Operations Business Analyst III

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Reviewing and analyzing the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions • Perform cost-benefit and return on investment analyses for proposed initiatives to aid decision-making process as well as collect and analyze data in support of business case creation and realization • Ensures operational effectiveness by assisting in strategic and business planning, including business, financial, and operational goals and objectives definition as well as feasibility studies • Recognizes and proactively manages scope and expected benefits across the organization’s strategic initiatives and process improvements • Takes a leading role in the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids • Takes a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information. • Develop, document and perform testing and validation as needed • Mentor Business Operations Analyst/Associates to achieve cross-functional capability with project execution and subject matter expertise • Perform any other job duties as requested

🎯 Requirements

• Bachelor of Science/Arts degree or equivalent work experience is required • Five to eight (5-8) years of health care operations experience in insurance, managed care, or related industry is required • Knowledge of regulatory reporting and compliance requirements • Ability to effectively interact with all levels of management within the organization and across multiple organizational layers • Demonstrates excellent analysis and collaboration skills • Ability to multi-task and juggle competing priorities • Exceptional communication (verbal and written), facilitation and presentation skills • Strong interpersonal, leadership and relationship building skills • Critical listening and thinking skills • Customer service oriented • Effective time management and prioritization skills • Decision making and problem solving skills • Six Sigma or other performance improvement experience is preferred

🏖️ Benefits

• bonuses tied to company and individual performance • substantial and comprehensive total rewards package