Review and analyze the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions
Perform cost-benefit and return on investment analyses for proposed initiatives to aid decision-making process as well as collect and analyze data in support of business case creation and realization
Ensures operational effectiveness by assisting in strategic and business planning, including business, financial, and operational goals and objectives definition as well as feasibility studies
Recognizes and proactively manages scope and expected benefits across the organization’s strategic initiatives and process improvements
Assists in operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids
Assist in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information
Develop, document and perform testing and validation as needed
Perform any other job duties as requested
Requirements
Bachelor of Science/Arts degree or equivalent work experience is required
Minimum of three years of health care operations experience in insurance, managed care, or related industry is required
Knowledge of regulatory reporting and compliance requirements
Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
Demonstrates excellent analysis and collaboration skills
Ability to multi-task and juggle competing priorities
Exceptional communication (verbal and written), facilitation and presentation skills
Strong interpersonal, leadership and relationship building skills
Critical listening and thinking skills
Customer service oriented
Effective time management and prioritization skills
Decision making and problem solving skills
Benefits
bonuses tied to company and individual performance
substantial and comprehensive total rewards package
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
cost-benefit analysisreturn on investment analysisdata analysisbusiness case creationfeasibility studiestrend analysistestingvalidation