Business Systems Analyst: Hoag Clinic Claims & Enrollment

Reposted 18 Days Ago
Costa Mesa, CA, USA
In-Office
Junior
Healthtech
The Role
The Business Systems Analyst supports data-driven decisions by developing dashboards and reports, ensuring data integrity, and analyzing complex datasets for insights.
Summary Generated by Built In

The Business Systems Analyst plays a critical role in supporting advanced analytics and data driven decision making across Hoag Clinic operational departments, including but not limited to Member Services, Quality, Utilization Management, Claims, Medical Management, Clinical Services, and Eligibility. 

This role is responsible for designing developing and maintaining complex analytical solutions including Power BI dashboards enterprise reports and scalable data models. The analyst will work extensively with Power Query and SQL to extract transform and model data from multiple source systems and will be expected to independently translate complex business questions into actionable insights.

The ideal candidate has strong hands-on experience with Power BI, Power Query and SQL and is comfortable working with large healthcare datasets end to end from data ingestion and transformation through visualization and presentation.

Responsibilities

Primary Duties and Responsibilities

  • Design develop and maintain advanced Power BI dashboards semantic models and reports used by operational and clinical leadership
  • Use Power Query extensively to extract transform cleanse and combine data from multiple source systems
  • Write optimize and maintain complex SQL queries views and datasets to support reporting and analytics
  • Partner with business stakeholders to translate operational and regulatory requirements into scalable analytical solutions
  • Perform deep dive analysis across claims referrals eligibility and utilization data to identify trends anomalies and operational risks
  • Ensure data accuracy consistency and integrity across all reporting layers including source transformation and visualization
  • Collaborate with IT Strategic Analytics and external partners to improve data pipelines data availability and performance
  • Create and maintain documentation for data sources transformations calculations business rules and reporting definitions
  • Serve as a subject matter expert for Power BI Power Query and SQL within the department
  • Stay current on Power BI feature releases advanced modeling techniques and healthcare analytics best practices
  • Perform other duties as assigned
Qualifications

Education and Experience

  • Bachelor’s degree in Data Analytics Information Systems Business or equivalent practical experience
  • 3 plus years of hands-on experience in data analytics business intelligence or reporting roles
  • Strong hands-on experience using Power BI including Power Query data modeling DAX and visualization best practices
  • Strong SQL skills with experience querying and transforming complex relational datasets
  • Experience working with healthcare data including claims referrals eligibility or utilization highly preferred
  • Solid understanding of data warehousing concepts star schema and reporting optimization
  • Proven ability to independently manage multiple analytics deliverables from requirements through delivery
  • Strong analytical critical thinking and problem-solving skills
  • Excellent communication skills with the ability to present data insights to non-technical audiences

 

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Skills Required

  • Bachelor's degree in Data Analytics, Information Systems, Business or related experience
  • 2+ years experience in data analysis or business intelligence
  • Experience working with healthcare data is highly desirable
  • Proficiency in Power BI, SQL, Excel, and data visualization best practices
  • Familiarity with data warehousing concepts
  • Strong analytical and critical thinking skills
  • Excellent communication and presentation skills
  • Ability to manage multiple priorities and work independently or as part of a team

Hoag Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hoag and has not been reviewed or approved by Hoag.

  • Healthcare Strength Health, dental, vision, mental health, disability, and wellness programs are extensive, with additions like FSAs and pet insurance. These offerings are presented as comprehensive and a meaningful component of total rewards.
  • Leave & Time Off Breadth Generous PTO, paid holidays and sick time, and parental leave feature prominently. These time-off provisions are described as supportive of work-life balance across roles, including fellowship programs.
  • Career-Linked Recognition & Rewards Tuition reimbursement, continuing education stipends, certification bonuses, and a clinical ladder link development to higher pay and broader involvement. Promote-from-within practices further connect performance and growth to compensation over time.

Hoag Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Newport Beach, CA
7,000 Employees
Year Founded: 1952

What We Do

Since 1952, Hoag has been serving the local communities of Orange County by providing personalized health care services of an unsurpassed level. Hoag Digital Health is a new customer-centric product management, design, and engineering unit on a mission to bring together Hoag's nationally renowned care in key medical specialties with the everyday experience of primary, urgent, and preventative care and well-being through a variety of digital mediums.

Why Work With Us

To date, we have been helping fundamentally rethink the care experience for multiple customer groups with hybrid digital-physical solutions – from becoming go-to guides for first-time parents delivering at Hoag through re-imagining the primary care and annual wellness experience to improving Hoag’s “digital front doors,” including its websites.

Gallery

Gallery

Similar Jobs

inKind Logo inKind

Senior Software Engineer

eCommerce • Fintech • Food • Mobile • Social Impact
Easy Apply
Remote or Hybrid
USA
170 Employees
160K-185K Annually

Capital One Logo Capital One

Senior Manager, Product Management (Enterprise Website) - Capital One Software (Remote)

Fintech • Machine Learning • Payments • Software • Financial Services
Remote or Hybrid
4 Locations
55000 Employees
183K-250K Annually

Capital One Logo Capital One

Senior Cyber Cryptographic Engineer

Fintech • Machine Learning • Payments • Software • Financial Services
Hybrid
5 Locations
55000 Employees
147K-201K Annually

True Anomaly Logo True Anomaly

People Business Partner (Corporate Services)

Aerospace • Artificial Intelligence • Hardware • Machine Learning • Software • Defense • Manufacturing
In-Office
Long Beach, CA, USA
300 Employees
90K-130K Annually

Similar Companies Hiring

Camber Thumbnail
Fintech • Healthtech • Social Impact
New York, New York
90 Employees
Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account