Lead Operations Analyst

$57,900 - $88,300/Yr

Public Consulting Group - Salem, OR

Full-time - Mid Level

Remote - Salem, OR

1,001-5,000 employees

Professional, Scientific, and Technical Services

About the position

Public Consulting Group LLC (PCG) is seeking a dedicated professional to join our Quality Assurance team. This position plays a crucial role in ensuring the quality and accuracy of Medicaid cost settlement and supplemental payment work. The successful candidate will assist with quality assurance processes, review and improve existing quality control mechanisms, and create documentation such as guides and standard operating procedures. You will work closely with management to establish and promote quality standards, monitor data received from providers, and complete quality assurance checks for assigned projects. Additionally, you will perform quality reviews of work completed by other staff and assist in managing audits associated with school district providers. In a leadership capacity, you will organize and distribute work within the Quality Assurance team, providing supervision and support for junior staff. Your contributions will be vital in decision-making and goal-setting for the team. As part of project management, you will collect, manage, and document data flow across a large set of projects, ensuring timely communication with partners to meet deadlines. Your responsibilities will also include larger-scale data management tasks that impact multiple projects. You will assess and transform Excel data to ensure compatibility with pre-defined templates, load data into these templates, and validate the accuracy of data management tasks performed by junior team members. Furthermore, you will conduct financial analysis of cost reports, including trend and variance analysis, and perform desk audits to validate data against supporting documentation. Client service is a key aspect of this role, as you will communicate with internal clients regarding data discrepancies, missing information, and upcoming deadlines. You will provide first-line client support via a group email box and shared phone help line, ensuring that issues are appropriately escalated within the team. Special projects may also be assigned as needed.

Responsibilities

• Assist with quality assurance processes surrounding Medicaid cost settlement and supplemental payment work.
• Review and improve existing quality control and quality assurance mechanisms.
• Create and assist with documentation (e.g., guides, standard operating procedures, etc.).
• Assist management in establishing and promoting quality standards.
• Monitor and track data received from providers.
• Complete quality assurance checks for assigned projects.
• Perform quality review of work completed by other staff.
• Assist in managing audits associated with school district providers.
• Organize and distribute work within the Quality Assurance team.
• Provide supervision and support for junior staff.
• Contribute to decision making and goal-setting for the team.
• Collect, manage, and document data flow on a large set of projects.
• Monitor progress both internally and communicate with partners to complete assignments within timelines.
• Responsible for larger-scale data management tasks that touch many projects.
• Assess and transform Excel data to be compatible with pre-defined templates.
• Load data into pre-defined templates and confirm correct entry and interaction with automated functions.
• Identify and communicate data quality issues and summarize requirements for follow-up.
• Validate data management tasks performed by junior team members.
• Manage a queue of data management tasks with prompt delivery and clear communication.
• Conduct financial analysis of cost reports including trend analysis, variance analysis, and root cause data investigations.
• Gather and interpret cost and/or ratio data to identify variances and trends, create reports and perform advanced analysis when necessary.
• Perform 'desk audits' of cost reports, validating data submitted against supporting documentation.
• Assist internal client team with audit management (e.g., SOC, comprehensive audit reviews, etc.).
• Communicate with internal clients about data discrepancies, missing information, needed documents, upcoming deadlines, and status.
• Appropriately escalate issues within the team.
• Provide first line client support via group email box and shared phone help line.
• Special projects as assigned.

Requirements

• Bachelor's degree is required.
• 7-10 years professional experience within a healthcare, financial or data environment.
• Excellent verbal and written communication skills.
• Strong interpersonal, organizational, research, and time management skills.
• Ability to provide guidance and support to junior staff.
• Ability to manage projects and hit deadlines and other metrics.
• Ability to effectively and independently present information and respond to questions from project managers and other colleagues.
• Experience in performing or responding to audits and other quality assurance reviews within a Medicare or Medicaid setting.
• Demonstrate a detailed and process-oriented approach to problem-solving.
• Demonstrate sound judgment in completing tasks and in seeking guidance when needed.
• Demonstrate a positive attitude and demeanor; showing initiative, enthusiasm, and strong willingness to learn.
• Demonstrate a commitment to deliver exceptional service for internal clients.
• Ability to report and track findings, review documentation, and notify upper-level management of key issues.
• Ability to embrace change and flexibility.
• Ability to juggle multiple assignments at once, seeking prioritization when necessary.
• Ability to work both in a team situation and autonomously.
• Proficiency in Microsoft Office products and applications.
• Ability to apply information learned to new projects and settings.
• Analytical skills, including the ability to analyze and organize data.
• Ability to work independently, within a team, and with multiple different people with different work styles.

Nice-to-haves

• Advanced knowledge of Excel.
• Knowledge of SQL or other structured database tool preferred.
• Experience with or knowledge of Medicaid, Medicare, or Healthcare.

Benefits

• Medical and dental care benefits
• 401k
• PTO
• Parental leave
• Bereavement leave