Health Plan Operations Analyst I

Job Summary:

The Health Plan Operations Analyst I reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions to improve or further leverage these functions.

Essential Functions:

• Participates in the development of new market operation initiatives from concept to implementation and provide statistics measuring progress throughout
• Assist with Market process issues as assigned

• Assist with project and contract management as needed

• Collect and analyze data in support of business case creation and realization
• Contribute to ensuring operational effectiveness by assisting in the development of strategic plans for market operations, including business, financial, and operational goals and objectives
• Assist in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information
• Develop, document and perform testing and validation as needed
• Work with peers to achieve cross-functional capability with project execution and subject matter expertise
• Participates in the discussions of challenging the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth
• May assist with general administrative support related to department operations
• Perform any other job duties as requested

Education and Experience:

• Bachelor's degree in Engineering, Business, Finance, Economics or related field or equivalent years of relevant work experience is required
• Minimum of one (1) year of analytical experience is required
• A minimum of three (3) years of health care operations or project management experience is preferred

Competencies, Knowledge and Skills:

• Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
• Familiar with a variety of analysis concepts, practices and procedures
• Strong claims knowledge
• Excellent written and verbal communication, facilitation and presentation skills
• Strong interpersonal skills and high level of professionalism
• Effective listening and critical thinking skills
• Effective problem-solving skills with attention to detail
• Ability to work independently and within a team
• Strong analytical skills
• Ability to create and maintain excellent working relationships
• Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
• Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
• Ability to multi-task and remain flexible during organizational and/or business changes

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for long periods of time
• May be required to travel occasionally

Compensation Range:
$48,060.00 - $77,040.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource's national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-AH1