About the Company:
A Fortune 500 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored healthcare programs, focusing on underinsured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans).
The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.
Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
Resolve issues and identify opportunities for process redesign and improvement
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
Evaluate risks and concerns and communicate to management
Coordinate with various business units and departments in the development and delivery of training programs
Develop, share, and incorporate organizational best practices into business applications
Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
Serve as the subject matter expert on the assigned function product to ensure operational performance
Ability to travel
Bachelor’s degree in related field or equivalent experience.
6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis.
Advanced knowledge of Microsoft Applications, including Excel and Access preferred.
Project management experience preferred.
The company offers more than just medical insurance. They pay most of your benefits costs and in some cases – they pay 100 percent. Most of the benefits not covered by the company are paid with pre-tax payroll deductions.
Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
Short- and long-term disability insurance
Basic Life insurance
Supplemental life insurance
401(k) retirement with company match
Employee stock purchase plan
Vacation, Personal and Sick time
Paid Company Holidays
Employee Assistance Program (EAP)
Training and Learning Opportunities
Tuition Reimbursement/Educational Assistance
On-site fitness center or discount at local fitness centers (most locations)
Discounts for select local and national products and services, including cell phones, computers and more
Other amenities may be available, but vary by location