• Apply operational expertise across all areas of assigned operational business streams
• Collaborate with operational leadership and cross-functional departments
• Research, gather, and integrate data from multiple sources
• Act as a strategic liaison between operations and technology teams
• Present recommendations to multiple audiences in a coherent format
• Evaluate existing and develop new policies, procedures, and workflows

Requirements

Bachelor’s degree in business, Finance, Mathematics, Statistics, Computer Science, or related field
Minimum of 8 years progressive experience in operational leadership roles
Comprehensive knowledge of healthcare commercial claim audit, COB, and TPL Healthcare services
Strong project management skills
Ability to analyze, map, and document business data flow
Demonstrated knowledge of process improvement and change management techniques
Intermediate to Advance skills in Excel and data modeling applications

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Hard Skills

data analysis
data integration
project management
process improvement
change management
data modeling
Excel

Soft Skills

collaboration
communication
strategic thinking
presentation skills
leadership

Certifications & Qualifications

Bachelor’s degree

Operations – Business Analyst

Business Analyst IV, Claims Configuration

Client Insights Analyst

Business Analyst III

Business Analyst

Senior Product Insights Analyst