Operations Analyst Jobs

About The Position

Requirements

• Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Experience working post-pay reviews, validation, and recovery processes in the healthcare industry strong preferred.
• Experience managing multiple projects in various stages to completion strongly preferred.
• Experience with medical billing guidelines, and regulations preferred.
• Experience with medical coding systems such as ICD, CPT, and HCPCS strongly preferred.
• Claim processing experience strongly preferred.
• GBD Facets or WGS experience preferred.

Responsibilities

• Develops and executes complex data analysis.
• Develops strategic report applications from Finance systems.
• Writes queries and macros to enhance access databases and builds new databases in support of accurate balance sheet/P&L reporting.
• Provides decision support and procedural input to ensure that processing efficiency does not compromise internal control mechanisms.
• Interfaces with IT as needed and documents and tracks any needed system enhancements with IT management.
• Documents and responds to any external audit requests.
• Assists in the implementation of software releases within the Finance organization.
• Ensures proper conversion or shutdown of legacy systems by developing and documenting enterprise solutions for successful transition to core processing systems.
• Has technical and operational expertise.
• Can commit department to deliverables on own initiative.
• Uses discretion in making independent decisions.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.