Analyst

• Build and maintain real-time revenue forecasting models that incorporate qualitative inputs, historical performance trends, and seasonal patterns
• Align forecasting outputs with business unit targets and translate projections into actionable guidance for revenue teams
• Develop and own dashboards and reports, in and out of Looker, that provide clear, objective visibility into revenue performance trends across BUs
• Deliver WoW, MoM, and QoQ trend analysis that identifies key performance drivers and removes guesswork from actuals
• Partner with the Data team to ensure reporting infrastructure supports RevOps analytical needs
• Evaluate the revenue impact of proposed operational changes before they are implemented
• Partner with business unit leaders to pressure-test revenue and GP assumptions with live data
• Analyze pipeline KPIs against budget targets to identify gaps and opportunities
• Proactively identify opportunities for revenue and GP growth, and flag areas of underperformance before they become problems.

Senior Revenue Analyst

• Manage the profitability, growth, and retention of a typically smaller assigned book of business.
• Underwrite and negotiate routine customer accounts to minimize risk and maximize profitability.
• Partner with leadership, execute business unit underwriting strategies across your book of business to achieve profit and growth objectives.
• Cultivate and maintain relationships with internal partners within the business unit and across the enterprise to identify cross-selling opportunities.
• Foster and maintain relationships with external partners by regularly meeting in person with agents and brokers to market and sell Travelers products with a goal of writing and retaining accounts consistent with our risk appetite.
• Identify and capture new business opportunities using consultative marketing and sales skills.

Construction Surety Underwriter, Financial Analyst – Associate Account Executive

• Leverage analytical skills to review claims data and identify patterns of suspected potential FWA.
• At the direction of the Sr. Manager, assist in the triage, preliminary investigation of all internal and external FWA complaints
• Refer all cases of suspected FWA to regulatory agencies within required timeframes
• Assist in the monitoring of the FWA hotline and shared email box
• Participate in prepayment review process including detailed review of medical records against claims data

Senior Analyst, Fraud Waste and Abuse

• Work with other functional analysts to solve business requirements with an SAP solution that will utilize the SAP Product Suite already procured by Simplot.
• Develop your skillset by assisting a Senior Functional analyst with team dynamics and epic, feature, and user story management.
• Represent your process area in design and build sessions and solutioning.
• Guide and participate in configuration in your process area.
• Participate and contribute to daily stand-up meetings with a small agile development team.
• Design, configure, and test developed solutions.

SAP Delivery Analyst III

• support the Quality Management Program through multiple clinical, service and operational activities
• driving continuous quality improvement in patient safety and improvements in efficiency and effectiveness
• supporting activities to measure clinical programs and service processes and outcomes
• reviews, investigates and monitors assigned clinical and quality activities
• follow up with internal medical executives/directors, external health care professionals/facilities, and individual customers
• presentation to the Peer Review Committees
• implement partnerships and participate in initiatives focusing on reducing health disparities
• collect and analyze data, develop studies and reports to workgroups and support quality committee activities
• review clinical metrics and data and monitor for patient safety
• support provider performance measurement activities
• define and document policies, standard operating procedures, workflows and processes
• participate and lead special workgroups and process improvement teams as needed
• support regulatory compliance activities as needed

Lead Analyst, Nurse Quality Clinical Management

• Conducting behavior or functional Analytic Assessment Process
• Developing the case supervision and clinical management
• Developing and implementing an ABA Treatment Plan
• Consulting with a Registered Behavior Technicians (RBT) or Behavior Technicians (BT)
• Including the client/family in setting treatment goals
• Recording and tracking daily progress for client/family accurately
• Providing accurate and immediate feedback to the client and/or family
• Planning for discharge of the person served

Bilingual Telehealth Board Certified Behavior Analyst – English/Spanish

• Conducting behavior or functional Analytic Assessment Process
• Developing the case supervision and clinical management
• Developing and implementing an ABA Treatment Plan
• Consulting with a Registered Behavior Technicians (RBT) or Behavior Technicians (BT) regarding client/family concerns
• Selecting appropriate stimulus materials and treatment modalities for age and ability of person served
• Including the client/family in setting treatment goals and training families on specific treatment strategies and carryover skills for the client/family
• Giving clear concise instructions in presenting materials and/or techniques in therapy
• Recording and tracking daily progress for client/family accurately
• Utilizing time in session efficiently to meet objectives
• Providing accurate and immediate feedback to the client and/or family
• Planning for discharge of the person served

Telehealth Board Certified Behavior Analyst, BCBA

SAP Functional Analyst – Extended Warehouse Management, EWM

• Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance
• Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs
• Identify operational, compliance, and claim quality risks and provide recommendations for improvement
• Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards

