College Co-op: Operational Readiness Analyst

AmeriHealth; United States; Remote; USD 25,000 - 41,000; Full time

Job summary

AmeriHealth is seeking a College Co-op: Operational Readiness Analyst to join the Remote US team. You will support analytics, QA testing, and reporting to drive business optimization and cost containment across various units.

Responsibilities include investigating claims processing, evaluating billing/enrollment challenges, and performing root cause analyses to identify enterprise-wide solutions. The role emphasizes strong MS Office skills with Power BI preferred, and requires a junior/senior

Qualifications

• Pursuing a bachelor’s degree as a junior or senior.
• Recent graduate within one year of the program start date.
• Minimum GPA of 3.0.

Responsibilities

• Support analytics, QA testing and reporting for the Operational Readiness Team.
• Investigate claims processing and requests for claims adjustments.
• Evaluate billing and enrollment challenges to determine root cause.
• Perform root cause analysis across the enterprise.
• Develop spreadsheets for tracking and trending issues.
• Analyze claims utilization data for cost-saving opportunities.
• Provide technical guidance and analytical claims support.
• Assist cost containment projects and cross-functional teams.

Skills

MS Office

Power BI

Communication

Education

Undergraduate (Junior/Senior)

Recent graduate within 1 year

GPA 3.0+

Job description

College Co-op: Operational Readiness Analyst

Remote · US Only Full-time

Remote

About the Hiring Department:

The Operational Readiness Team drives business process improvements optimizing people process and technology to improve customer experience and realize meaningful cost containment.

Co-op Job Description:

Support the Operational Readiness Team with analytics, quality assurance testing and reporting, tracking and trending of issues to effectuate Business Optimization & Cost Containment for the organization.

• Investigate claims processing and requests claims adjustments for AmeriHealth member and provider appeals.
• Evaluate billing and enrollment challenges to determine root cause and resolution.
• Perform root cause analysis to determine appropriate issue resolution across enterprise
• Develop spreadsheets for tracking and trending issues/business challenges
• Analyze claims utilization data and identify areas for cost savings improvement.
• Research inquiries concerning claims, billing and enrollment.
• Provide technical guidance and analytical claims support for various AHNJ business units including but not limited to Health Services, Sales Finance, Network Services and Product.
• Support cost containment projects and corporate initiatives by participating on various project teams.
• Assist with identifying par and non-participating provider issues and work closely
• Assumes additional duties as requested.

Required Skills:

· Working knowledge of all Microsoft Office especially Outlook, Word, Excel, PowerPoint and Access.

· Preferred Power BI skills

· Interpersonal and effective communication skills of significant value.

Accepted Majors:

Classification:

· Junior or Senior undergraduate students

· Recent graduate (must be within one year or less of the program start date)

· 3.0 or higher

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy ·

We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy ·