CareSource
Job Summary
The Health Plan Operations Analyst II reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions to improve or further leverage these functions.
Essential Functions
Manage new market operation initiatives from concept to implementation and provide statistics measuring progress throughout
Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization
Ensure operational effectiveness by assisting in the development of strategic plans for market operations, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the Market to HPLC's strategic initiatives and process improvements
Assist 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
Work with peers to achieve cross-functional capability with project execution and subject matter expertise
Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth
Perform any other job duties as requested
Education and Experience
Bachelor's degree in Engineering, Business, Finance, Economics or related field or equivalent years of relevant work experience is required
Minimum of one (1) years of analytical experience is required
A minimum of three (3) years of health care operations or project management experience is required
Competencies, Knowledge and Skills
Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
Familiar with a variety of analysis concepts, practices and procedures
Excellent written and verbal communication, facilitation and presentation skills
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail
Ability to work independently and within a team
Strong analytical skills
Ability to create and maintain excellent working relationships
Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
Ability to multi-task and remain flexible during organizational and/or business changes
Licensure and Certification
None
Working Conditions
General office environment; may be required to sit or stand for long periods of time
May be required to travel occasionally
Compensation Range $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well‑being and offer a substantial and comprehensive total rewards package.
Compensation Type Salary
Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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Essential Functions
Manage new market operation initiatives from concept to implementation and provide statistics measuring progress throughout
Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization
Ensure operational effectiveness by assisting in the development of strategic plans for market operations, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the Market to HPLC's strategic initiatives and process improvements
Assist 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
Work with peers to achieve cross-functional capability with project execution and subject matter expertise
Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth
Perform any other job duties as requested
Education and Experience
Bachelor's degree in Engineering, Business, Finance, Economics or related field or equivalent years of relevant work experience is required
Minimum of one (1) years of analytical experience is required
A minimum of three (3) years of health care operations or project management experience is required
Competencies, Knowledge and Skills
Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
Familiar with a variety of analysis concepts, practices and procedures
Excellent written and verbal communication, facilitation and presentation skills
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail
Ability to work independently and within a team
Strong analytical skills
Ability to create and maintain excellent working relationships
Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
Ability to multi-task and remain flexible during organizational and/or business changes
Licensure and Certification
None
Working Conditions
General office environment; may be required to sit or stand for long periods of time
May be required to travel occasionally
Compensation Range $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well‑being and offer a substantial and comprehensive total rewards package.
Compensation Type Salary
Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#J-18808-Ljbffr