Commercial Claims Quality & Performance Analyst III

• Provide end-user support, analyzes and diagnoses system problems, identifies root cause, and then solves the problem or escalates issues to other appropriate IT staff when outside area of responsibility or expertise.
• Partners with vendor to troubleshoot and resolve system problems, to improve product performance and usability.
• Provides vendor with recommendations for system improvements.
• Addresses technical issues that occur during installation and maintenance activities.
• Designs, implements, and supports applications while ensuring ongoing optimization and performance.
• Translates technical requirements into development specifications and provides product management support.
• Evaluates and documents system updates, upgrades, and their impacts in collaboration with analysts and end users.
• Participates in system implementations, upgrades, and continuous improvement initiatives.
• Conduct system testing, validation, and quality assurance to ensure compliance and optimal system performance.
• Develop and maintain documentation, including build specifications, test scripts, and training materials, including the delivery of training when necessary.
• Partner with clinical staff and IT professionals to evaluate, design, develop, test, implement, and maintain systems.
• Partner with clinical staff and IT teams, to ensure workstations, printers, scanners, mobile devices, and other peripherals are aligned with the functional and compatibility requirements of Epic applications.
• Strategically lead and collaborate on cross-functional application initiatives with application and operational teams to ensure seamless integration, streamlined workflows, and optimal system performance.
• Maintain vendor certifications required to support the analyst's application areas of responsibility.
• Support system integrations and interoperability efforts with other third-party applications and interfaces.
• Assisting as needed with after hour activities such as go lives, upgrades, downtimes, and other special project.

Senior Access Analyst – Prelude & Referrals

• identify and communicate with leadership specific provider, procedure and population level trends and outliers
• analyze and size potential savings initiatives in coordination with clinical, finance, and network leads

Medical Economics Lead Analyst

• Managing the execution of multi-channel communications
• Project Manage assigned programs from initiation through deployment
• Manage the creative and data delivery to vendors
• Communicating with internal partners, customers and vendors

Senior Analyst, Member Communication

• responsible for development and implementation of member materials for Medicare Part D members
• managing, proofing, and revising materials while ensuring quality, accuracy, and timely delivery to production partners
• proofreading and editing both CMS required and custom documents
• collaborating with teammates & partners with other functional business areas to ensure all workflow processes are completed and remain on track
• collaboratively works with internal partners to obtain agreement from all impacted parties
• collaboratively drive process improvements and enhancements and implement new ideas that supports and improves the team
• independently identify and problem solve issues that negatively impact projects and documents

Senior Member Materials Analyst

• Lead the PACE team and support daily management operations of the sleep therapy queue
• Review work in progress to ensure timely completion and alignment with team priorities
• Monitor team workload and ensure adequate queue coverage to maintain service levels
• Provide coaching, guidance, and day-to-day support to team members
• Manage escalations by identifying issues, coordinating resolution, and communicating updates
• Assist with data analysis to identify workflow trends, gaps, and opportunities for operational improvement

Nurse Case Management Lead Analyst

• Prepare monthly finance accrual recommendations for review by Sr. Manager
• Responsible for maintaining and designing team SharePoint site and identifying opportunities for enhancements based on trending of team productivity and accomplishments to help ensure successful completion of team’s work and meeting Navitus’ strategic and business initiatives
• Accountable for data quality, completeness and accuracy in team workflow tools, including RFP/renewal deadlines and new client implementations
• Accountable for maintenance of frequently used resource documents on team SharePoint site, including performance guarantee library, FAQs, subject matter experts and standard performance guarantee contract exhibit
• Guide existing and train new contract performance analysts as well as inspire positive communication within the entire contract performance team to work together to achieve common goals
• Assist Contract Performance team with the Request for Proposal (RFP) process process which includes but is not limited to the following: Review RFP requested performance guarantees
• Compare to previously requested guarantees for consistency
• Present findings to Contract Performance team
• Perform outreach for departmental approval of performance guarantees
• Consolidate responses and review with Contract Performance team
• Deliver RFP response to Proposal team
• Upon Client win notification, review service, network and/or rebate guarantees agreed to during the RFP process and notify operational areas
• During contract negotiations, analyze contract redlines, perform outreach for departmental approval of any performance guarantee edits and prepare final recommendations
• Upon contract execution notification, communicate final contract guarantees to operational areas prior to go-live
• Responsible for Performance Guarantee (PG) reporting which includes but is not limited to the following: Monitor the collection of monthly, quarterly and annual service performance guarantee results from process owners
• Identify, research and facilitate corrective action for missed guarantees with the process owners and Client Services team and determine penalty payout when applicable
• Analyze underperformance in network financial performance reports and notify Pharmacy Networks team to solicit cause and next steps if needed
• Assists the Manager with the development, documentation, implementation, and maintenance of performance guarantee data repositories and report writing programs
• Prepare PG-related reporting for senior leadership as needed
• Schedule, facilitate and document meetings and discussions
• Participate as a member of cross functional workgroups, teams, and committees, as assigned
• Assist with the creation and maintenance of departmental work instructions
• Other duties as assigned

