Provide the tools necessary to deliver cutting-edge health care and groundbreaking research. As part of our Information Technology team, you’ll ensure that our medical professionals have access to the latest breakthroughs in technology, and you’ll play a key role in protecting our global patient community.
Reporting to the Associate Director of Delegated Oversight & Systems, the Senior Business Systems Analyst serves as technical authority responsible for delegated oversight reporting, business intelligence, data integration, and enterprise systems enablement. This role translates complex regulatory, operational, and business requirements into scalable data, reporting, workflow, and system solutions that support delegated oversight, audit readiness, performance accountability, and governance activities.
The role partners closely with Decision Support Services (DSS), OHIA, ISS, Compliance, Operations, Network Management, and Product teams to design, maintain, and optimize data marts, dashboards, reporting solutions, and business system workflows aligned with CMS, DMHC, NCQA, and organizational requirements. The incumbent must be independent judgment and advanced analytical expertise in managing complex reporting, data management, and system-related initiatives that support executive decision-making, operational performance monitoring, and enterprise scalability.
Key Responsibilities:
Regulatory Reporting & Oversight Analytics
• Translate regulatory and operational requirements into scalable reporting, analytics, and performance monitoring solutions. Support regulatory reporting (UHMAP) and delegated entity oversight
• Support CMS, DMHC, NCQA, and organizational reporting requirements through development and maintenance of regulatory and operational reports.
• Analyze delegated entity performance, compliance, operational, and risk metrics through trend analysis, root-cause analysis, and performance monitoring methodologies.
• Elicit, document, and translate business, regulatory, and operational requirements into functional specifications and technical requirements.
• Support Salesforce enhancements, workflow design, reporting capabilities, and system optimization efforts supporting delegated oversight operations.
• Develop process flows, use cases, data models, business rules, validation logic, and testing documentation.
• Support User Acceptance Testing (UAT), quality assurance activities, and production validation efforts.
• A Bachelor’s degree in Information Systems, Health Sciences, Data Analytics, Statistics, or related field, and/or equivalent combination of education and experience• 5 or more years of experience in business systems analysis, data analysis, or reporting experience supporting healthcare operations, health plans, or regulated environments• 5 or more years of experience translating business and regulatory requirements into technical specifications, data definitions, and reporting solutions• 5 or more years of experience working with healthcare data sources such as claims, encounters, membership, provider, utilization management or vendor data• 2-4 years of experience developing regulatory, compliance, or performance reporting (e.g. CMS, NCQA, DMHC, audit support)• SQL or Data Analytics certification at hire or within reasonable time• Tableau, Power BI, or equivalent BI certification at hire or within reasonable time• Advanced SQL development and data querying skills (MS SQL Server preferred)• Strong knowledge of healthcare data structures (claims, encounters, membership, providers)• Proficiency in BI and analytics tools (Tableau)• Ability to translate business questions into technical solutions• Strong analytical, problem-solving, and documentation skills• Effective written and verbal communication across technical and non-technical audiences
• A Master’s Degree in Computer or Data Science• 2-4 years of experience supporting data marts, data warehouses, or enterprise reporting environments in collaboration with analytics or IT teams• 1-3 years of experience working in cross-functional environments involving Compliance, Operations, Product, Analytics, or IT stakeholders• Healthcare or Regulatory Reporting Certification (e.g. NCQA, CMS-related training)• Serve as technical mentor to experienced Business Systems Analysts and reporting professionals• Knowledge of data warehouse concepts, dimensional modeling, and data governance• Experience with CMS, NCQA, and regulatory healthcare measures
Note: Skills may be subject to test.
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
“The environment is nurturing and fosters growth. When I come to work, I know what I'm doing matters.”
VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
If you want to grow professionally, this is the right place for you.
ERA
We are family here. We support each other. We collect together.
ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
KATHERINE
UCLA Health is a supportive, collaborative, and purposeful environment where leadership is invested in your growth and creating real opportunities. And knowing that what we do matters gives a real sense of purpose.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.
Awards & recognition
