Enterprise Data Analyst III

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Job Category:
Administrative, HR, Business Professionals

Location:

Los Angeles, CA, US, 90017

Position Type:
Full Time

Requisition

Salary Range:$88,854.00(Min.) -$(Mid.) -$(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, we make sure our members get the right care at the right place at the right time.

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.

The Enterprise Data Analyst III serves as a Subject Matter Expert (SME) contributor responsible for leading complex analytic projects that link insights directly to enterprise goals, resource allocation, and performance improvement. This position leads the full analytic development process from business case definition and structured scoping through peer review, deployment, and post-implementation evaluation, ensuring high-quality, reproducible, and impactful outputs.

The Analyst III applies advanced analytic reasoning and strong business acumen to deliver analyses that inform both operational and financial decision making. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights.

Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance.

Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows.

Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards.

Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases.

Maintains awareness of data lineage and governance compliance throughout all analytic work.

Manages project planning, tracking, and post-implementation assessment for assigned deliverables.

Mentors and models adherence to analytic development best practices.

Applies subject matter expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc.

as needed.

Perform other duties as assigned.

Domain Specific

Experience and Skills:

Domain Focus:
Authorization & Claims Operations Analytics

Required: Experience with Utilization Management (UM) authorization workflows and prior authorization metrics. Knowledge of claims operations, including receiving, adjudication, and provider dispute resolution. Knowledge of clinical and financial aspects of UM/claims and collaboration with operations or provider teams. Ability to analyze operational Key Performance Indicators (KPIs) (e.g., turnaround times, denial rates, appeals outcomes) and translate data into actionable insights.

Required: Experience supporting initiatives to optimize cost, access, and quality within provider networks. Experience analyzing provider networks, including contracting, credentialing, and panel optimization. Ability to evaluate network performance metrics and translate findings into actionable insights for strategy and business planning.

Required: Experience with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding, hierarchical models, and member risk scoring. Knowledge of diagnosis documentation,…