Health Plan Operations Analyst II

CareSource

7d

About The Position

The Health Plan Operations Analyst II reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions to improve or further leverage these functions. Essential Functions: Manage new market operation initiatives from concept to implementation and provide statistics measuring progress throughout Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization Ensure operational effectiveness by assisting in the development of strategic plans for market operations, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the Market to HPLC’s strategic initiatives and process improvements 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 Work with peers to achieve cross-functional capability with project execution and subject matter expertise Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth Perform any other job duties as requested Education and Experience: Bachelor’s degree in Engineering, Business, Finance, Economics or related field or equivalent years of relevant work experience is required Minimum of one (1) years of analytical experience is required A minimum of three (3) years of health care operations or project management experience is required Competencies, Knowledge and Skills: Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint Familiar with a variety of analysis concepts, practices and procedures Excellent written and verbal communication, facilitation and presentation skills Strong interpersonal skills and high level of professionalism Effective listening and critical thinking skills Effective problem solving skills with attention to detail Ability to work independently and within a team Strong analytical skills Ability to create and maintain excellent working relationships Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency Ability to effectively interact with all levels of management within the organization and across multiple organizational layers Ability to multi-task and remain flexible during organizational and/or business changes Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for long periods of time May be required to travel occasionally Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-TS1 The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.

Requirements

• Bachelor’s degree in Engineering, Business, Finance, Economics or related field or equivalent years of relevant work experience is required
• Minimum of one (1) years of analytical experience is required
• A minimum of three (3) years of health care operations or project management experience is required
• Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
• Familiar with a variety of analysis concepts, practices and procedures
• Excellent written and verbal communication, facilitation and presentation skills
• Strong interpersonal skills and high level of professionalism
• Effective listening and critical thinking skills
• Effective problem solving skills with attention to detail
• Ability to work independently and within a team
• Strong analytical skills
• Ability to create and maintain excellent working relationships
• Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
• Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
• Ability to multi-task and remain flexible during organizational and/or business changes

Responsibilities

• Manage new market operation initiatives from concept to implementation and provide statistics measuring progress throughout
• Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization
• Ensure operational effectiveness by assisting in the development of strategic plans for market operations, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the Market to HPLC’s strategic initiatives and process improvements
• 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
• Work with peers to achieve cross-functional capability with project execution and subject matter expertise
• Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth
• Perform any other job duties as requested

Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees