Sr Operations Analyst

The Senior Operations Analyst (SOA) is responsible for tracking, reporting, analyzing and summarizing operations data. The SOA position assists with the maintenance and testing of all system related changes; including workflows, validations, and automated processes. The SOA runs and reconciles reports. The SOA owns the accuracy and timeliness of reported data as well as communication and resolution of identified issues involving reports and trends. This position must coordinate work within and between departments as well as the state or external vendors to ensure regulatory and compliance guidelines are met.

Duties & Responsibilities

• Develop workflows and processes to ensure accurate processing and reconciliation occurs.
• Develop queries identifying and analyzing data across multiple data sources and create report cards for prospective and current Department’s initiatives.
• Build and maintain positive relationships with internal and external business partners and customers.
• Assist Operations Analysts through training, coaching and functioning as first-level of support
• Complete daily, weekly and monthly analysis, reports, summaries and dashboards
• Receive and respond to inquiries and complaints and interface with internal and external personnel
• 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 codependences 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
• Analysis experience using SQL, Excel and Access
• Must be able to manipulate and create Excel spreadsheets; which will include standardizing reports, utilizing vLookups, pivot tables, filtering and formulas to generate desired results.
• Must be familiar with Access as a database management and Market Prominence system(s) to manipulate queries.

Preferred Qualifications

• BA Degree from an accredited institution
• Work experience in health insurance or healthcare environment
• Knowledge of MHS and CRM systems
• Working experience with Medicare/ Medicaid programs, regulations and reimbursement
• Working experience with NYSoH or Federal Exchange
• Ability to demonstrate effective verbal and written communication

  Compliance & Regulatory Responsibilities: See Above

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

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 [email protected] or calling 212-519-1798 . 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 HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.

Know Your Rights

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): $68,900 - $99,620

• All Other Locations (within approved locations): $61,300 - $89,440

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.