Senior Analyst, Contract Performance

• Review and analyze criminal records to assess applicant eligibility and mitigate risks for clients
• Develop expert knowledge of screening software and maintain compliance with Fair Credit Reporting Act (FCRA) regulations
• Manage and respond to inquiries from clients and consumers via phone and email
• Provide guidance to clients and consumers on the next steps in the screening process
• Deliver accurate and timely updates on open tasks to relevant stakeholders
• Assist peers and co-workers with workload management and problem resolution
• Participate in ongoing training sessions and team meetings

Background Verification Analyst

• Work closely with relevant departments to secure customer data and financial statements
• Perform credit analysis for new and existing customers and assess the credit risk associated with the proposed or assigned credit line
• Perform in-depth financial analysis and provide recommendations to support management decision-making
• Create ad-hoc analyses, executive summaries, and recurring reporting to support management decision-making
• Monitor and analyze key economic indicators across AMER, EMEA, and APAC
• Identify potential risks and opportunities within the Global customer portfolio
• Perform cash flow analysis and create customer forecasts
• Conduct research and conceptualize new techniques, ideas, and solutions for a variety of credit challenges
• Provide relevant departments with critical updates on the financial condition of their customers
• Partner with Sales and Sales Operations to support order management decisions by monitoring credit exposure, past-due trends, and dispute risk
• Work as one global team: coordinate and facilitate credit and collections efforts with close communication and collaboration across regions
• Enforce credit policies and procedures

Analyst II – Credit

• Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems
• Analyzes quality healthcare data, and applying statistical analysis to create effectiveness analyses and other health outcomes analyses
• Provides support in completing regulatory reporting requirements and contributes to the development and execution of HEDIS strategy
• Leads the management of quality data, regulatory reporting, and analytics functions to enable internal teams to draw meaningful, actionable conclusions
• Partners with clinical, operations, and quality leadership to inform measure-level strategy

Senior Quality Management Analyst

• Design, develop, and maintain operational reports and dashboards using Tableau and Power BI
• Write and optimize SQL queries to extract, transform, and analyze data from various sources
• Ensure data integrity through validation, cleansing, and documentation
• Collaborate with stakeholders to gather requirements and deliver insights aligned with business goals
• Lead analytics projects or components of larger initiatives, ensuring timely delivery and quality outcomes
• Continuously improve reporting processes and identify opportunities for automation and efficiency

Senior Business Analytics Analyst

• Prepare monthly finance accrual recommendations for review by Sr. Manager and support leaders as needed for monthly accrual meeting with Finance
• Responsible for maintaining and designing team SharePoint site and identifying opportunities for enhancements based on trending of team productivity and accomplishments to help ensure successful completion of team’s work and meeting Navitus’ strategic and business initiatives
• Accountable for data quality, completeness and accuracy in team workflow tools, including RFP/renewal deadlines and new client implementations
• Accountable for maintenance of frequently used resource documents on team SharePoint site, including performance guarantee library, FAQs, subject matter experts and standard performance guarantee contract exhibit
• Guide existing and train new contract performance analysts as well as inspire positive communication within the entire contract performance team to work together to achieve common goals
• Assist Contract Performance team with the Request for Proposal (RFP) process process which includes but is not limited to the following: Review RFP requested performance guarantees, Compare to previously requested guarantees for consistency, Present findings to Contract Performance team, Perform outreach for departmental approval of performance guarantees, Consolidate responses and review with Contract Performance team, Deliver RFP response to Proposal team
• Upon Client win notification, review service, network and/or rebate guarantees agreed to during the RFP process and notify operational areas
• During contract negotiations, analyze contract redlines, perform outreach for departmental approval of any performance guarantee edits and prepare final recommendations
• Upon contract execution notification, communicate final contract guarantees to operational areas prior to go-live
• Responsible for Performance Guarantee (PG) reporting which includes but is not limited to the following: Monitor the collection of monthly, quarterly and annual service performance guarantee results from process owners, Identify, research and facilitate corrective action for missed guarantees with the process owners and Client Services team and determine penalty payout when applicable, Analyze underperformance in network financial performance reports and notify Pharmacy Networks team to solicit cause and next steps if needed
• Assists the Manager with the development, documentation, implementation, and maintenance of performance guarantee data repositories and report writing programs
• Prepare PG-related reporting for senior leadership as needed
• Schedule, facilitate and document meetings and discussions
• Participate as a member of cross functional workgroups, teams, and committees, as assigned
• Assist with the creation and maintenance of departmental work instructions
• Other duties as assigned

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Telehealth Board Certified Behavior Analyst, BCBA

SAP Functional Analyst – Extended Warehouse Management, EWM

Commercial Claims Quality & Performance Analyst III

Senior Access Analyst – Prelude & Referrals

Medical Economics Lead Analyst

Senior Analyst, Member Communication

Senior Member Materials Analyst

Nurse Case Management Lead Analyst

Senior Analyst, Contract Performance

Background Verification Analyst

Analyst II – Credit

Senior Quality Management Analyst

Senior Business Analytics Analyst

Senior Analyst, Contract Performance