Healthcare Analyst
1 month ago
NO C2C
Onsite 1 day/week
SUMMARY
Responsible for assisting and supporting management in the evaluation, recommendation,
establishment, implementation and analysis of new and improved production workflows, work
processes for systems, reporting and new products/programs to improve customer service levels and
overall quality.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be
assigned.
1. Assist and support in the planning, coordinating, developing and implementing of approved
projects which are Divisional and/or Corporate in scope in order to enhance the overall efficiency
of operational procedures, methods, controls, and performance.
2. Analyze, process and/or expedite operational transactions; this may include timely resolution of
problems.
3. Participate in systems testing, develop procedures/controls and provide recommendations for the
ongoing improvement of the updated process.
4. Provide leadership team with status of projects; issue, communicate and recommend policy
decisions to achieve project objectives.
5. Utilize and maintain available corporate production and reporting systems; produce routine and
non-routine reports, presentations, letters communications and graphics.
6. Assist personnel (both internal and external) by answering questions, supplying information and
training.
7. Represent department and division as requested on work groups and special assignments.
8. Develop and maintain an effective working relationship with customers or partners.
EDUCATION AND/OR EXPERIENCE
1. Bachelor's Degree in related field preferred.
2. Two (2) to five (5) years experience in related field is required.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodations may be made to enable individuals with disabilities to perform
the essential functions
OTHER SKILLS AND ABILITIES
1. Demonstrated knowledge/competency in the following areas:
A. Claims or inquiry processing experience preferred.
B. Analytical experience.
C. Ability to produce statistical information from conceptual needs.
D. Working with PC application and/or mainframe systems preferred.
2. Effective verbal and written communication skills.
3. Ability to lead and contribute to process improvement programs.
4. Excellent interpersonal skills necessary to interact with all levels of all personnel.
5. Other related skills and/or abilities may be required to perform this job.
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions,
and procedure manuals. Ability to write routine reports and correspondence. Ability to speak
effectively before groups of customers or employees of
organization.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common
fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar
graphs.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or
diagram form. Ability to deal with problems involving several concrete variables in standardized
situations.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions. While performing the duties of
this job, the employee is frequently required to sit and talk or hear. The employee is occasionally
required to stand; walk; use hands to finger, handle, or feel; and reach with hands and arms. The
employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this
job include close vision, distance vision, color vision, and ability to adjust focus.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the essential functions. The noise level in the
work environment is usually very quiet.
ADDITIONAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by
people assigned to this classification. They are not intended to be construed as an exhaustive list of all
responsibilities, duties and skills required of personnel so classified. This job description does not
constitute a contract for employment
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