Operations Business Analyst II

Come Grow With Us
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.

Working at Gold Coast Health Plan means working alongside a team of committed individuals who are reshaping the organization and redefining how the needs of the whole person - health, health care, and social services and supports - are met. We are seeking collaborators, innovators, and those who are driven to be their very best.

If you are looking for a career of purpose and are passionate about having an impact on society's health care challenges, then Gold Coast Health Plan is where you should be. Here, you will be challenged and rewarded in equal measure.

About this role:

POSITION SUMMARY

The Operations Business Analyst II is responsible for independently driving process analysis, documentation, and improvement initiatives across operational teams. This position supports strategic efforts by identifying inefficiencies, designing scalable solutions, and coordinating with business and technical teams to implement enhancements. The ideal candidate is an experienced professional with strong analytical and communication skills who thrives in a collaborative and dynamic environment.

As a Operations Business Analyst II you will analyze business requirements, optimize processes, and facilitate the integration of solutions. Your role will involve collaborating with stakeholders to improve member and provider interactions and outcomes.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS

Job Function & Responsibilities

* Business Analysis and Process Governance

* Assist in gathering and documenting business requirements from internal stakeholders.

* Support process mapping, documentation, and the creation of standard operating procedures (SOPs).

* Participate in stakeholder meetings to capture action items and identify potential process improvements.

* Maintain organized documentation repositories and assist with version control.

* Work closely with cross-functional teams to learn and support various operational workflows.

* Design, configure, and optimize workflows and processes.

* Monitor user feedback and system performance to identify improvement opportunities.

Data Analysis and Reporting

* Assist with data collection, validation, and entry into reports or dashboards under guidance.

* Perform data analysis and generate reports to provide actionable insights for enhancing member/provider engagement and service delivery.

Training and Support

* Create training materials and guides to support system adoption; deliver user training if/when applicable

* Contribute to the development of training materials, job aids, or reference guides in collaboration with SMEs.

Testing

* Conduct system testing and User Acceptance Testing (UAT) to validate changes. Coordinate and facilitate UAT among several users if/when needed.

* Work with vendors for system configuration, troubleshooting, and integration of new features.

General

* Manage tasks and projects using agile principles, including backlog management and sprint planning.

* Facilitate communication between technical teams and business stakeholders to ensure project alignment.

* Support light project management efforts, assisting with task prioritization, project timelines, and cross-functional communication.

* Help monitor project timelines and task completion using basic project tracking tools.

* Demonstrate continuous learning and actively seek mentorship from senior analysts.

MINIMUM QUALIFICATIONS

Education & Experience:

* 3-5 years of experience in a business analyst, operations analyst, or similar role.

* Proven ability to create and maintain high-quality business documentation and training materials.

* Strong analytical skills with proficiency in data interpretation, Excel, and/or visualization tools.

* Excellent communication and stakeholder management skills.

* Experience with project management principles and collaboration tools (e.g., MS Teams, Smartsheet, Jira, Confluence, etc.).

* Ability to work independently, manage multiple priorities, and meet deadlines.

KNOWLEDGE, SKILLS & ABILITIES

Preferred Qualifications:

* Prior experience in a regulated or healthcare-related industry

Technology & Software Skills: Advanced computer skills in MS Office products.

Certifications & Licenses: A valid and current Driver's License, Auto Insurance, and professional licensure(s)

Competency Statements

* Business Acumen - Ability to grasp and understand business concepts and issues.

* Decision Making - Ability to make critical decisions while following company procedures.

* Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.

* Interpersonal - Ability to get along well with a variety of personalities and individuals.

* Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

* Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

* Consensus Building - Ability to bring about group solidarity to achieve a goal.

* Relationship Building - Ability to effectively build relationships with customers and co-workers.

* Presentation Skills - Ability to effectively present information publicly.

* Strategic Planning - Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved.

* Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.

* Judgment - The ability to formulate a sound decision using the available information.

* Communication, Oral - Ability to communicate effectively with others using the spoken word.

* Communication, Written - Ability to communicate in writing clearly and concisely.

* Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.

PHYSICAL DEMANDS

O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day)

Stand O

Walk F

Sit C

Manually Manipulate C

Reach Outward O

Grasp F

Lift 10 -20lbs O

Carry 10-20lbs O

The estimated pay range for the position is:

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.