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 Minimum Qualifications:
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 Preferred Qualifications:
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 Compliance & Regulatory Responsibilities: See Above
License/Certification: NA
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $57,408 - $76,960 All Other Locations (within approved locations): $49,795 - $72,800
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
