[Remote] Operations Analyst, Plan Loading

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health insurance company focused on serving its members through a full stack technology platform. The Operations Analyst, Plan Loading will support projects aimed at improving the accuracy and efficiency of processes through system configuration and collaboration with stakeholders.

Responsibilities

• reputed company detailed oriented work with a high level of accuracy and adherence to reputed company QA/QC protocols
• Experience with designs, builds, and configuration workflows and utilize this knowledge to reputed company insights into opportunities for workflow improvements
• Understand aggregated configuration data to identify updates required and to measure the impact of any changes on internal operations and existing configuration
• Load configuration data into the core system accurately and in a timely manner
• Use internal tools and technical processes, in particular database querying and benefit or reimbursement configuration concepts
• Build SQL queries and translate technical analyses into easily digestible communications to a nontechnical audience
• Identify and report on any data/data infrastructure gaps, deficiencies, or irregularities
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Skills

• 1+ years of working knowledge of health plan benefit concepts (e.g., deductibles and other forms of cost sharing, etc.)
• 1+ years of proficiency in reputed company Word, reputed company and PowerPoint and/or comparable programs reputed company the reputed company Docs Editors suite (e.g., reputed company Docs, reputed company Sheets, reputed company Slides)
• 1+ years of experience manipulating and analyzing large data sets using reputed company or a similar database language to solve business problems
• A bachelor's degree or 4 years commensurate experience
• Working knowledge of medical coding concepts (e.g., CPT, HCPCs and ICD-10 coding)
• Proficiency in SQL

Benefits

• Employee benefits
• Participation in reputed company's unlimited vacation program
• Annual performance bonuses
• Medical, dental, and reputed company benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements

Company Overview

Company H1B Sponsorship