Business Operations Analyst

Magellan Health

1d • $58,440 - $93,500

About The Position

This position is a critical liaison between Non-Clinical Operations, Finance and Analytics. Leads and supports various business operations initiatives, that are cross-functional and in support of continuous process improvement and quality improvement management. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users. This position serves a key role in planning, directing and measuring the overall performance of large scale, cross-departmental projects, and critical day-to-day performance metrics. This position provides technical and reporting expertise, process improvement consultation, and works closely with leadership and the executive team on measuring and analyzing program and project performance.
Supports project leads on various initiatives; when they have to coordinate with business users to define business processing activities, data availability, and requirements, to implement operational procedures.
Conducts simple trend analysis, reviewing varying business processes and assisting in implementing recommendations with financial and operational emphasis.
Collects, analyzes and interprets both qualitative and quantitative data; performing preliminary analytical and root cause analyses.
Supports Management and/or Senior Leadership in performing exploratory data analysis and aggregation from various data sources, including authorization, claims, phone system, and HR system.
Works with subject matter experts to capture various workflows and operations processes, to support process improvement activities that are focus on operational effectiveness and efficiency.
Documents, supports development activities and helps roll out operational performance analyses using a variety of computing tools. Creates simple analytic views on operational performance to help management interpret historical results.
Partners with Work Force Management to help create and adapt flexible operations staffing models from workflow analysis that will allow for change in membership, program efficiencies and expansion of responsibilities.
Performs ad hoc analyses that will vary in duration and complexity.
Supports the creation of user-friendly tools to help measure, manage, and report the effectiveness of customer experience management initiatives.
Understands and creates documentation for operational performance metrics. Participates in defining issues to be studied as well as the methodology to be used in addressing these issues.
Assists with the creating analysis of processes and workflows to ensure ongoing improvement in key metrics. Interprets results and preparation of data findings in easily understandable format for varying levels of the organization.
Responds and communicates timely regarding deliverables.
Collaborates throughout organization to maximize efficiency and effectiveness.
Helps create user acceptance test scripts/test plans.
Assists in efforts to provide training, communication, presentations, and project documentation/artifacts.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• Bachelor’s degree required.
• 2+ years of experience in process improvement, quality management, or data analytics.
• May consider 6+ years' experience in lieu of bachelor's degree.
• Analytical, planning, verbal and written communications skills required.
• Ability to build analyses and reports and display persuasive data visualization, oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users.
• Requires analytical skills to identify important trends, the ability to use technology tools to explore those trends and the judgment to call on internal experts as required.
• Ability to exercise good judgment and manage change effectively.
• Ability to consistently meet deadlines and interact with all levels of management and to work collaboratively across departments.
• PC skills required, especially Excel. Proficient in Excel, Access, Outlook, Word, and Visio applications.
• Knowledge of the healthcare delivery system and the key attributes of claims, authorizations, customer surveys, quality measurements, and process improvement methodologies.
• Self-starter.
• Minimum supervision needed.

Nice To Haves

• Genesys Cloud experience preferred.
• An understanding of CPT, ICD-10, revenue, place of service, diagnosis and billing codes is a plus.

Responsibilities

• Supports project leads on various initiatives; when they have to coordinate with business users to define business processing activities, data availability, and requirements, to implement operational procedures.
• Conducts simple trend analysis, reviewing varying business processes and assisting in implementing recommendations with financial and operational emphasis.
• Collects, analyzes and interprets both qualitative and quantitative data; performing preliminary analytical and root cause analyses.
• Supports Management and/or Senior Leadership in performing exploratory data analysis and aggregation from various data sources, including authorization, claims, phone system, and HR system.
• Works with subject matter experts to capture various workflows and operations processes, to support process improvement activities that are focus on operational effectiveness and efficiency.
• Documents, supports development activities and helps roll out operational performance analyses using a variety of computing tools. Creates simple analytic views on operational performance to help management interpret historical results.
• Partners with Work Force Management to help create and adapt flexible operations staffing models from workflow analysis that will allow for change in membership, program efficiencies and expansion of responsibilities.
• Performs ad hoc analyses that will vary in duration and complexity.
• Supports the creation of user-friendly tools to help measure, manage, and report the effectiveness of customer experience management initiatives.
• Understands and creates documentation for operational performance metrics. Participates in defining issues to be studied as well as the methodology to be used in addressing these issues.
• Assists with the creating analysis of processes and workflows to ensure ongoing improvement in key metrics. Interprets results and preparation of data findings in easily understandable format for varying levels of the organization.
• Responds and communicates timely regarding deliverables.
• Collaborates throughout organization to maximize efficiency and effectiveness.
• Helps create user acceptance test scripts/test plans.
• Assists in efforts to provide training, communication, presentations, and project documentation/artifacts.

Benefits

• short-term incentives
• comprehensive benefits package
• broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level