Analyst, Strategic Operations

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Strategy

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Access TeleCare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

⚕️ Healthcare Insurance

📡 Telecommunications

🏥 Healthcare

Healthcare Insurance • Telecommunications • Healthcare

Access TeleCare is the largest provider of acute specialty telemedicine services in the United States, serving over 216 million people across nearly 15,000 zip codes. The company partners with hospitals and healthcare systems to deliver clinically excellent telemedicine programs in various specialties, including behavioral health, neurology, cardiology, and infectious disease. Access TeleCare integrates advanced technology with dedicated pools of licensed specialty physicians to enhance patient care and streamline clinical operations, bridging the gap between virtual and bedside care.

📋 Description

• Prepare, validate, and submit Independent Dispute Resolution disputes under federal and state requirements • Confirm dispute eligibility and customize supporting evidence for each dispute • Review claim, payer, and determination data for accuracy and completeness • Resolve discrepancies before submission • Facilitate payer escalations and drive cash collections on prior disputes through phone, written, and faxed follow-up • Track payment status through resolution • Develop standard operating procedures, training materials, and workflow documentation for escalation and collection activity • Support vendor management by organizing documentation, coordinating contract and information requests, tracking deliverables, and monitoring vendor performance • Develop and maintain reporting and metrics for the IDR program • Surface trends in eligibility, determinations, payer behavior, and recovery • Translate analytical results for non-technical audiences, executive management, and external partners • Maintain knowledge of payer guidelines, state/federal regulations, and industry standards • Collaborate with payers during disputes to reach mutually beneficial resolutions and improve payer relations • Resolve data integrity and integration issues across departments • Identify process, documentation, and tooling improvements and own assigned improvement projects • Perform other duties as assigned • Report to the Vice President of Strategic Operations (IDR)

🎯 Requirements

• Bachelor’s Degree in Healthcare Administration, Business, Finance, Economics or similar is preferred • 0-2 years of work experience; internship, co-op, or coursework in healthcare, finance, analytics, or operations preferred • Prior experience working with multiple systems and platforms • Experience in a high-growth healthcare company preferred • Experience with the Independent Dispute Resolution process under the NSA preferred; training will be provided • Proven critical thinking and problem-solving skills, including working through ambiguous or undefined problems and recommending a course of action • Excel proficiency, including pivot tables and VLOOKUP, and comfort working with large datasets • Ability to work independently, manage competing priorities, and follow through on long-running items with limited direct supervision • High attention to detail and excellent organizational skills • Effective written and verbal communication with internal teams and external payer parties • Negotiation and conflict-resolution skills to advocate for claim approvals • Ability to interpret and apply payer policies, state/federal regulations, and compliance standards • Proficiency in time management for high-volume workloads • Ability to work effectively under deadlines and self-manage multiple projects simultaneously • Experience with Salesforce preferred; exposure to Tableau or similar visualization tools a plus • Proficiency with Microsoft Office Suite or related software • Familiarity with healthcare compliance standards such as HIPAA and ability to maintain confidentiality • Interest in learning a complex and rapidly evolving regulatory area • Ability to thrive in a high-growth, fast-paced organization and 100% remote-based environment • Must be able to remain in a stationary position 50% of the time

🏖️ Benefits

• Health Insurance (Medical, Dental, Vision) • Life insurance • 401(k) • Flexible vacation and wellness days • Culture of ownership, transparency, and results • Occasional travel for meetings and collaboration