Job Summary:
The operations analyst works closely and collaboratively with nirvanaHealth Operations and Implementation teams and external stakeholders to maintain operational deadlines and provide support for post-go-live activities. They gather requirements and data files from external stakeholders and attend cross-departmental meetings to provide insight in any relevant findings. The operations analyst is responsible for providing support in one or many workstreams within the operations team.
Job Responsibilities:
- Interact with health plan clients’ operations teams on a regular basis to address outstanding issues and bring them to resolution.
- Work closely with diverse departments to manage daily operations within schedule, scope, and quality to meet established service level agreements.
- Configuration of letter templates and generation of letters in the platform per CMS standards for Payer and PBM letters.
- Monitor and review state and federal healthcare polices to ensure that the platform is compliant. If gaps are identified, work with technical and clinical teams to translate state and federal regulations into configurable solutions.
- Other responsibilities as required.
Qualifications
Education and/or Training:
- Bachelor’s degree required, degree in business, IT, public policy, or healthcare related fields are preferred.
- Master’s degree preferred.
- Demonstrated track record of academic, professional, and personal success.
Professional Experience:
- 0-2 years relevant experience.
- Ability to visualize processes and identify core functions.
- Strong organizational skills and ability to reprioritize projects as needed.
- Desire to work closely with senior leadership in tackling complex issues.
- Excellent communication skills with an ability to distill complex challenges and detailed analysis into simple, structured frameworks with actionable solutions.
- Careful attention to detail with strong analytical capabilities.
- Team player with a collaborative working style.
- Ability to multitask on different projects and timelines.
- Strong interest in healthcare and technology industries.
- Strong PC skills; MS Word, Excel, Access, and Power Point