Healthcare Problem Management Specialist

2 weeks ago


Philadelphia, Pennsylvania, United States InSource, Inc Full time

Job Summary

We are seeking a skilled Healthcare Problem Management Specialist to join our team at InSource, Inc. as a Healthcare Operations Problem Solver. As a Healthcare Issue Management Coordinator, you will play a critical role in managing problems throughout our client's migration to new vendors and systems.

About the Role

The Healthcare Problem Management Specialist will be responsible for analyzing, trending, and tracking new ServiceNow business incidents on a daily basis. You will conduct root cause analyses of issues across domains such as enrollment, billing, claims, client setup, and provider networks.

Key Responsibilities

  • Analyze and track new ServiceNow business incidents to identify trends and patterns.
  • Conduct root cause analyses to determine the underlying causes of issues.
  • Categorize incidents into trended problems and maintain problem tickets through the problem management ServiceNow module.
  • Facilitate problem management meetings with key business stakeholders to identify, update, and resolve issues.
  • Develop and maintain a problem management database to track issues and their resolution status.
  • Develop training documentation for business teams to ensure they are equipped to open, reassign, update, and resolve tickets.
  • Partner with the Rapid Insights team to develop tools to monitor the business and quickly identify new issues.

Requirements

  • 3+ years of experience in healthcare or health insurance operations.
  • Strong social and communication skills and the ability to work as a matrixed leader across an organization.
  • 2+ years of experience in problem management or a related field.
  • Bachelor's degree or equivalent experience.

Desired Qualifications

  • Strong analytical skills and the ability to identify trends and root causes of problems.
  • Experience working with ServiceNow and Tableau.
  • Knowledge of Google Big Query, SQL, or other coding languages.


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