Full Job Description
The Operations Analyst (OA) is responsible for tracking, reporting, analyzing and summarizing operations data. The OA position assists with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The OA runs and reconciles reports. The OA owns the accuracy and timeliness of reported data as well as communication and resolution of identified issues involving reports and trends.
Complete daily, weekly and monthly analysis, reports, summaries and dashboards
Support audit, compliance and regulatory responsibilities
Meet SLA guidelines in creating files, reconciling information, executing system batches, etc.
Analyze business processes, identify root causes and provide data-based insights and recommendations for process improvements
Access and analyze data across multiple systems to identify areas of risk, complete root cause analysis to determine key drivers and develop recommendations to mitigate; report findings and recommendations to management.
Participate in systems testing and validation for various operations systems
Work directly with other teams or business units as a subject matter expert to understand objectives and dependencies to ensure consistency
Write, maintain and execute basic and complex data queries to generate required data sets. Maintain and execute routine queries
Additional duties as assigned
High School Diploma or GED from an accredited institution
Experience with one or more of the following: querying data using data tables and ACCESS, identifying risks, issues and providing resolution options
Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel
Manipulation and creation of Excel spreadsheets; including but not limited to standardizing reports across multiple sheets, utilizing vLookups and functions/formulas, creating, using and interpreting pivot tables, filtering and formatting to generate desired results
Bachelor’s Degree from an accredited institution
Work experience in health insurance or healthcare environment
Knowledge of MHS and/or KIDS (State data system) preferred
Working experience with Child Health Plus and/or Medicaid programs, regulations and reimbursement
Working experience with NYSoH or Federal Exchange
Strong analysis and report development skills
Ability to demonstrate effective verbal and written communication
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