Health First

posted 4 days ago

Full-time
Ambulatory Health Care Services

About the position

The position involves leading and developing a team of technical and reporting analysts to enhance departmental performance and operational efficiency. The role requires prioritizing workflows, analyzing improvement opportunities, and ensuring compliance with regulatory guidelines. The individual will also be responsible for effective communication across departments, resource planning, and the overall success of testing processes.

Responsibilities

  • Leads and develops a team of highly skilled technical and reporting analysts.
  • Prioritize and coordinate workflow for the team, acting as the point person for the Workforce Effectiveness Team.
  • Coach and instruct others to increase bench strength, identify defects, and improve departmental performance.
  • Communicate departmentally and interdepartmentally to recommend new Workforce concepts or modifications to existing workflows.
  • Analyze and implement improvement opportunities for the department, focusing on automation, productivity, and quality.
  • Trend and compare analyses against departmental and corporate standards.
  • Develop and prepare effective reporting tools and statistical reports, providing ongoing maintenance for the department.
  • Recommend changes to address deficiencies and improve performance based on analysis findings.
  • Ensure the overall success of applicable testing, including results verification before Management team approval.
  • Provide resource planning and resolve issues that impede the test effort.
  • Collaborate with the IT Department to resolve important defects and ensure appropriate testing levels.
  • Work with department members and other business units to understand project concepts and objectives.
  • Assess and prepare to address operational impacts, workflow, and training issues of assigned projects.

Requirements

  • High School diploma or GED equivalent from an accredited school.
  • Demonstrated ability to work within regulatory and compliance guidelines, including HIPAA.
  • Research and analytical experience in examining problems and implementing innovative solutions.
  • Ability to solve problems under time pressure with frequent interruptions.
  • Experience with in-depth manipulation of data for root-causing, trending, and summarization of projects.
  • Working experience with call center Workforce Management software, such as Verint, Genesys, or IEX.
  • Proficiency in SQL, SAS Base coding, and SAS Enterprise Guide process flow programming.
  • Proficiency in Excel analytics and reporting functionality, including pivot tables and v-lookup.
  • Bachelor's degree from an accredited institution or at least 4 years working in a Workforce role.
  • Experience with SharePoint.

Nice-to-haves

  • Bachelor's degree from an accredited institution.
  • Demonstrated ability to exercise good judgment and work independently as well as in a team environment.
  • Excellent written and oral communication and interpersonal skills.
  • Capability of multi-tasking with strong organizational and time management skills.
  • Advanced knowledge of claims operations and workflow processes.
  • Ability and willingness to handle increasing workload and responsibility.
  • Knowledge of Medicare and Medicaid programs and reimbursement methodologies.
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