Clinical Operations Analyst

Government Employees Health Association • Summit, NJ

2d • Remote

About The Position

Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. G.E.H.A has one mission: To empower federal workers to be healthy and well. The Clinical Operations Analyst plays a pivotal role in G.E.H.A and is responsible for the analysis, development, and delivery of comprehensive clinical reports that provide actionable insights to senior leadership. This position requires a strong background in healthcare data analysis, a deep understanding of clinical operations, and the ability to translate complex data into meaningful, actionable information. This role will help meet the executive reporting and clinical specific utilization reporting needs for clinical operations, specific to executive needs (CMO) and for all stakeholders within G.E.H.A. This role will cross functionally support all clinical departments, including Clinical Quality, Population Health, Dental, Pharmacy, Medical Management, and Health & Well-being. The individual will work in close partnership with the Director of Medical Management to meet the needs of the Clinical Operations Division.

Requirements

• Bachelor’s degree in healthcare management, data science, statistics, or a related field.
• Proven experience 3+ years in healthcare data analysis and reporting within a clinical setting or healthcare environment.
• Proficiency in data analysis tools and software (e.g., SQL, Tableau, Excel, etc.).
• Strong understanding of healthcare operations, clinical workflows, and healthcare data systems.
• Excellent communication and presentation skills, with the ability to translate complex data into actionable insights.
• Meticulous, with strong problem-solving and critical-thinking abilities.
• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
• Latency (ping) response time lower than 80 ms
• Hotspots, satellite and wireless internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Responsibilities

• Gather, organize, and analyze clinical data from various sources within G.E.H.A.
• Develop comprehensive reports and presentations for senior leadership, providing insights into clinical operations, outcomes, and performance metrics.
• Evaluate clinical performance indicators, identifying trends, patterns, and areas for improvement.
• Collaborate with clinical teams to understand operational challenges and opportunities for enhancement.
• Review and assess dashboards and metrics that offer real-time insights into clinical performance and outcomes for the full clinical operations division.
• Develop key performance indicators (KPIs) and benchmarks to track progress and support data-driven decision-making.
• Work closely with Data & Analytics and other G.E.H.A departments to ensure data integrity, standardization, and accuracy.
• Collaborate with stakeholders to identify reporting requirements and implement solutions to meet their needs.
• Identify areas for process improvement, efficiency, and quality enhancement within clinical operations.
• Recommend strategies for optimization based on data-driven insights and industry best practices.
• Prepare clear and concise documentation of methodologies, findings, and recommendations.
• Deliver presentations to senior leadership, effectively communicating complex data in an understandable manner.

Benefits

• Competitive pay/salary ranges
• Incentive plan
• Health/Vision/Dental benefits effective day one
• 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
• Robust employee well-being program
• Paid Time Off
• Personal Community Enrichment Time
• Company-provided Basic Life and AD&D
• Company-provided Short-Term & Long-Term Disability
• Tuition Assistance Program

What This Job Offers

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