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# Business Data Analyst, Medicare Advantage

- **Company:** Ucla Health System
- **Location:** Los Angeles, CA, United States
- **Experience:** Expert
- **Salary:** $82,434.0 - $171,779.0
- **Contract:** Permanent contract
- **Skills:** Data Analysis, Information Systems, Computer Literacy, Data Visualization, Microsoft Office, Systems Development Life Cycle, DataOps, Product Software Implementation Methods, SQL Databases
- **Published:** October 16, 2026
- **Apply:** http://www.uclahealthcareers.org/job/24016693/business-data-analyst-medicare-advantage-los-angeles-ca/

## About the Role

We're seeking a self-motivated and results-driven individual with:

 * Bachelor's degree in business, information systems, healthcare, or a related field required

 * 5 or more years of experience managing enrollment, claims, or encounters in a Medicare or managed care environment required

 * 5 or more years of experience with CMS processes required

 * Computer proficiency with Microsoft Office, SQL, and data visualization tools

 * Knowledge of encounter regulatory reporting and compliance requirements

 * Experience managing vendors to contractual requirements

 * Ability to research and resolve encounter issues

 * Understanding of the healthcare model, capitation, and other managed care IPA and provider reimbursement methodologies

 * Knowledge of physician/facility billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue and HCPCS coding

 * Strong leadership, interpersonal, analytical, problem-solving, and prioritizing skills

 * Excellent oral and written communication skills

 * Ability to develop, implement, and evaluate methods and systems to improve efficiency

 * Ability to work well independently as well as part of a team

## Description

In this role, you will serve as a liaison between business stakeholders and Application/IT teams, translating business needs into requirements and supporting system solutions for encounter data operations.

You will:

 * Gather and document business and functional requirements, process flows, business cases, system specifications, test cases, and other SDLC materials.

 * Analyze data, business processes, electronic transactions, and file exchanges to identify system gaps and opportunities to improve processes.

 * Coordinate testing with trading partners and certification authorities.

 * Support the design, development, testing, and implementation of software and Tapestry ISS enhancements.

 * Develop and maintain interface documentation, policies, and procedures.

 * Investigate operational issues and variances, prepare stakeholder reports, and present findings and recommendations to leadership.

 * Support internal and external audits, quality control, regulatory requirements, and operational standards.

Salary Range: $82,434 - $171,779/annually