Health Plan Operations Analyst - Data, Audits & Reporting

Universal Health Services; Reno (NV); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Loan Forgiveness

Generous PTO

Medical / Dental / Vision

401(k)

Job summary

Prominence Health, backed by Universal Health Services, seeks an Operation Analyst to support reporting, audits, and compliance initiatives across payer partnerships. The role focuses on designing and implementing reports and extracts, gathering requirements with business leaders, and coordinating audits to ensure regulatory compliance.

The position requires deep knowledge of claims processing, contract interpretation, and data integrity across multiple systems, with strong analytical and

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum 5 years in health plan operations or health services.
• Excellent interpersonal and organizational skills with ability to interact at all levels.
• Strong understanding of claims processing and regulatory requirements.
• Proficient in English, written and verbal, with data-driven problem solving.
• Proven ability to work independently in a fast-paced environment.

Responsibilities

• Design, development, implementation and support of reports and extracts.
• Gather reporting requirements with business leaders, SMEs and vendors.
• Plan and execute internal audits to test compliance with laws.
• Analyze regulatory requirements and apply them to operations.
• Coordinate remediation progress and communicate status to leadership.
• Create and analyze QA reports to ensure data integrity across systems.
• Support internal/external audits and related projects.

Skills

Analytical skills

Communication

Organizational skills

Problem solving

Self-starter

Education

High school diploma or equivalent

Associate degree preferred

Tools

MS Office

MS Project

MS Visio

Job description

Prominence Health, backed by Universal Health Services, seeks an Operation Analyst to support reporting, audits, and compliance initiatives across payer partnerships. The role focuses on designing and implementing reports and extracts, gathering requirements with business leaders, and coordinating audits to ensure regulatory compliance.

The position requires deep knowledge of claims processing, contract interpretation, and data integrity across multiple systems, with strong analytical and