Sr Operations Analyst

HealthFirst•Lake Mary, FL

1d•$61,300 - $99,620•Remote

About The Position

The Senior Operations Analyst (SOA) is responsible for tracking, reporting, analyzing and summarizing operations data. The SOA position assists with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The SOA runs and reconciles reports. The SOA owns the accuracy and timeliness of reported data as well as communication and resolution of identified issues involving reports and trends. This position must coordinate work within and between departments as well as the state or external vendors to ensure regulatory and compliance guidelines are met.

Requirements

High School Diploma or GED from an accredited institution
Analysis experience using SQL, Excel and Access
Must be able to manipulate and create Excel spreadsheets; which will include standardizing reports, utilizing vLookups, pivot tables, filtering and formulas to generate desired results.
Must be familiar with Access as a database management and Market Prominence system(s) to manipulate queries.

Nice To Haves

BA Degree from an accredited institution
Work experience in health insurance or healthcare environment
Knowledge of MHS and CRM systems
Working experience with Medicare/ Medicaid programs, regulations and reimbursement
Working experience with NYSoH or Federal Exchange
Ability to demonstrate effective verbal and written communication

Responsibilities

Develop workflows and processes to ensure accurate processing and reconciliation occurs.
Develop queries identifying and analyzing data across multiple data sources and create report cards for prospective and current Department’s initiatives.
Build and maintain positive relationships with internal and external business partners and customers.
Assist Operations Analysts through training, coaching and functioning as first-level of support
Complete daily, weekly and monthly analysis, reports, summaries and dashboards
Receive and respond to inquiries and complaints and interface with internal and external personnel
Support audit, compliance and regulatory responsibilities
Meet SLA guidelines in creating files, reconciling information, executing system batches, etc.
Analyze business processes, identify root causes and provide data-based insights and recommendations for process improvements
Access and analyze data across multiple systems to identify areas of risk, complete root cause analysis to determine key drivers and develop recommendations to mitigate; report findings and recommendations to management.
Participate in systems testing and validation for various operations systems
Work directly with other teams or business units as a subject matter expert to understand objectives and codependences to ensure consistency
Write, maintain and execute basic and complex data queries to generate required data sets. Maintain and execute routine queries
Additional duties as assigned