which may require periodic maintenance on a weekly, monthly, quarterly, biannual, or annual basis.
Designs and maintains data systems and databases. Identifies errors and data related issues. Uses statistical tools to interpret data sets to identify and report trends and patterns valuable for diagnostic and predictive analytics efforts. Identifies opportunities for process improvements.
Gathers program data from primary and secondary sources and organizes data in a format that can be easily presented and comprehended by stakeholders and decision makers. Prepares reports for leadership that effectively communicate trends, patterns and predictions using relevant data.
Creates ad hoc and standard program reports using various reporting tools for different functional areas. Assesses reporting results through data investigation, analysis, and evaluation. Analyzes data and trends to develop or apply benchmarks to track performance metrics. Researches and synthesizes programmatic and operational concepts to identify potential business process improvements with minimal guidance.
Produces and maintains both internal and external facing program reports. Creates visualization of the data. Utilizes business intelligence and analytics tools. Develops key performance indicators and measures. Uses data to find trends and insights to make recommendations to management.
Conducts quality control to ensure quality and accuracy of data. Ensures reports are submitted in a timely manner and tracked and logged appropriately. Takes ownership for concisely summarizing issues and findings that may inform successful program development and monitoring.
Performs project specific tasks, including system and data management, data analytics, project coordination, technical documentation and training.
Convenes meetings with existing internal and external stakeholder partners to gather information instrumental in reporting, systems and program, evaluation under the direction of manager or senior staff member.
Maintains positive working relationships with internal L.A. Care management, staff, and external business partners in order to facilitate mutual collaboration in project planning efforts.
With minimal guidance from an experienced staff member or manager, represent MLTSS in departmental and stakeholder meetings, participates as directed by Manager as a MLTSS subject matter expert. Provide input on reporting, systems and business processes to external and internal business partners.
Responsible for ongoing reporting processes and projects as assigned. Evaluates and makes recommendations for actionable strategies to improve MLTSS and Palliative Care reporting and workflows. Acts as a MLTSS primary liaison for systems related projects; taking an active role in participating in end to end implementation activities.
Perform other duties as assigned.
Duties Continued
Education Required
Education Preferred
Experience
Required:
At least 4 years of experience with reporting tools, software and other applications in a health care or managed care environment and demonstrated experience working with seniors and people with disabilities, low economic status populations or diverse communities, in settings such as community-based organizations, social service agencies, clinical settings, or civic organizations.
Demonstrated experience speaking to consumer groups, advocacy organizations, and other community based organizations.
At least 4 years work experience in health care or a related field with the demonstrated experience on the following list of stated knowledge/experience.
Experience synthesizing and analyzing qualitative and/or quantitative data.
At least 3-5 years of statistical business, analysis, data analysis, or reporting experience in the managed care or healthcare field.
Experience in home and community based programs.
Managed health care experience.
Relevant project coordination/management experience is preferred.
Skills
Required:
Excellent communication, writing, grammar, editing and proofreading skills with internal and external customers at all levels.
Working knowledge of MS Excel, Word, SharePoint, PowerPoint, Visio.
Excellent public speaking/public presentation group facilitation, and interpersonal skills.
The ability to work collaboratively with positions having professional backgrounds in the technical and/or clinical fields in order to achieve job duties and departmental objectives and responsibilities for the position.
Strong analytical, conflict resolution and persuasion skills.
Analytic skills include the ability to identify data aberrations and recognize data patterns that impact program quality and effectiveness.
Strong critical thinking and problem solving skills. Able to apply critical thinking in evaluating priorities/solutions.
Design reports for performance and data quality. Strong technical skills, including ability to merge data from various sources.
Must be able to present data in a format that is appropriate for analysis. This includes the ability to determine the correct information for calculations, table configuration, and graphical presentations.
Must demonstrate the ability to work independently and seek solutions proactively.
Must demonstrate an aptitude in learning and expanding abilities to use new applications with basic training.
Must be a self-starter and demonstrate the ability to multi-task and take charge and accountability of projects assigned.
Creative and with strong attention to details.
Knowledge of managed care and an understanding of Medicare and Medi-Cal programs.
Strong customer service skills.
Proficient with Microsoft Office including Outlook, Word and Excel, Access, CITRIX.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Additional Information
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)
