Technical Finance Operations Specialist

Health Plans Inc

6h•Onsite

About The Position

The Technical Finance Operations Specialist position will be responsible for ensuring the smooth operation of our technical systems and providing support for various applications. This position will also provide actionable insights through the extraction of various reports and queries related to claims funding and administration of stop loss policies. They should excel in troubleshooting, report generation, and implementing process improvements to enhance operational efficiency.

Requirements

Proficiency in reporting tools (e.g. SQL, Excel, PowerBI)
Strong analytical and problem-solving skills, with a keen attention to detail
Ability to work independently and collaboratively in a fast-paced environment
Handle confidential and sensitive information with discretion
Ability to organize, prioritize, and multitask
Operate with a sense of urgency and responsiveness
Ability to work within specified timeframe and meet deadlines
Effective communication skills, both written and verbal
Proficient in Microsoft Office, including Word, Excel, Access, Outlook and PowerPoint

Nice To Haves

Experience with self-funded health plans and third-party administration processes
Familiarity with process improvement methodologies (e.g. Lean, Six Sigma, Kaizen)

Responsibilities

Support client inquiries and reporting needs, providing insights tailored to their business objectives
Develop and maintain dashboards and reports that track key performance indicators (KPIs) related to stop loss administration and claims funding
Monitor operational metrics to detect potential issues early for escalation to leadership
Generate reports and visualizations to support decision making processes for stop-loss and funding
Accurately input and update data in databases and data management systems
Maintain accurate and up-to-date inventory records, ensuring alignment with operational needs and client requirements
Create and maintain documentation for data processes, methodologies, and analysis results
Collaborate with IT and data engineering teams to facilitate data integration across platforms and systems
Ensure proper data mapping and transformation during integration processes
Analyze and cleanse data received within paid claims, RX transactions, and invoice fee reports to transform into a defined standard file layout to ensure accurate data is transferred to vendor
Develop and maintain dashboards and reports that track various year end data and activities related to stop loss contracts and renewals
Recommend improvements to data management processes and tools
Assist with implementing preventive measures to minimize escalations and disruptions
Provide technical assistance to users regarding data management tools and software
Troubleshoot data-related issues and coordinate with IT for resolution
Create user guides and training materials for departmental systems and procedures
Work closely with cross-functional teams to support stop-loss and claims funding data related projects and initiatives
Other duties as assigned