Operations Analyst

Claritev•New York, NY

5h•$85,000 - $85,000

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY: Research and analyze data, from internal, external, regulatory and compliance sources across various Operations teams. Work with the various levels of leaders on high priority projects. Collaborate with subject matter experts from different business areas to understand process, identify trends and opportunities for improvement. Perform root cause analysis to improve production and/or performance quality. Develop, document and test business application functionality to ensure deliverables. Consult with both internal and external customers on technical matters and project status.

Requirements

Minimum Bachelor's Degree or HS Diploma with four (4) years of related experience.
Minimum 5 years' experience working with large data sets.
Required licensures, professional certifications, and/or Board certifications as applicable.
Knowledge of the Company's general business principles, industry dynamics, market trends, and specific operational details.
Knowledge of the Company's core Operations applications
Knowledge of Healthcare and Managed Care industry preferred.
Communication (written, verbal and listening), planning, reporting, technical, coordination, organization, collaboration, project management and interpersonal skills.
Ability to perform User Acceptance Testing within departmental systems and environments. Review and understand defects reported and translate those into actionable items.
Ability to maintain complex reporting applications (i.e., Qlikview and Service Tracking)
Ability to work independently to drive small, medium and large-sized projects of varying complexity to desired outcome.
Ability to utilize the Company's applications and corresponding business workflows as needed.
Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form
Ability to work autonomously and as part of a team - work well with team members and outside departments.
Ability to embrace and drive change.
Ability to utilize independent judgment to identify problem issues and determine the appropriate course of action/redirection required to resolve issue.
Ability to respond in a timely manner to requests from department Management and internal/external clients
Ability to keep the needs of external and internal customers as a priority when making decision and taking action
Ability to identify or implement new or modified processes to accomplish the best results with the least time and resources.
Ability to become proficient with the Company's applications and corresponding business workflows as needed.
Ability to use software, hardware and peripherals related to job responsibilities, including MS Office, especially Excel and Access.
Ability to travel as needed

Nice To Haves

Knowledge of Healthcare and Managed Care industry preferred.

Responsibilities

Represent the department as a subject matter expert/stakeholder in on projects and communicate expected results
Maintain a strong understanding of the department's processes across all divisional departments as well as a very strong working knowledge of business rules specific to areas of the department and Operations in general.
Effectively conduct root cause analysis for various special projects as assigned. This may include shadowing users and updating existing documentation as well as creating new processes/documents to improve efficiency, ultimately improving overall departmental production and/ or performance quality. Work in a very autonomous manner while keeping all process rules and department goals and objectives in mind
Stay current with all changes/updates to all processes in the department.
Analyze data from all processes and build reports around trends research, construct, develop and test data on applicable systems and environments; act as resource to department management staff in interpreting, analyzing, and utilizing various reports; Identify service level problems and trends, test and report results, including at times sign off and approval of specifications or application readiness.
Create, analyze and interpret management reports and department data that accurately reflect department performance and trends. Monitor product performance for process improvements.
Compile, analyze, and report any trends observed in performance and/or productivity levels of departmental staff across various areas. Identify problems in data processing either from various areas or Vendor processing and escalate if needed
Design reporting and delivery solutions while working closely with IT during all phases of development, testing and release and monitoring. Obtain, conduct and perform signoff on business requirements, system enhancements/builds, and deployment authorizations.
Effectively work with the suite of the Company's (as well as a number of various legacy) applications in both production and non-production environments
Manage multiple priorities, customer expectations (internal and external) and relationships with stakeholders. Consult and manage and communicate with customers, project managers, and all levels of management.
May lead departmental User Acceptance Testing, utilizing all systems necessary and performing all UAT based activities on behalf of department.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company's Core Competencies and values held within
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Benefits

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits