Operations Analyst

Responsibilities
Job Summary: The Operation Analyst position provides support regarding standard procedures and best practices to meet business objectives. Responsible for the design, development, implementation and support of reports and/or extracts. Working with Business Leaders, subject matter experts and vendors to gather and document reporting requirements to meet business needs. Plans and executes independent, objective internal audits designed to test and confirm compliance with applicable State and Federal laws. Analyzes and understands regulatory requirements and applies identified requirements to business operations when developing and conducting compliance reviews. Monitors the progress, up to the remediation, of all deficiencies once identified. This position requires in-depth knowledge and understanding of claims processing functions. Ability to analyze and interpret fee schedules, contracts and network data entry for opportunities for data clean-up projects. This position works with multiple payers/clients as the liaison for claims issues and all other communication, Create and analyze system QA reports to ensure the integrity of the data entered into multiple systems. Supports the fulfillment of internal/external audits as required. Performs other job-related duties and projects as assigned.
Qualifications
Qualifications and Requirements:

• High school or equivalent. Associate degree preferred
• 5 years health plan operations experience or health services experience preferred
• Good organization skills with ability to prioritize multiple activities in a rapidly changing environment
• Excellent interpersonal, communication and organizational skills with the ability to interact with all levels of personnel within the organization.
• Ability to understand from a systems level perspective the interdependence of one unit or system upon another, and how changes in any one part affect all others.
• Demonstrated ability and professional concern for bringing together knowledge of operations and information needs of users.
• In-depth knowledge and understanding on claims processing functions
• Ability to analyze, interpret and configure annual, quarterly and monthly fee schedules, contracts and ongoing maintenance.
• Ability to effectively communicate in English, both verbally and in writing.
• Excellent computer skills.
• Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment
• Good organization, management, and reporting skills
• Attention to detail
• Strong knowledge and experience with MS Office, MS Project, MS Visio with the ability to use these and other tools to provide meaningful analytics
• Ability to effectively contribute as a team member or on individual assignments.
• Must be able to work independently, providing management with status updates
• Excellent analytical and problem-solving skills.
• Strong customer service focus
• Knowledge of operational processes within the Health Plan.
• Strong negotiation and persuasion skills.
• Excellent written and verbal communication skills.
• Ability to interact with all levels of personnel.

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.