ITS Analyst Sr, Configuration, Covered California
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Join Us in this Amazing Opportunity
The Team You'll Join
We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.
More About the Opportunity
We are hoping you will join us as a ITS Analyst Sr, Configuration, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Telework.
The ITS Analyst Sr (Configuration) will formulate and define system configuration scopes and objectives through research and fact-finding based on user needs, business requirements and system parameters. You will frequently interact with department end users, providing core system functionality, analyzing user requirements, procedures and problems to automate or improve existing system capabilities, workflow and limitations. You will lead projects and coordinate work efforts with other project team members. You will provide consultation to different business areas on handling special assignments, including researching members and provider data, benefits, regulatory requirements and claims pricing and payment rules. You will provide guidance on configuring system requirements, including systematic extract, transform and load (ETL) procedures to supplement or enhance system features. Additionally, you will coordinate business end users testing and acceptance. You will also provide analytical and business expertise across various functions and guide the business in determining the scope of work or project requirements. You will often work independently and perform more complex analytical and administrative responsibilities. Together, we are building a stronger, more equitable health system.
Your Contributions To the Team:
90% - Analytical Support
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Manages multiple, concurrent projects for completion in a thorough and timely manner.
Documents system functionalities, reporting requirements, limitations and workflows to address business and operational requirements.
Facilitates or leads internal project teams to determine the impact of configuration across Facets modules.
Conducts research, documents findings, works with internal and external subject matter experts (SME) to formulate conclusions or potential solutions and prepares concise reports, presentations and other documentation as needed to present to the management team.
Creates test scenarios and testing schedules, including time estimates and deadlines, monitors milestone completion, tracks all phases of testing and provides timely reporting of issues that impact the testing progress. This includes documenting, prioritizing and tracking changes on the testing documents.
Provides analytical support and technical expertise on requests for information from leadership and other staff regarding core content data (membership benefits, provider, claims).
Acts as a liaison to the business areas, working closely with end users to answer questions regarding system functionality, triage requests for configuration or functional changes to the application and help the business areas identify appropriate processes and procedures for effectively using the Core Systems Application.
Updates and changes system tables and other configurable elements of the application.
Develops business specifications based on change requests generated by the user community to enhance the functionality of the Facets system.
Prepares and translates Business Specifications into detailed Technical Specifications from which programmers will code. Analyzes the capabilities of the application and the development tools available to determine the technical approach, investigating alternative approaches in cases where the application and development tools do not support the business requirement.
Devises or modifies procedures to solve complex problems, considering computer equipment capacity and limitations, operating time and form of desired results.
Analyzes and revises existing system logic difficulties and documentation as necessary.
Performs quality assurance review and testing of completed code and configuration changes to ensure that the business and technical specifications have been met and that they do not produce any undesirable outcomes. Obtains business users' acceptance and sign-off where appropriate.
Supports system upgrades, assesses functionality changes and stability, working with business SMEs to adopt new enhancements.
Investigates and diagnoses system faults and errors.
Analyzes data trends aimed at reducing or minimizing errors, increasing data integrity and promoting process automation.
Acts as a resource and serves as a SME to department staff.
10% - Other
Completes other projects and duties as assigned.
Do You Have What the Role Requires?
Bachelor's degree in healthcare administration, information technology, business or related field PLUS 5 years of experience in application configuration, software development or operations system support in a health care operations setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
4 years of experience in application configuration, software development or operations systems support with a major managed care application required.
You'll Stand Out More If You Possess the Following:
What the Regulatory Agencies Need You to Possess?
Your Knowledge & Abilities to Bring to this Role:
Your Physical Requirements (With or Without Accommodations):
Ways We Are Here For You
You'll enjoy competitive compensation for this role.
Our current hiring range is: Pay Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476).
The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
This position is approved for Full Telework (If the position is Telework, it is eligible in California only)
A comprehensive benefits package
CalPERS pension program and additional retirement packages.
Additional benefits and perks including:
A generous PTO program
A quality work life balance
Various wellness programs
Tuition Reimbursement
Professional development opportunities
Career development opportunities
Flexible scheduling
And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.
Our Work Environment:
If located at the 500, 505 Building or a remote work location:
If located at PACE:
If located in the Community:
Why Join Us?
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone''s input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.
What''s Your Next Step?
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 26, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
Our Commitment to You
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview.
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
| Location | Orange, CA |
| Salary | $99,902–$159,843 Per Year |
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